Lucas v. Riverhill Poultry, Inc. ( 2021 )


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  • PRESENT: Lemons, C.J., Goodwyn, Mims, Kelsey, McCullough, and Chafin, JJ., and Millette,
    S.J.
    CRYSTAL LUCAS, ADMINISTRATOR
    OF THE ESTATE OF MARK LUCAS
    OPINION BY
    v. Record No. 200336                             SENIOR JUSTICE LEROY F. MILLETTE, JR.
    JULY 1, 2021
    RIVERHILL POULTRY, INC., ET AL.
    FROM THE CIRCUIT COURT OF ROCKBRIDGE COUNTY
    David B. Carson, Judge
    This appeal arises from a defense verdict in a jury trial for an alleged wrongful death
    occurring in an unexplained single-vehicle accident in which both occupants perished. The
    plaintiff Crystal Lucas is the Administrator of the Estate of Mark Lucas (the “Administrator”) and
    the defendants are Riverhill Poultry, Incorporated (“Riverhill”) and Amy B. Goode (“Goode”), the
    Administrator of the Estate of Gerald Hilliard. The plaintiff contended that Hilliard fell asleep at
    the wheel of his tractor-trailer thereby causing the accident that killed a passenger in the vehicle,
    Mark Lucas. The defendants asserted that Lucas was the driver. We consider whether the circuit
    court erred (i) in excluding portions of the medical examiner’s autopsy report and the plaintiff’s
    experts’ opinions regarding the identity of the driver and Hilliard’s alleged sleep disorder and (ii)
    in refusing the plaintiff’s proffered jury instruction on falling asleep at the wheel. For the reasons
    explained below, we will affirm the circuit court’s judgment.
    BACKGROUND
    Just before 7 a.m. on February 15, 2017, a farm-use tractor-trailer owned by Riverhill left
    its lane of travel on Interstate 81 southbound in Rockbridge County and rolled down an
    embankment, killing Lucas and Hilliard. Riverhill employed Hilliard as a truck driver to transport
    chicken waste fertilizer. Lucas, a friend and neighbor of Hilliard, accompanied Hilliard in the
    tractor-trailer on the day in question.
    The Administrator filed a complaint against Riverhill and Goode (collectively
    “Defendants”), seeking damages for wrongful death. The Administrator alleged that Lucas was a
    passenger in the tractor-trailer and that Hilliard failed to exercise reasonable care in its operation;
    failed to keep it under proper control; and fell asleep, due to lack of proper rest, while operating
    the vehicle causing it to leave the roadway and roll over. She alleged that Hilliard’s negligence
    was a proximate cause of Lucas’s death and the beneficiaries’ losses, including medical, funeral,
    and burial expenses; Lucas’s reasonably expected income, services, protection, care, and
    assistance; and Lucas’s “society, companionship, comfort, guidance, kindly offices and advice.”
    Riverhill disputed that Hilliard was driving the tractor-trailer and contended instead that Lucas was
    driving. Alternatively, Riverhill asserted that if Hilliard was driving the tractor-trailer, he was not
    negligent.
    Prior to trial, the circuit court granted defense motions to exclude the Administrator’s
    proffered expert testimony from the attending medical examiner, Hilliard’s family physician, a
    neurologist, and a trucking safety professional as well as portions of the medical examiner’s
    autopsy report on Hilliard. At the beginning of trial, the Administrator proffered the excluded
    testimony from her experts as well as the medical examiner’s materials. She made no other
    motions or arguments related to the excluded evidence during the trial. At the close of the
    evidence, the Administrator proffered the following jury instruction: “A person who falls asleep
    while driving is negligent.” In support of her proffer, the Administrator argued that “we think that
    the evidence could have put the inference forward that the driver fell asleep because there was no
    2
    evasive action until it was too late.” 1 The circuit court refused the instruction. The jury returned a
    verdict for the defendants.
    We awarded the Administrator this appeal. She assigns the following errors to the circuit
    court’s judgment, which we will address in turn.
    1. The trial court erroneously excluded laboratory and manner of death evidence from
    the Commonwealth’s Assistant Chief Medical examiner’s report, as well as
    supportive expert testimony from the Assistant Chief Medical Examiner.
    2. The trial court erroneously excluded all testimony of truck driver Hilliard’s family
    medicine physician about his sleep disorder, and later also refused the ‘falling asleep
    at the wheel’ Virginia model jury instruction.
    3. The trial court erroneously excluded all expert neurological testimony on sleep
    disorders and fatigue (Dr. Hansen) and all expert truck safety testimony (Mr.
    Crawford) involving scientific findings and discussion of truck driver-fatigue and
    distracted driving.
    DISCUSSION
    ASSIGNMENT OF ERROR 1
    Medical Examiner’s Report and Expert Testimony
    Dr. Sara Ohanessian, the Assistant Chief Medical Examiner at the Roanoke Office of the
    Chief Medical Examiner, performed an autopsy on Hilliard. She concluded the cause of Hilliard’s
    death was “Blunt Force Trauma of Head” and the manner of death was “Accident.” Her autopsy
    report included the following “Summary of Circumstances:”
    This 68-year-old decedent was driving a 2004 Kenworth tractor trailer on I-81 in
    Virginia with a passenger. The vehicle reportedly ran off the road, struck a
    guardrail, struck an embankment, and then overturned. A call to 911 was made for
    assistance and police/rescue responded to the scene where the driver and passenger
    . . . were pronounced dead. It was reported that both decedents were unrestrained.
    The medical examiner’s office was notified, and the decedents were transported to
    WOCME for examination.”
    A forensic analysis of Hilliard’s postmortem blood revealed that certain medications were present.
    1
    Two eyewitnesses testified that when the tractor-trailer failed to negotiate the slight curve
    in the roadway, the driver did not brake or take any other apparent action to avoid the accident.
    The eyewitnesses could not identify the driver.
    3
    In her pre-trial deposition, Dr. Ohanessian testified that some of the medications found in
    Hilliard’s blood were drowsiness-inducing medications typically taken as sleep aids. She also
    testified that, in addition to her physical examination of Hilliard’s body, she relied on the final
    report from the state police to conclude that Hilliard was driving the tractor-trailer at the time of
    the crash. She added that the photographs of the accident scene showing Hilliard situated between
    the driver and passenger seats in the cab of the tractor-trailer with his left hand on the steering
    wheel also informed her conclusion that Hilliard was the driver. Dr. Ohanessian acknowledged on
    cross-examination that she had relied on the police report to “tell [her] who . . . was driving in this
    case” and that she was neither trained nor expected to recreate automobile accidents or make final
    conclusions about what object or mechanism may have caused the blunt force trauma to Hilliard’s
    head. She agreed she could only speculate about what occurred. Dr. Ohanessian also
    acknowledged that she could only speculate about whether Hilliard suffered any adverse reactions
    to any of the medications found in his blood or whether he was awake or asleep at the time the
    vehicle left the roadway. She confirmed that once she determined the cause and manner of death,
    her duties were complete.
    I. Statutory Construction of Code § 8.01-390.2
    First, the Administrator contends that the circuit court erred as a matter of law in excluding
    the Summary of Circumstances and the toxicology report because it was contrary to Code § 8.01-
    390.2. That statute provides:
    Reports of investigations made by the Chief Medical Examiner, his assistants or
    medical examiners, and the records and certified reports of autopsies made under the
    authority of Title 32.1, shall be received as evidence in any court or other
    proceeding, and copies of photographs, laboratory findings and reports in the office
    of the Chief Medical Examiner or any medical examiner, when duly attested by the
    Chief Medical Examiner or an Assistant Chief Medical Examiner, shall be received
    as evidence in any court or other proceeding for any purpose for which the original
    4
    could be received without proof of the official character or the person whose name is
    signed thereto.
    The Administrator argues that the statute plainly provides that a medical examiner’s reports
    of investigations and copies of laboratory findings “shall be received as evidence.” She submits
    that the lack of any limiting language in the statute relating to hearsay testimony reflects that the
    General Assembly understood that a medical examiner’s report by its very nature derives from
    hearsay, such as reports from first responders and third-party forensic laboratories. Therefore,
    although Dr. Ohanessian based the opinions in her Summary of Circumstances on the police
    report, accident photographs and the location of Hilliard’s body in the cab of the tractor-trailer,
    rather than her personal knowledge of these facts, the Administrator argues that it did not warrant
    the circuit court’s exclusion. Similarly, she contends that the laboratory findings were plainly
    admissible under the statute. The Administrator also argues that the laboratory results were
    relevant because, along with Dr. Ohanessian’s supporting testimony, they demonstrated that
    Hilliard had knowingly ingested drowsiness-inducing medications, which was relevant to her
    theory that Hilliard fell asleep at the wheel.
    Alleged errors involving statutory interpretation or application present questions of law that
    we review de novo on appeal. Conyers v. Martial Arts World of Richmond, Inc., 
    273 Va. 96
    , 104
    (2007). We are bound by “the plain language of a statute unless the terms are ambiguous or
    applying the plain language would lead to an absurd result.” Boynton v. Kilgore, 
    271 Va. 220
    , 227
    (2006) (internal citations and quotation marks omitted).
    Although this is the first occasion on which we consider Code § 8.01-390.2, we have on
    several occasions construed and applied Code § 19.2-188, which is the materially identical
    5
    criminal counterpart of Code § 8.01-390.2. 2 A review of those cases reveals that we have
    consistently rejected the statutory construction and application that the Administrator promotes
    here. Her attempts to distinguish these cases do not persuade us to depart from this precedent for
    purposes of our interpretation and application of Code § 8.01-390.2.
    In Bond v. Commonwealth, 
    226 Va. 534
     (1984), the decedent died after falling from a
    fourth-floor balcony. The medical examiner based his conclusions that the decedent was thrown to
    her death, thereby making the death homicidal, upon the police investigation and report, witness
    statements, photographs from the scene, and a postmortem blood analysis devoid of any
    substances. The circuit court overruled the defendant’s objection to the admission of that portion
    of the medical examiner’s autopsy report as opinion based on hearsay, reasoning that the statute
    provided an exception to the hearsay rule and because it “clearly says [the report] shall be
    admissible in evidence.” Id. at 536-37. On appeal, we held that the circuit court erred, holding
    that “since only statements of fact are within the purview of the statutory exception” the medical
    2
    In 2003, the General Assembly made slight, non-substantive amendments to Code
    § 19.2-188 and simultaneously enacted the identical Code § 8.01-390.2 as recited above.
    See Acts 2003, ch. 459. At all relevant times prior to 2003, Code § 19.2-18 provided:
    Reports of investigations made by the Chief Medical Examiner or his assistants or by
    medical examiners, and the records and reports of autopsies made under the authority
    of Title 32.1 of this Code, shall be received as evidence in any court or other
    proceeding, and copies of records, photographs, laboratory findings and records in the
    office of the Chief Medical Examiner or any medical examiner, when duly attested by
    the Chief Medical Examiner or one of his Assistant Chief Medical Examiners, or the
    medical examiner in whose office the same are, shall be received as evidence in any
    court or other proceeding for any purpose for which the original could be received
    without proof of the official character or the person whose name is signed thereto.
    6
    examiner’s expression of opinion that the decedent died as a result of homicide was incompetent.
    Id. at 537 (quoting Ward v. Commonwealth, 
    216 Va. 177
    , 178 (1975)). 3 We reasoned that
    [w]here the facts and circumstances shown in evidence are such that [jurors] of
    ordinary intelligence are capable of comprehending them, forming an intelligent
    opinion about them, and drawing their own conclusions therefrom, the opinion of an
    expert based upon such facts and circumstances is inadmissible.
    
    Id.
     (quoting Coppola v. Commonwealth, 
    220 Va. 243
    , 252 (1979)). We further explained that
    although an expert witness may be permitted to express an opinion relative to the existence or
    nonexistence of facts not within common knowledge, the expert cannot give an opinion upon the
    precise or ultimate fact in issue, which must be left to the factfinder. 
    Id.
     (citing Webb v.
    Commonwealth, 
    204 Va. 24
    , 33 (1963)).
    Does Amendment to Code § 19.2-188 Limit Application of Bond?
    The Administrator attempts to distinguish Bond and limit its application here, arguing that
    the medical examiner’s opinion was impermissible there only because it bore on an ultimate fact in
    issue, which she contends is now permissible under the amendment to Code § 19.2-188. It
    provides:
    B. Any statement of fact or of opinion in such reports and records concerning the
    physical or medical cause of death and not alleging any conduct by the accused shall
    be admissible as competent evidence of the cause of death in any preliminary hearing.
    See Acts 2009, ch. 640. We disagree with the Administrator’s contention that the amendment
    would dictate a different result in Bond and therefore limits its relevance here to support the
    exclusion of Dr. Ohanessian’s Summary of Circumstances. Nothing in the plain language of Code
    § 19.2-188 provides that a medical examiner is authorized to opine on an ultimate fact in issue, nor
    3
    Code § 19.1-45, the predecessor to Code § 19.2-188, was in effect when we decided Ward
    v. Commonwealth, 
    216 Va. 177
     (1975) and Bass v. Commonwealth, 
    212 Va. 699
     (1972), but it also
    contained language materially identical to Code §§ 19.2-188 and 8.01-390.2. See, e.g., Robertson
    v. Commonwealth, 
    211 Va. 62
    , 65 (1970).
    7
    does it permit her to base an opinion on facts and circumstances shown by the testimony of lay
    witnesses that are sufficient to enable a jury to draw its own conclusion. Further, the medical
    examiner in Bond opined on conduct by the accused (that he threw the victim off the balcony),
    which the amendment plainly prohibits.
    Does Enactment of Code § 8.01-401.3 Limit Application of Bond?
    We also disagree with the Administrator’s assertion that Bond has limited relevance to this
    civil case in light of Code § 8.01-401.3, which provides:
    No expert or lay witness while testifying in a civil proceeding shall be prohibited
    from expressing an otherwise admissible opinion or conclusion as to any matter of
    fact solely because that fact is the ultimate issue or critical to the resolution of the
    case. However, in no event shall such witness be permitted to express any opinion
    which constitutes a conclusion of law.
    The circuit court excluded Dr. Ohanessian’s testimony that Hilliard was driving and had ingested
    sleep aids at some time prior to the accident for lack of a proper foundation. The court concluded
    that the proffered testimony would invade the province of the jury to draw its own conclusions
    from the same evidence the doctor considered. Therefore, Dr. Ohanessian’s expert testimony was
    not “otherwise admissible” as required by Code § 8.01-401.3. Hence, application of this statute
    also would not permit the medical examiner’s excluded expert testimony. See Countryside Corp.
    v. Taylor, 
    263 Va. 549
    , 553 (2002) (internal citations omitted) (explaining that although Code
    § 8.01-401.3 has liberalized the admission of expert testimony, it nevertheless must meet the
    fundamental evidentiary requirements, such as an adequate foundation). Accordingly, our
    construction and application of Code § 19.2-188 in Bond applies here without limitation.
    Additional Cases that Inform our Construction of Code § 8.01-390.2
    We likewise adopt and apply our reasoning in Bass v. Commonwealth, 
    212 Va. 699
    , 700
    (1972). There, we rejected the Commonwealth’s argument, similar to the Administrator’s
    8
    arguments here, that admission of the medical examiner’s report was mandatory because of the
    statutory language providing that a medical examiner’s report “shall be received into evidence.”
    We explained that the effect of the statute was to make reports of investigations of the medical
    examiner “admissible as prima facie evidence of the facts stated therein, thus obviating the
    necessity of summoning as witnesses those persons” performing the particular tests or
    investigations at issue. See also, Robertson v. Commonwealth, 
    211 Va. 62
    , 67-68 (1970)
    (construing the statute to mean that facts, not opinions, in a medical examiner’s report are accorded
    the dignity of prima facie evidence).
    Similarly, in Hopkins v. Commonwealth, 
    230 Va. 280
    , 286-287 (1985), the circuit court
    ruled, over defense objection, that Code § 19.2-188 permitted the admission of the victim’s dental
    identification through the medical examiner’s testimony or the autopsy report. On appeal, we held
    that the circuit court erred, explaining that “expressions of opinion . . . are not admissible merely
    because they are included in a medical examiner’s report; only statements of fact are admissible
    under this statutory exception to the rule excluding hearsay evidence.” See also Quintana v.
    Commonwealth, 
    224 Va. 127
    , 141 (1982) (holding the medical examiner’s report was prima facie
    evidence of the stated facts but that an opinion in the report was not competent evidence).
    Accordingly, we reject the Administrator’s similar arguments on these points as well.
    Our reasoning in the foregoing cases is also consistent with our holdings that it is error to
    admit into evidence a death certificate, which is governed by Code § 32.1-272, to show cause or
    manner of death if it contains any expressions of opinions or conclusions by a person who has no
    personal knowledge of the facts. See Edwards v. Jackson, 
    210 Va. 450
    , 452-453 (1970)
    (construing Code § 32-353.27, the predecessor to Code § 32.1-272); see also Bailey v. C. V.
    9
    Hunter, Inc., 
    207 Va. 123
     (1966) (same); and K. Sinclair, The Law of Evidence in Virginia § 13-
    12[d] (8th ed. 2018) (same).
    Further, we observe that when the General Assembly enacted Code § 8.01-390.2 with
    language identical to Code § 19.2-188, it did so with the knowledge of our aforementioned
    jurisprudence. See Acts 2003, ch. 459; see also Townes v. Virginia State Bd. of Elections, 
    299 Va. 34
    , 49 (2020) (explaining that when the legislature acts in an area in which an appellate court has
    spoken, it is presumed to know the law as the court has stated it and therefore to acquiesce in it,
    and if the legislature intends to countermand such appellate decision it must do so explicitly)
    (quoting Weathers v. Commonwealth, 
    262 Va. 803
    , 805 (2001) and citing Lambert v. Sea Oats
    Condominium Ass’n, Inc., 
    293 Va. 245
    , 254 (2017)).
    Therefore, in keeping with the reviewed precedent, we reject the Administrator’s argument
    that Code § 8.01-390.2 should be construed as a mandate to admit expressions of opinion merely
    because they are included in a medical examiner’s report regardless of any other rule of evidence.
    The statute provides an exception only to the evidentiary rule excluding hearsay evidence. 4 Its
    4
    We also reject Lucas’s additional argument that we should construe Code § 8.01-390.2
    more liberally in light of the hearsay exception provided by Rule 2:803(8) of the Virginia Rules of
    Evidence, which provides in relevant part that:
    The following are not excluded by the hearsay rule, even though the declarant is
    available as a witness:
    ...
    (8) Public Records and Reports. – In addition to categories of government records
    made admissible by statute, records, reports, statements, or data compilations, in any
    form, prepared by public offices or agencies, setting forth (A) the activities of the
    office or agency, or (B) matters observed within the scope of the office or agency’s
    duties, as to which the source of the recorded information could testify if called as a
    witness; generally excluding, however, in criminal cases matters observed by police
    officers and other law enforcement personnel when offered against a criminal
    defendant.
    10
    effect is to make reports of investigations of the medical examiner “admissible as prima facie
    evidence of the facts stated therein, thus obviating the necessity of summoning as witnesses those
    persons performing the particular tests or investigations at issue.” Bass, 
    212 Va. at 700
    . It does
    not, as we explained in Bond, provide an exception authorizing admission of expressions of
    opinion in a report that are derived from evidence, such as here, that the jury is just as well-
    equipped as the medical examiner to consider and draw its own conclusions. However, if the
    evidence was such that the jurors were not capable of comprehending and forming an intelligent
    opinion about it, and drawing their own conclusions, the opinion testimony of an expert based
    upon such facts and circumstances would be admissible, assuming it met all other evidentiary
    requirements. That simply is not the case here.
    As Dr. Ohanessian acknowledged, the only investigation she was tasked with was to
    determine the cause and manner of Hilliard’s death, which, respectively, she reported as “Blunt
    Force Trauma of Head” and “Accident.” See Code § 32.1-183(B). The circuit court properly
    permitted those portions of Dr. Ohanessian’s report as prima facie evidence of those facts without
    the need for her appearance or testimony, thereby effectuating the purpose of Code § 8.01-390.2.
    II.   Medical Examiner’s Expert Testimony
    Next, the Administrator contends that the circuit court abused its discretion in excluding
    Dr. Ohanessian’s designated expert testimony.
    Assuming, arguendo, that the Rule permits the admission of a broader range of evidence than Code
    § 8.01-390.2, it is irrelevant under the facts here. To be excepted from the hearsay rule and be
    admissible, the Rule would require that Dr. Ohanessian’s autopsy report contain “matters observed
    within the scope of the office or agency’s duties, as to which the source of the recorded
    information could testify if called as a witness.” As previously explained, Dr. Ohanessian testified
    that the challenged opinions were not matters she observed within the scope of her duties.
    Therefore, her testimony would not satisfy the requirements of the Rule in any event.
    11
    It is well-established that the admission or exclusion of expert testimony is a matter within
    the sound discretion of the circuit court, and we will reverse the circuit court’s judgment only when
    the court has abused this discretion. Keesee v. Donigan, 
    259 Va. 157
    , 161 (2000). When we say
    that a circuit court has discretion, we do not mean that the court is free to simply act in any way it
    may deem desirable under the circumstances. See, e.g., Harris v. Citizens Bank & Tr. Co., 
    172 Va. 111
    , 144 (1939) (observing that a matter that is committed to the discretion of a trial court does not
    involve “arbitrary or capricious discretion, dependent upon the mere pleasure of the judge, but of
    that sound and reasonable discretion which governs itself, as far as it may, by general [legal and
    equitable] rules and principles”). Rather, we mean that the circuit court “has a range of choice, and
    that its decision will not be disturbed as long as it stays within that range and is not influenced by
    any mistake of law.” Landrum v. Chippenham and Johnston-Willis Hosps., Inc., 
    282 Va. 346
    , 352
    (2011) (internal citations omitted).
    As we have already recognized, the record reveals that Dr. Ohanessian based her opinion
    upon the facts and circumstances shown from the police report, photographs of the accident,
    roadway marks, debris, Hilliard’s post-mortem blood analysis, and eyewitness testimony. These
    facts and circumstances are such that the jurors could comprehend them, form an intelligent
    opinion about them, and draw their own conclusions. Bond, 226 Va. at 537; see also Lopez v.
    Dobson, 
    240 Va. 421
    , 423 (1990) (holding that a “witness may describe the marks that he has
    observed near the place of an accident . . .[but] [t]he inference to be drawn from the testimony
    regarding such tire marks, skid marks, or scratches is solely the province of the jury”). Not only
    did Dr. Ohanessian rely on the police report to “tell [her] who . . . was driving in this case” she
    acknowledged that she was neither trained nor expected to recreate automobile accidents or make
    final conclusions about what caused the accident or the blunt force trauma to Hilliard’s head. The
    12
    record also shows that Dr. Ohanessian could not say whether Hilliard suffered any adverse
    reactions to any of the medications found in his blood or if he was awake or asleep at the time the
    vehicle left the roadway.
    Accordingly, we cannot say that the circuit court exceeded its range of discretion or that it
    was influenced by any mistake of law in excluding Dr. Ohanessian’s testimony. See Countryside
    Corp., 
    263 Va. at 553
     (holding that expert testimony is inadmissible if it is speculative or without a
    proper foundation).
    ASSIGNMENT OF ERROR 2
    I. Family Medicine Physician’s Expert Testimony
    Dr. Rosa King, Hilliard’s family medicine physician, testified that in November 2016,
    Hilliard complained of insomnia, sleep disturbances, depression, and fatigue. She ordered an at-
    home overnight sleep study, which Hilliard underwent on December 7 and 8, 2016. Dr. King
    explained that Hilliard’s results were abnormal and she instructed her nurse to inform Hilliard, by
    telephone and mail, that “his oxygen did drop during the sleep test . . . enough to qualify . . . to
    have oxygen at nighttime.” Dr. King stated that the test “was not a daytime test, so we can’t –
    extrapolate to that. But for the overnight, [Hilliard] could have benefited from oxygen.” Dr. King
    testified that she wanted Hilliard to see a sleep specialist right away for a formal evaluation of
    sleep apnea. Dr. King believed that Hilliard had been informed of his sleep test results and her
    recommendation for a follow-up, but the medical records indicated that Hilliard did not follow up.
    The circuit court ruled that Dr. King’s testimony was inadmissible at the time of the pre-
    trial hearing because it was “too attenuated,” but its ruling was “without prejudice to [Lucas], by
    counsel, moving the Court to reconsider its ruling based on developments at trial.”
    Although the Administrator contends that the circuit court abused its discretion in
    excluding Dr. King’s testimony, we conclude that she has waived this argument. Rule 5:25. The
    13
    circuit court’s ruling to exclude Dr. King’s testimony was without prejudice to a motion for
    reconsideration based on developments at trial. The Administrator proffered Dr. King’s testimony
    at the outset of the trial; however, she did not move the court for reconsideration during the trial in
    accordance with the court’s preliminary ruling. See, e.g., Wal-Mart Stores E., LP v. State Corp.
    Comm’n, 
    299 Va. 57
    , 76 (2020) (observing that “[a] motion to reconsider ordinarily asks a court to
    reconsider a holding because, in the opinion of the movant, the holding was erroneous”).
    Therefore, the Administrator deprived the circuit court of an opportunity to make a final ruling on
    the admissibility of Dr. King’s testimony in light of the evidence presented at trial and we will not
    consider the challenged ruling as a basis for reversal on appeal. See Riverside Hosp., Inc. v.
    Johnson, 
    272 Va. 518
    , 526 (2006) (finding that if the circuit court is not afforded the opportunity
    to address an issue there is no ruling on that issue and, thus, no basis for review or action by this
    Court); Wal-Mart Stores, 299 Va. at 76-77 (concluding that a motion for reconsideration “may . . .
    challenge a tribunal’s failure to rule on an issue properly presented to it, particularly a timely but
    unadjudicated lesser-included claim,” but that it may not “request to consider for the first time
    something the movant had never before specifically sought”).
    II. Refusal of Jury Instruction
    The Administrator also assigns error to the circuit court’s refusal of an instruction that
    would have informed the jury that “[a] person who falls asleep while driving is negligent.” She
    contends that even without the excluded expert testimony, the eyewitnesses’ testimony that the
    driver of the tractor-trailer did not apply the brakes, swerve or take any other evasive maneuvers as
    the vehicle left the roadway, along with the police officer’s corroborating testimony that his
    investigation of the accident site and vehicle damage showed no skid marks, tire blowouts or other
    14
    mechanical explanations, was more than sufficient to permit the jury to infer that the driver may
    have fallen asleep at the wheel.
    The credible evidence introduced in support of a requested jury instruction “must amount
    to more than a scintilla.” Hancock-Underwood v. Knight, 
    277 Va. 127
    , 130-31 (2009). On appeal,
    we view that evidence in the light most favorable to the proponent of the instruction. 
    Id. at 130
    .
    So viewed, the evidence that there were no equipment or mechanical failures perhaps lends itself
    to reasonable inferences about what did not cause the tractor-trailer to leave the roadway, but it
    does not reasonably follow that the only remaining reason would be because the driver may have
    fallen asleep. Likewise, the lack of evasive maneuvers is insufficient to permit jurors to infer,
    without improper speculation, that the driver may have fallen asleep. “It is incumbent on the
    plaintiff who alleges negligence to show why and how the accident happened, and if that is left to
    conjecture, guess or random judgment, he cannot recover.” McFadden v. Garrett, 
    211 Va. 680
    ,
    683 (1971) (internal citations omitted).
    Further, “[w]here the jury has been sufficiently and correctly instructed on any point, it is
    not error to refuse further instructions on that point, however correct a tendered instruction may
    be.” Harman v. Honeywell Intern., Inc., 
    288 Va. 84
    , 104 (2014) (internal citations omitted). The
    jury in the instant case was instructed that “the driver of a vehicle has a duty to use ordinary care:
    to keep a proper lookout; to keep his vehicle under control; and to operate his vehicle at a
    reasonable speed under the existing conditions. If a driver fails to perform any one or more of
    these duties, then he is negligent.” We have said that “[t]o fall asleep at the steering wheel is a
    clear violation of the duty to keep a proper lookout.” Lipscomb v. O’Brien, 
    181 Va. 471
    , 475
    (1943). Thus, the principle set forth in the refused instruction was fully and fairly covered in the
    granted instruction.
    15
    ASSIGNMENT OF ERROR 3
    I. Neurologist’s Expert Testimony
    The Administrator argues that the circuit court erred by excluding the proffered testimony
    of Dr. Robert Hansen, a neurologist, as an expert in sleep disorders. He opined to a reasonable
    degree of medical probability, based on a differential diagnosis, that Hilliard fell asleep while
    operating the tractor-trailer due to daytime sleepiness and fatigue from sleep apnea. Dr. Hansen
    testified that Hilliard’s underlying untreated sleep problem was compounded by his use of sedating
    medications as seen in the toxicology report. He explained that there was no evidence for loss of
    consciousness from other medical causes, such as diabetes or a heart arrythmia, as there had been
    no problems with Hilliard’s pacemaker. Dr. Hansen stated that although there are a number of
    things that can happen to people, such as an aneurysm or heart attack, when, as in this case, the
    person has known sleep problems and apparently falls asleep, the cause is sleep apnea.
    On cross-examination, Dr. Hansen conceded that he would need to know, but did not
    know, how long a person had been taking a medication, whether he had developed a tolerance to it,
    the person’s weight and whether it had changed. Dr. Hansen also admitted he did not know if
    Hilliard had taken any measures to address his sleep issues, such as losing weight or changing
    medications, and he conceded that the medications that were in Hilliard’s blood had a long half-
    life, which meant he did not know the effect of the medications on Hilliard at the time of the
    accident. Likewise, Dr. Hansen did not know Hilliard’s genetic ability to metabolize the
    medications on the day in question, which would be dependent on his hydration and how his
    kidneys were functioning that day.
    The Administrator argues that Dr. Hansen’s testimony was competent, probative medical
    evidence that would tend to make her theory of liability more likely. She adds that the defendants’
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    arguments against admission of this evidence go to the weight of Dr. Hansen’s testimony, not its
    admissibility, and therefore the circuit court abused its discretion in excluding the testimony.
    We do not agree. “Generally, when an expert examines facts and circumstances leading to
    an injury, his opinion as to the cause of the injury is not rendered factually unsupported by the
    possibility of another cause.” Toraish v. Lee 
    293 Va. 262
    , 269 (2017). However, that is not so
    when, as here, an expert purports to eliminate all possible causes of the accident until only one
    remains. 
    Id.
     When Dr. Hansen conceded that there was information he needed to know, but did
    not know, it rendered his differential diagnosis invalid and inadmissible because it was founded on
    assumptions that were not established. Id. at 270. Further, “[e]xpert testimony founded upon
    assumptions that have no basis in fact is not merely subject to refutation by cross-examination or
    by counter-experts; it is inadmissible.” Id. at 269. Accordingly, we cannot say the circuit court
    abused its discretion in excluding the contested portions of Dr. Hansen’s proffered testimony.
    II. Trucking Safety Professional’s Expert Testimony
    The Administrator also argues that the circuit court erred in excluding the proffered
    testimony of James Crawford from Introtech Inc., an accident reconstruction service, who had
    been retained as an expert regarding regulations and industry standards of safety for the operation
    of commercial trucks, including issues of drowsiness and sleep deprivation and how those issues
    relate to the circumstances of the crash and deaths at issue. In sum, Crawford opined that there
    were no adverse causative factors associated with the vehicle, roadway or environment. He
    presented diagrams deduced from his review of the evidence to depict how he believed that the
    tractor-trailer left the roadway and concluded that it demonstrated how the driver failed to keep a
    proper lookout and drive safely. In his opinion, the accident was caused by a driver who was not
    normally alert due to being fatigued or because he fell asleep at the time of the crash. Crawford
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    further opined that the damage to the passenger door was caused by Lucas’s ejection as the truck
    rolled over and that the location of Hilliard’s body was consistent with him being the driver
    because he was able to hold on to the steering wheel while the tractor-trailer rolled over.
    However, Crawford admitted that he did not take any measurements or conduct any tests to
    determine whether Lucas’s body would fit through the window opening in the damaged door.
    Similarly, he conceded that whether Hilliard moved his arms after the tractor-trailer came to rest
    was indeterminate and that there was no data regarding what Hilliard may or may not have been
    doing inside the vehicle before anyone arrived on the scene.
    As we explained above, when the facts and circumstances are such that jurors could
    comprehend them, form an intelligent opinion about them, and draw their own conclusions, the
    opinion of an expert based upon such facts and circumstances is inadmissible. Bond, 226 Va. at
    537; see also Lopez, 240 Va. at 423 (holding that a “witness may describe the marks that he has
    observed near the place of an accident . . .[but] [t]he inference to be drawn from the testimony
    regarding such tire marks, skid marks, or scratches is solely the province of the jury”); and
    Countryside Corp., 
    263 Va. at 553
     (holding that expert testimony is inadmissible if it is speculative
    or without a proper foundation). Therefore, the circuit court did not abuse its discretion in
    excluding Crawford’s opinions.
    CONCLUSION
    For the foregoing reasons we find no abuse of discretion in the circuit court’s evidentiary
    rulings and will affirm its judgment entered on the jury’s verdict.
    Affirmed.
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