# Jones v. Warden Madison Correctional Institution

> District Court, S.D. Ohio · December 27, 2019

URL: https://www.frixlaw.com/law-library/cases/10374496

## Case

- **Court:** District Court, S.D. Ohio
- **Decided:** December 27, 2019
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10374496

## How later opinions describe it (automated extraction)

- noting that as long as a single juror concludes that mitigating evidence outweighs aggravating evidence, the death penalty cannot be imposed

## Opinion text

IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF OHIO
WESTERN DIVISION AT DAYTON

ADAM JONES,

Petitioner, : Case No. 3:19-cv-180

- vs - District Judge Walter H. Rice
Magistrate Judge Michael R. Merz

JEFF NOBLE, Warden,
Madison Correctional Institution,

:
Respondent.
SUPPLEMENTAL REPORT AND RECOMMENDATIONS

This habeas corpus case under 28 U.S.C. § 2254 is before the Court on Petitioner’s
Objections (ECF No. 18) to the Magistrate Judge’s Report and Recommendations on the merits
(ECF No. 17). District Judge Rice has recommitted the case for reconsideration in light of the
Objections (ECF No. 19).
Petitioner was convicted on one count of endangering children by recklessly causing
serious harm and given an eight-year sentence. He pleads one ground for relief:

Ground One: Adam Jones received constitutionally ineffective
assistance of counsel at trial due to counsel’s failure to secure and
present medical expert and biomechanics expert testimony on
shaken baby syndrome.

Supporting Facts: Trial counsel failed to secure and present
medical expert testimony and biomechanics expert testimony on
shaken baby syndrome at trial.
(Amended Petition, ECF No. 3, PageID 89). After his conviction was upheld on direct appeal, he
obtained assistance from the Ohio Public Defender who represented him in post-conviction and
continues to be his counsel in this proceeding. The trial court conducted a three-day evidentiary
hearing on his ineffective assistance of trial counsel claim, but declined to grant relief. On appeal,

the Second District, Judge Hall wrote a sixty-three page opinion for the majority of a Second
District panel; Judge Froelich dissented. Applying Strickland v. Washington, 466 U.S. 668 (1984),
the Second District found trial counsel had performed deficiently, but that Jones had suffered no
prejudice thereby. State v. Jones, 2nd Dist. Miami No. 2016-CA-22 2018-Ohio-673, ¶¶ 52-69 (Feb.
23, 2018), jurisdiction declined, 153 Ohio St. 3d 1403, 2018-Ohio-2380 (Jun. 20, 2018); see also
id. at ¶¶ 70-73 (Froelich, J., dissenting). Importantly, the Second District evaluated prejudice not
against “the universe of possible experts who could have been called, but the experts actually put
forward by Jones in post-conviction. It found those particular experts – not some hypothetical other
experts – not to be credible on the causation issue.” (Report, ECF No. 17, PageID 1534).
Because there was no direct testimony of the child abuse, the case depended on

circumstantial evidence. Applying the medical/scientific tool of differential diagnosis, the experts
testifying at trial eliminated any other possible causation for the injuries here. Jones’ experts in
post-conviction did not provide a compelling refutation of their analysis.
The Report therefore recommended deferring to the Second District’s opinion under
AEDPA, but granting a certificate of appealability based on Judge Froelich’s dissent (ECF No. 17,
PageID 1536).
Jones objects (ECF No. 18).
Analysis

The Strickland Prejudice Standard

The gravamen of Petitioner’s Objections is that, in order to establish prejudice under the
Strickland standard, “the defense-favorable expert testimony developed in the state-court
postconviction proceedings . . . simply had to create enough uncertainty regarding the abuse-
causation conclusion through the differential-diagnosis process to cause at least one juror to be
unable to reach a finding of guilt beyond a reasonable doubt.” (Objections, ECF No. 18, PageID
1539-40).
Jones’ counsel posits that

[T]his case is entirely about Strickland reasonable-probability
prejudice. In Strickland itself the Supreme Court of the United
States established that that standard is neither a preponderance-of-
the-evidence standard, nor a more-likely-than-not standard, but is
instead, less than both of those. Strickland, 466 U.S. at 693-94.

Consequently, the question for this Court is whether Mr. Jones has
demonstrated a reasonable probability (which is less than both the
preponderance and more-likely-than-not standards) that, with
testimony from his medical and biomechanical experts, at least one
juror would have harbored a reasonable doubt about whether or not
he caused the child’s injuries. See Buck v. Davis, 580 U.S. ___, 137
S.Ct. 759, 776 (2017). In other words, using a calculus at somewhere
less than fifty percent, would the testimony provided in
postconviction litigation by Mr. Jones’s expert witnesses have
caused one juror to “strike a different balance” regarding the
testimony from the State’s experts, thereby causing a hung jury.
Wiggins v. Smith, 539 U.S. 510, 537 (2003); see also Buck[, 137
S.Ct.] at 776.

(Objections, ECF No. 18, PageID 1540). We may call this the reasonable probability of reasonable
doubt by one juror analysis of ineffective assistance of trial counsel.
As to the second prejudice prong of the standard, the Supreme Court held in Strickland
itself:
The defendant must show that there is a reasonable probability that,
but for counsel's unprofessional errors, the result of the proceeding
would have been different. A reasonable probability is a probability
sufficient to overcome confidence in the outcome.

466 U.S. at 694. Explaining how its ineffective assistance of trial counsel prejudice had developed,
the Supreme Court wrote in Harrington v. Richter:

In assessing prejudice under Strickland, the question is not whether
a court can be certain counsel's performance had no effect on the
outcome or whether it is possible a reasonable doubt might have
been established if counsel acted differently. See Wong v.
Belmontes, 558 U.S. 15, 27, 130 S. Ct. 383, 175 L. Ed. 2d 328
(2009) (per curiam); Strickland, 466 U.S., at 693, 104 S. Ct. 2052,
80 L. Ed. 2d 674. Instead, Strickland asks whether it is “reasonably
likely” the result would have been different. Id., at 696, 104 S. Ct.
2052, 80 L. Ed. 2d 674. This does not require a showing that
counsel's actions “more likely than not altered the outcome,” but the
difference between Strickland’s prejudice standard and a more-
probable-than-not standard is slight and matters “only in the rarest
case.” Id., at 693, 697, 104 S. Ct. 2052, 80 L. Ed. 2d 674. The
likelihood of a different result must be substantial, not just
conceivable. Id., at 693, 104 S. Ct. 2052, 80 L. Ed. 2d 674.

562 U.S. 86, 111-112 (2011); accord Storey v. Vasbinder, 657 F.3d 372, 379 (6th Cir. 2011),
quoting Harrington, 586 U.S. at 112.
Jones’s counsel’s statement of the standard (Objections, ECF No. 18, PageID 1540)
confuses burden of proof language (“preponderance”) with degree of probability. We know from
Harrington that the required probability of a different outcome can be less than “more likely than
not” only in the rarest of cases. Expressed in mathematical terms (which courts rarely do), “more
likely than not” means a probability of more than fifty percent
What is the different result or outcome which must be shown to have been probable?
Counsel posit that if they can show that one juror’s certainty would have been reduced enough so
that that juror could not find guilt beyond a reasonable doubt, the Strickland prejudice standard
has been satisfied. For this proposition they rely on Wiggins, which was a capital case in which

the Supreme Court decided prejudice de novo, there being no state court decision on that prong of
Strickland. 539 U.S. at 534. Wiggins had an extensive history of child abuse, physical and sexual.
The Court found that “had the jury been confronted with this considerable mitigating evidence,
there is a reasonable probability that it would have returned with a different sentence.” 539 U.S.
at 536.
Had the jury been able to place petitioner’s excruciating life history
on the mitigating side of the scale, there is a reasonable probability
that at least one juror would have struck a different balance. Cf.
Borchardt v. State, 367 Md. 91, 139-140, 786 A.2d 631, 660 (2001)
(noting that as long as a single juror concludes that mitigating
evidence outweighs aggravating evidence, the death penalty cannot
be imposed).

Id. at 537. Thus, the different result or outcome which the Supreme Court found was reasonably
probable was a sentence less than death.
Then same is true of Buck v. Davis, the other capital Supreme Court case on which Jones
relies, Buck v. Davis (Objections, ECF No. 18, PageID 1540). There, the deficient performance
consisted of eliciting supposed expert testimony to the effect that Buck was more likely to be
violent in the future because he was black. In Texas, as in Maryland, a single juror can prevent a
death sentence. The Court found that “without Dr. Quijano’s testimony on race, at least one juror
would have harbored a reasonable doubt about whether Buck was likely to be violent in the future.”
139 S.Ct. at 776.
Death, of course, is different. Woodson v. North Carolina, 428 U.S. 280, 305 (1976). Had
Jones’ posited single juror been unable to vote for conviction, the result would not have been
acquittal, but a hung jury and mistrial. A dissenting juror in a non-capital case cannot affect the
final outcome in the way a dissenting capital juror does.
Jones cites no authority for the proposition that a mistrial is a sufficiently different outcome

from conviction to “count” for Strickland prejudice analysis. From a defendant’s perspective, it
may not be a better result because the State can then re-try him and correct any mistakes it made
the first time. In any event, Jones has not shown that in this respect the Second District’s decision
is an unreasonable application of clearly established Supreme Court precedent.

The Competing Medical Evidence

In his Reply, Jones states that “[t]he current status of the shaken-baby dispute can best be
characterized as a stalemate. It involves two entrenched, oppositional camps. . . . a factfinder
cannot reliably and fairly decide a specific dispute in this area without hearing the entirety of each

competing viewpoint.” (ECF No. 16, PageID 1512-14). The Report insisted, in contrast, that the
jury’s task in this case “was not to decide general issues in the forensic community about whether
the “traditional” theory of shaken baby syndrome should prevail or some competing theory. It is
this case, not some other generalized or hypothesized child abuse case, which they jury had to
decide.”
In his Objections, Jones continues to suggest the relative balance of the medical experts.
Objective scrutiny of all the testifying experts for both sides in this
case reveals that none are unimpeachable. In other words, each of
them is arguably biased. The State’s experts suffered from one or
both of the following shortcomings: (1) they never directly treated
the injured child, and (2) they fully subscribed to the shaken baby
syndrome elimination theory and ipse dixit denied the legitimacy of
its criticism. (ECF No. 7, PageID #1141-60). Mr. Jones’s experts
essentially suffered from similar deficiencies, with the obvious
difference being that they were subject to the opposite criticism with
respect to point two. (ECF No. 7, PageID #1160-72).

(Objections, ECF No. 18, PageID 1540.) This description of the record is misleading at best.
Dr. Charles Stevenson, a testifying expert and pediatric neurosurgeon, treated Marianne,
the victim, by performing emergency brain surgery on her when she was airlifted from Upper
Valley Medical Center to Cincinnati Children’s Hospital. Jones, 2018-Ohio-673 at ¶¶ 3-4. He
was thus clearly qualified to testify as an expert treating physician. Dr. Kathi Makoroff, a
pediatrician at Cincinnati Children’s Hospital who specializes in child abuse, “was a consultant in
Marianne’s treatment and ruled out causes of the child’s subdural hematoma other than a traumatic
injury involving ‘a great bit of force.’” Id. at ¶ 9. Thus neither Dr. Stevenson nor Dr. Makoroff
suffered from not having treated the victim1.
Jones claims both these physicians so fully subscribed to the shaken baby syndrome that
the categorically “denied the legitimacy of its criticism.” As a source for that claim, Jones cites
twenty pages of the Second District’s opinion (Reply, ECF No. 16, citing State Court Record, ECF
No. 7, PageID 1141-60. The Magistrate Judge has re-read those twenty pages and finds no
quotation from either Dr. Stevenson or Dr. Makaroff that denies the legitimacy of criticizing
shaken baby syndrome. Nor is there any finding by the Second District that that is what either of
them said.
Thus, both of Jones’ criticisms of Drs. Stevenson and Makaroff in the Objections are
refuted by reading the portions of the record cited in the Objections to prove their bias.
In contrast, the Objections significantly underplay the evident biases of Dr. Robert

1 Dr. Robert Rothfeder, Jones’ medical expert in post-conviction, brushed off Dr. Makoroff’s involvement in
Marianne’s treatment by denying that she contributed to the treatment. Jones, 2018-Ohio-673, at ¶ 30.
Rothfeder, Jones’ medical expert in post-conviction. It is not just that he rejected Stevenson and
Makaroff’s traumatic abuse diagnosis here. As the Second District found, he categorically rejects
that diagnosis in every case where there is not eyewitness testimony to the abuse. At the time of
the post-conviction hearing, he had retired from medical practice, obtained a law license, and spent

the last ten to fifteen years dealing with child abuse head injury cases, testifying only for the
defense. Jones, 2018-Ohio-673, at ¶ 22. He is not a neurologist and did not dedicate his practice
to pediatrics. Id. He is not an ophthalmologist, but opined Marianne’s retinal hemorrhages had
no diagnostic value. Id. at ¶ 32. He did not give an opinion to a reasonable degree of medical
certainty on the cause of Marianne’s injuries. Id. at ¶ 25. Moreover, Kenneth Monson, the
biomechanical expert whose omission is claimed to have prejudiced Jones, admitted that serious
injuries from short falls, the defense hypothesis about cause, “go from ‘almost impossible to do to
it could happen’” and offered no opinion in support of the short fall theory. Id. at ¶ 36.
While as a general cultural proposition it may be that there are two warring “camps” on
shaken baby syndrome, the two camps are very unevenly represented in the record of this particular

case. As to their relative representation in the medical profession generally, Dr. Robert Shapiro,
the State’s expert in rebuttal in post-conviction, testified of Dr. Rothfeder’s position:
* * * It’s a tiny fraction of the medical community that speaks a very
loud voice. There’s broad acceptance and concurrence among
neurosurgeons, neurologists, radiologists, pediatricians in the
diagnosis of shaken baby syndrome. We have no debate. There is no
debate in the medical field, except for a small handful of individuals
who, for whatever reasons, feel that they need to speak very loudly
about a so-called debate. The debate is trumped up and doesn’t
exist.

Jones, 2018-Ohio-673, at ¶ 44. If Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579 (1993),
were applied to Dr. Rothfeder’s testimony, it is doubtful to the Magistrate Judge that he could pass
muster. The tests under Daubert include
1) whether the expert’s scientific technique or theory can be, or has
been, tested;
2) whether the technique or theory has been subject to peer review
and publication;
3) the known or potential rate of error of the technique or theory
when applied;
4) the existence and maintenance of standards and controls; and
5) whether the technique or theory has been generally accepted in
the scientific community.

United States v. Beverly, 369 F.3d 516, 528 (6th Cir. 2004), quoting Daubert, 509 U.S. at 592-95.
While Daubert is, of course, not constitutionally mandated, the tests of sound science it adopted
are generally accepted; Ohio Evid. R. 702 was substantially re-written in light of Daubert. Dr.
Rothfeder’s testimony has not been shown to qualify under any of these tests and, per Dr. Shapiro,
is rejected by the medical community. The Second District’s decision in this case, rejecting Dr.
Rothfeder’s testimony as demonstrating Strickland prejudice and being generally rejected in the
scientific community, Jones, 2018-Ohio-673, at ¶ 66, is not an objectively unreasonable
application of Strickland.

Conclusion

Having reexamined the case in light of the Objections, the Magistrate Judge again
recommends it be dismissed with prejudice but Jones be granted a certificate of appealability on
his sole ground for relief.

December 27, 2019.
s/ Michael R. Merz
United States Magistrate Judge
NOTICE REGARDING OBJECTIONS

Pursuant to Fed.R.Civ.P. 72(b), any party may serve and file specific, written objections to the
proposed findings and recommendations within fourteen days after being served with this Report
and Recommendations. Such objections shall specify the portions of the Report objected to and
shall be accompanied by a memorandum of law in support of the objections. A party may respond
to another party’s objections within fourteen days after being served with a copy thereof. Failure
to make objections in accordance with this procedure may forfeit rights on appeal. See Thomas v.
Arn, 474 U.S. 140, 153-55 (1985); United States v. Walters, 638 F.2d 947, 949-50 (6th Cir. 1981).

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10374496. Public record. Not legal advice.
