Syed Sartaj Nawaz v. the State of Texas

CourtCourt of Appeals of Texas
DecidedMay 11, 2021
Docket05-19-00092-CR
StatusPublished

This text of Syed Sartaj Nawaz v. the State of Texas (Syed Sartaj Nawaz v. the State of Texas) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Syed Sartaj Nawaz v. the State of Texas, (Tex. Ct. App. 2021).

Opinion

Affirm in Part, Reverse and Render in Part; Opinion Filed May 11, 2021

In The Court of Appeals Fifth District of Texas at Dallas No. 05-19-00092-CR

SYED SARTAJ NAWAZ, Appellant V. THE STATE OF TEXAS, Appellee

On Appeal from the 199th Judicial District Court Collin County, Texas Trial Court Cause No. 199-81120-2017

MEMORANDUM OPINION Before Justices Myers, Pedersen, III, and Garcia1 Opinion by Justice Pedersen, III Appellant Syed Sartaj Nawaz pled not guilty to two counts of injury to a child.

The first count alleged that appellant caused serious bodily injury to a child pursuant

to section 22.04(a)(1) of the Texas Penal Code. The second count alleged that

appellant caused serious mental deficiency, impairment, and injury to a child

pursuant to section 22.04(a)(2) of the Texas Penal Code. Both counts alleged that

appellant’s hands were used as a deadly weapon. A jury convicted appellant on both

1 The Honorable Dennise Garcia succeeded the Honorable Bill Whitehill, a member of the original panel. Justice Garcia has reviewed the briefs and the record before the Court. counts and answered “yes” to the special issue regarding a deadly weapon. The jury

assessed his punishment, sentencing him to imprisonment for sixteen years on each

count. The trial court ordered that the sentences be served consecutively.

Appellant raises seven issues for our consideration. He complains that his

convictions violate the Double Jeopardy Clause of the Fifth Amendment to the

United States Constitution. He asserts, alternatively, that the evidence is legally

insufficient to sustain his conviction on the second count. He complains of various

evidentiary rulings, jury charge error, and improper jury argument. He also urges

that the special issue submitted to the jury lacked unanimity and should be vacated.

We affirm the trial court’s judgment in part; we reverse and render in part, vacating

appellant’s conviction on the second count for knowingly causing serious mental

deficiency, impairment, and injury to a child.

I. BACKGROUND

On September 19, 2016, appellant took his baby daughter, A.R., to her

pediatrician, Dr. Gusterloh, for her two-month check-up. Dr. Gusterloh inquired why

A.R. had spots of what appeared to be iodine on her face and head. Appellant

explained that A.R. fell off a mattress the day before and bruised her forehead.

Appellant and Natalie Rossi, his wife and A.R.’s mother, had applied iodine to the

bruises because they thought it would be helpful. Dr. Gusterloh’s nurse was able to

remove most of the iodine. Other than the iodine on her face and a diaper rash, Dr.

–2– Gusterloh testified that A.R. was a normal, healthy baby. Dr. Gusterloh gave A.R. a

panel of five vaccines as part of her two-month check-up.

That evening, A.R. arrived at Children’s Medical Center in Plano in critical

condition. Her breathing was abnormal, her vital signs were abnormal, and her blood

oxygen levels were abnormally low. The emergency room trauma team immediately

began stabilization measures and attempted to assess what had caused A.R.’s

condition. A.R. did not have any external injuries; however, a CT scan revealed

multiple areas of bleeding in A.R.’s brain, specifically hematomas,

intraparenchymal hematoma, and bleeding around the clivus—where the skull meets

the spinal cord. The emergency room trauma team believed that the type of bleeding

seen in A.R.’s CT scan was indicative of trauma—some sort of external force. They

determined that A.R. should be transferred to Children’s Medical Center in Dallas

to be examined by a neurosurgeon.

Tamara Brown, a clinical social worker at Children’s Medical Center in Plano,

questioned appellant and Natalie about the child’s injuries. At trial, Brown explained

that it was her job to determine whether there was a plausible explanation for the

child’s injuries and to establish a timeline for everyone in contact with the child on

the day the child was injured. Appellant and Natalie were not able to provide any

explanation for A.R.’s injuries. They denied that A.R. fell or was dropped. After her

conversation with appellant and Natalie, Brown called the Plano Police Department

–3– and asked that an officer be dispatched to the hospital. She also called Child

Protective Services.

When A.R. arrived at Children’s Medical Center in Dallas around 1:00 a.m.

on September 20, she was medically sedated and in critical condition. At trial, Dr.

Michael Cooper, the emergency room pediatrician, described the tests performed on

A.R. and the results of those tests. A CT scan of her cervical spine did not reveal any

fractures but raised concerns about injury to the ligaments in her neck. A complete

skeletal scan showed that A.R. had no broken or fractured bones on her body,

including her skull. The medical team ultimately diagnosed injuries of subdural

hematoma, epidural hemorrhage with loss of consciousness, intraparenchymal

hemorrhage, acute respiratory failure, and hypothermia. Dr. Cooper testified that

A.R.’s condition was not caused by stroke or seizure. It was his opinion that her

injuries were caused by non-accidental abusive head trauma.

Dr. Kristen Reeder, a child abuse pediatrician with the REACH2 team at

Children’s Medical Center, evaluated A.R. later that morning. She reviewed the

medical records and test results, spoke to appellant and Natalie, and examined A.R.

An MRI performed on September 21, 2016, showed several contusions, or bruises,

on different places of A.R.’s brain, indicating that the brain had impacted the skull.

The MRI also showed that A.R. had ligament damage and swelling in her neck,

2 REACH is an acronym for Referral and Evaluation of At Risk Children. –4– indicating a whiplash-type motion in which A.R.’s head was swung back and forth

causing extreme bending and stretching of her neck ligaments and muscles. Dr.

Reeder ultimately concluded that A.R.’s injuries were the result of abusive head

trauma—head injuries inflicted on A.R.—and not the result of an accident. A.R.

remained in the hospital until September 30.

On October 5, A.R. returned to Children’s Medical Center in Dallas where

Dr. Ye-Guang He, a pediatric ophthalmologist with a subspecialty in retinas,

performed surgery on her eyes. The surgery revealed extensive multi-layer

hemorrhaging in A.R.’s retinas that was so severe that it extended beyond the retinas

into the vitreous cavity, the gel inside the eyeball. During the surgery, Dr. He was

able to clean the vitreous hemorrhaging and the preretina hemorrhage. He was

unable to clean the hemorrhaging in the intraretina and the subretina because it

would have caused damage to A.R.’s retinas. During the surgery, Dr. He was able

to get a good view to the back of A.R.’s eyes and realized that her prognosis was

very poor. He determined that A.R. was blind and was unlikely to regain useful

vision.

Dr. Reeder examined A.R. again on January 26, 2017. Her observations

corroborated Dr. He’s prognosis. A.R. was unable to track objects and never focused

on anything. She also determined that A.R. was developmentally delayed. A.R. had

been receiving therapy multiple times a week to help her achieve age-appropriate

development. Dr. Reeder opined that it was too soon to say what the extent of A.R.’s

–5– mental injury or deficiency would be. She explained that because the abusive head

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