Brandy Nichole Wimmer v. Commonwealth

CourtCourt of Appeals of Virginia
DecidedAugust 2, 2005
Docket0977043
StatusUnpublished

This text of Brandy Nichole Wimmer v. Commonwealth (Brandy Nichole Wimmer v. Commonwealth) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Brandy Nichole Wimmer v. Commonwealth, (Va. Ct. App. 2005).

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Bumgardner, Clements and McClanahan Argued at Salem, Virginia

BRANDY NICHOLE WIMMER MEMORANDUM OPINION* BY v. Record No. 0977-04-3 JUDGE JEAN HARRISON CLEMENTS AUGUST 2, 2005 COMMONWEALTH OF VIRGINIA

FROM THE CIRCUIT COURT OF ROANOKE COUNTY Robert P. Doherty, Jr., Judge

John Weber, III (Weber Pearson PC, on brief), for appellant.

Virginia B. Theisen, Assistant Attorney General (Judith Williams Jagdmann, Attorney General; Alice T. Armstrong, Assistant Attorney General, on brief), for appellee.

Brandy Nichole Wimmer (appellant) was convicted in a jury trial of felony child abuse or

neglect, in violation of Code § 18.2-371.1(B). On appeal, appellant contends the trial court erred in

(1) refusing to grant her motion to strike on the ground that the evidence was insufficient, as a

matter of law, to sustain her conviction and (2) admitting prejudicial testimony regarding the

relationship between appellant and her mother. For the reasons that follow, we affirm appellant’s

conviction.

As the parties are fully conversant with the record in this case, and because this

memorandum opinion carries no precedential value, this opinion recites only those facts and

incidents of the proceedings as are necessary to the parties’ understanding of the disposition of this

appeal.

* Pursuant to Code § 17.1-413, this opinion is not designated for publication. I. BACKGROUND

Under familiar principles of appellate review, we view the evidence and the inferences that

may be reasonably drawn from the evidence in a light most favorable to the Commonwealth, the

party prevailing below. See Garcia v. Commonwealth, 40 Va. App. 184, 189, 578 S.E.2d 97, 99

(2003). So viewed, the facts show that appellant’s daughter, M.W., was born prematurely on July

1, 2002. She remained in the neonatal intensive care unit for the first two months of her life,

after which she went home in the care of her mother. Appellant lived at the time in the home of

her mother.

As is common with premature babies, M.W. had difficulty regulating her breathing and

heart rates. Thus, M.W.’s breathing and heart rates had to be carefully monitored. In the event

that M.W. suffered either apnea (the failure of breath) or bradycardia (slowed heartbeat), medical

treatment had to be immediately rendered. M.W. was therefore placed on an apnea monitor, a

device that alerts the caregiver of abnormalities in the child’s respiratory or heart rate, and

appellant was trained by medical staff in the use of the monitor. The apnea monitor provided for

M.W. emitted an audible alarm when the child suffered either apnea or bradycardia, and the

alarm continued to sound until the triggering condition abated or the machine was turned off by

pushing a specific series of buttons. The monitor was also equipped with a memory chip that

recorded the date and time of any episode of lapsed respiration or low heart rate that triggered

the monitor’s alarm.

According to Dr. Joseph Tamez, M.W.’s doctor and a specialist in pediatric

pulmonology, there are three possible outcomes when an apnea event triggers the monitor alarm,

depending in large part on how quickly the child’s condition is resolved: (1) the child may

recover with no difficulty; (2) if the event is prolonged, the child’s oxygen level may drop,

leading to circulatory and heart-rate problems; or (3) in the most severe situations, the child may

-2- suffer life-threatening cardiac or respiratory arrest. Appellant was instructed that, in order to

prevent the most severe consequences M.W. might suffer from such an event, she was to respond

to the monitor alarm within ten seconds. Upon hearing the alarm, she was to immediately look

for “any outward signs of distress” in M.W.1 If she noticed any signs of distress, she was to take

immediate steps to restore M.W.’s breathing and heart rates, starting with simple touching and

progressing to CPR. If the child did not immediately recover, appellant was to seek medical care

for the child. If, on the other hand, the child had no outward signs of distress and the monitor

was still sounding, appellant was instructed to check the monitor and make sure the leads from

the machine were still properly connected to the child. If the leads were connected and the

monitor appeared to be functioning properly, appellant was instructed “to call the pediatrician

and the home care company” that provided the monitor and the training for it. Despite the lack

of outward signs of distress, the child needed to be evaluated because low heart rates were not

always accompanied by outward symptoms.

Appellant was well versed in the proper use of M.W.’s apnea monitor. A friend of

appellant testified that she had heard M.W.’s monitor alarm sound more than once, and appellant

responded appropriately each time. Dr. Andrea Muelenaer, a medical expert in the field of

pediatric pulmonology who reviewed the record of the home monitor that registered M.W.’s

heart and respiratory rates, testified that appellant’s compliance with the prescribed use of the

monitor from October 23, 2002, through November 3, 2002, was “excellent,” meaning that

appellant used the monitor “most of the time.”2

1 Signs of distress include lips and gums that are not “nice and pink,” whitened palms, raised eyebrows, flared nostrils, grunting, or concavities beneath the child’s ribcage during inhalation. 2 Dr. Muelenaer noted that there were some gaps in the monitor’s usage record, but explained that such gaps were normal and typically represented times that the child was “being -3- On the morning of Friday, November 1, 2002, M.W. received her four-month

immunizations. Appellant was told that M.W. would probably be “fussy” for the rest of the day

and might develop a fever. That afternoon and evening, appellant packed her belongings for an

impending move from her mother’s home, while her friend Malinda Beckner cared for M.W. at

Beckner’s apartment. Before leaving M.W. with Beckner, appellant showed Beckner how to use

the monitor and told her to check the baby if the monitor alarm sounded and call for help if

necessary. At approximately 11:00 p.m., appellant arrived at Beckner’s apartment. M.W. had

sustained no injuries while in Beckner’s care and appeared healthy.

Appellant and M.W. then spent the night at Beckner’s apartment. Beckner stayed up

talking and watching television with appellant until about 2:30 a.m., when Beckner went to her

bedroom at the far end of the apartment to go to bed. While getting ready for bed, Beckner heard

the monitor alarm go off “for a couple of seconds.” Figuring appellant would let her know if

something was wrong, Beckner did not check to see what was going on. Appellant went to sleep

between 3:00 and 4:00 a.m. She slept on a couch in the living room with M.W. beside her,

within “arm’s reach” of M.W.’s apnea monitor.

M.W. and appellant spent Saturday night at the home of appellant’s mother. On Sunday

morning, appellant took M.W. to the doctor because M.W. was “jerky” and could not be

comforted. The doctor opined that M.W. was likely having a reaction to the recent

immunizations and instructed appellant to take M.W. to the emergency room if her condition

worsened. Later that evening, M.W.’s condition worsened and appellant took her to the

emergency room.

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