State v. Hayward
Full Opinion (html_with_citations)
¶1 Joshua Hayward appeals his conviction for second degree assault. He argues that the jury instruction defining ârecklessnessâ created a mandatory presumption and relieved the State of its burden to prove recklessness. He further argues that a Stateâs witness improperly testified on a legal element in violation of Haywardâs constitutional right to a jury trial. We agree that the jury instruction defining ârecklessnessâ deprived Hayward of his due process rights because it relieved the State of its burden to prove all elements of the crime; thus, we reverse his conviction and remand for further proceedings.
BACKGROUND
I. Facts
¶2 On the night of March 24, 2007, Joshua Hayward attended a party at Brandon Vaughanâs residence in Port Angeles. During the party, Hayward and Tyson Baar had a verbal argument and Hayward hit Baar in the face or neck. Baar sustained a broken jaw and underwent surgery that resulted in his jaw being temporarily wired shut. The State charged Hayward with second degree assault as a result of this altercation.
¶3 At trial, Ryan Muck testified that he attended the party at Vaughanâs residence on the night of March 24.
¶4 During the argument, Baar threatened to beat up Mellott. âQuite a few people tr[ied] to break [up the fight], [Muck], Rachael Potter, Jessica Harris .... I guess [Hayward] was part of it.â RP (Apr. 7,2008) at 37. Muck then saw Hayward walk up and punch Baar in the face. Muck testified that Hayward hit Baar with his left hand and that he struck him underneath the jaw, using an âuppercutâ punch. RP (Apr. 7, 2008) at 53. âIt was a good hit.â RP (Apr. 7, 2008) at 51. Muck did not witness Baar pushing or striking Hayward before Hayward hit Baar. After the punch, Baar âkept saying âI just want to talk to you Josh[.] I just want to talk to you.â â RP (Apr. 7, 2008) at 41.
¶5 Rachael Potter testified that âthere w[ere] a lot of people in a circle standing around . . . [a]nd, Mr. Hayward . . . was . . . standing in front of [Baar] and they were yelling back and forth.â RP (Apr. 8, 2008) at 51. Potter testified that she jumped in between Baar and Hayward as they were arguing. Baar moved Potter out of the way and was looking down at Potter when Hayward hit him. Hayward hit Baar on the left side of the face with his right hand. She testified that there was blood coming out of Baarâs mouth immediately following the punch.
¶6 Baar testified that he drank âsix to twelve beersâ on the night of March 24. RP (Apr. 7, 2008) at 58. He and Mellott argued over money that Mellott owed him and during the argument Mellottâs girl friend, Jessica Harris, pushed him. Baar was still talking to Mellott when Hayward punched him on the left side of his jaw. Baar testified that he did not see the punch coming but that Hayward struck him on the left side of the jaw. Baar did not
¶7 Hayward testified that he arrived at the party with his girl friend, Kashia Thurman, around 10:30 pm on March 24, 2007. As Hayward drove up to the party, he saw Harris and Baar arguing. Hayward rolled down his window and asked Harris what was going on. Harris replied that â[Baar] wouldnât leave.â RP (Apr. 8, 2008) at 74. Hayward testified that Baar walked to Haywardâs car and slapped him in the face. Thurman testified that Baar slapped Hayward while she and Hayward were still in the vehicle.
¶8 Approximately 45 minutes later, Hayward overheard someone say that Baar had pushed Harris to the ground outside. As Hayward walked toward the door to investigate, Vaughan told Hayward âto tell whoever was outside that was starting the fights to leave.â
¶10 Muck took Baar home approximately 10 minutes after the incident and Baar went immediately to bed. â[W]hen I woke up it hurt really bad and so I went to the hospital.â RP (Apr. 7, 2008) at 64. Baarâs mother, Shara Smith, testified that Baarâs girl friend called her the morning of March 25 âand said Tyson had been hurt and asked me to come over to their apartment.â RP (Apr. 7,2008) at 90. Baar could hardly talk and his mouth was swollen. They took Baar to Olympic Medical Center. While Smith waited in the emergency room, Hayward arrived and talked with her. â[Hayward] told [Smith] that [Baar] was arguing with one of his friends called Shawn Mellott and that he got in the middle between them and that he had hit [Baar] and he didnât mean to hurt him aiid he felt bad.â RP (Apr. 7, 2008) at 93-94.
¶11 Doctor James Wallace, an emergency physician at Olympic Medical Center, testified that he treated Baar on March 25. Baar had a fracture to his left mandible and a possible fracture to his right mandible. Baar required âsurgical stabilizationâ of his jaw, so Wallace referred him to Harborview Medical Center. RP (Apr. 8, 2008) at 34. Two days later, Baar went to Harborview Medical Center for surgery on his jaw. Medical personnel placed three metal plates in his mouth and wired his jaw shut. Baar spent two days in the hospital and his jaw remained wired shut for approximately two months.
¶12 During Wallaceâs testimony, the prosecutor asked Wallace the following question: âIn your opinion, is the
¶13 In the presence of the jury, the prosecutor repeated the question and Wallace responded, Wes.â He explained that âthere is considerable pain involved in this. But the main issue is that [the] mandible canât be used for this period of time, during the healing, which greatly limits oneâs ability to communicate. [S]o this is a substantial loss of function of that body part, definitely.â RP (Apr. 8, 2008) at 41.
II. Jury Instructions
¶14 When the trial court addressed the jury instructions, it stated that the prosecutor had âleft [out] that one sentence that says âthe defendant has no burden of proving a reasonable doubt exists,â so I changed that.â RP (Apr. 8, 2008) at 184. The trial court then suggested a lesser included offense instruction for fourth degree assault. The State argued that there was insufficient evidence of fourth degree assault but the trial court included the instruction, stating that it was consistent with Haywardâs self-defense argument. No other discussion of the jury instructions appears in the record.
¶15 The trial courtâs instructions to the jury included the âto convictâ instruction, jury instruction 7, for second degree assault:
To convict the Defendant of the crime of assault in the second degree, each of the following elements of the crime must be proved beyond a reasonable doubt:
*640 (1) That on or about the 25th day of March, 2007, the Defendant intentionally assaulted Tyson Baar;
(2) That the Defendant thereby recklessly inflicted substantial bodily harm on Tyson Baar; and
(3) That the acts occurred in the State of Washington.
Clerkâs Papers (CP) at 30 (emphasis omitted).
¶16 Jury instruction 6 stated, âA person commits the crime of assault in the second degree when he or she intentionally assaults another and thereby recklessly inflicts substantial bodily harm.â CP at 29 (emphasis omitted).
¶17 Jury instruction 8 defined âsubstantial bodily harmâ as âbodily injury that involves a temporary but substantial disfigurement, or that causes a temporary but substantial loss or impairment of the function of any bodily part or organ, or that causes a fracture of any bodily part.â CP at 31.
¶18 Jury instruction 9 defined âintentâ: âA person acts with intent or intentionally when acting with the objective or purpose to accomplish a result which constitutes a crime, whether or not the person is aware that the result is a crime.â CP at 32.
¶19 Jury instruction 10 defined ârecklessnessâ:
A person is reckless or acts recklessly when he or she knows of and disregards a substantial risk that a wrongful act may occur and the disregard of such substantial risk is a gross deviation from conduct that a reasonable person would exercise in the same situation.
Recklessness also is established if a person acts intentionally.
CP at 33. Neither party objected to the jury instructions.
¶20 The jury found Hayward guilty of second degree assault. He was sentenced to eight monthsâ incarceration. Hayward appeals.
I. Recklessness Jury Instruction
¶21 Hayward argues that the trial courtâs instruction defining recklessness âcreated a mandatory presumption and relieved the State of its burden to prove that Mr. Hayward recklessly inflicted substantial bodily harm.â Br. of Appellant at 6 (emphasis omitted). He argues that second degree assault requires two separate mental states, âintentional assaultâ and âreckless infliction of substantial bodily harm.â Br. of Appellant at 8. Because the jury was instructed that recklessness is established â âif a person acts intentionally,â â jury instruction 10 created a conclusive presumption in conflict with the presumption of innocence. Br. of Appellant at 8 (quoting CP at 33).
¶22 The State argues that â[t]he jury was instructed on both mental elements in two separate instructions.â Br. of Respât at 5. Further, the State argues, the âto convictâ instruction âclearly set outâ the elements of second degree assault. âThere is no reason to think that the jury was confused by the instructions or conflated the two mental states. It is well established law that juries are presumed to follow the instructions provided.â Br. of Respât at 5. Finally, the State argues that, assuming jury instruction 10 was erroneous, it was harmless error because â[t]he evidence was overwhelming that the defendant intentionally assaulted Mr. Barr [sic] and that in doing so he recklessly inflicted substantial bodily harm.â Br. of Respât at 6.
A. Standard of Review
¶23 We review alleged errors of law injury instructions de novo. State v. Barnes, 153 Wn.2d 378, 382, 103 P.3d 1219 (2005). âJury instructions are proper when they permit the parties to argue their theories of the case, do not mislead the jury, and properly inform the jury of the applicable law.â Barnes, 153 Wn.2d at 382. âIt is reversible error to instruct the jury in a manner that would relieve the
B. Mandatory Presumption
¶24 A mandatory presumption is one that requires the jury âto find a presumed fact from a proven fact.â State v. Deal, 128 Wn.2d 693, 699, 911 P.2d 996 (1996). To determine whether a jury instruction creates a mandatory presumption, we examine whether a reasonable juror would interpret the presumption as mandatory. Deal, 128 Wn.2d at 701. Mandatory presumptions violate a defendantâs right to due process if they relieve the State of its obligation to prove all of the elements of the crime charged. State v. Thomas, 150 Wn.2d 821, 844, 83 P.3d 970 (2004).
¶25 In State v. Goble, 131 Wn. App. 194, 126 P.3d 821 (2005), we held that the jury instruction defining âknowledgeâ created a mandatory presumption. In Goble, two police officers encountered Goble and his grandson in a bar parking lot. 131 Wn. App. at 196. The officers testified at trial that the grandson âran 'aggressively
¶26 The jury instructions included a definition of âknowledgeâ that included a statement that â â[a]cting knowingly or with knowledge also is established if a person acts intentionally.â â Goble, 131 Wn. App. at 202 (emphasis omitted) (quoting Goble Clerkâs Papers at 44). This instruc
¶27 Goble appealed his conviction, arguing that the knowledge instruction relieved the State of its burden to prove that Goble knew the victim was a police officer and that the instruction âdid not follow the exact wording of RCW 9A.08.010(1)(b).â Goble, 131 Wn. App. at 202. We reversed his conviction, holding that the jury instruction on knowledge was âconfusing, misleading, and a misstatement of the law.â Goble, 131 Wn. App. at 202. We further held that because the instruction âallowed the jury to presume Goble knew [the officerâs] status ... if it found Goble had intentionally assaulted [the officer],â the instruction âconflated the intent and knowledge elements . . . into a single element and relieved the State of its burden of proving that Goble knew [the officerâs] status if it found the assault was intentional.â
¶28 Here, jury instruction 6 stated, âA person commits the crime of assault in the second degree when he or she intentionally assaults another and thereby recklessly inflicts substantial bodily harm.â CP at 29 (emphasis omitted). Jury instruction 10 defined ârecklessnessâ and stated, âRecklessness also is established if a person acts intentionally.â CP at 33. RCW 9A.08.010(1)(c) defines ârecklessnessâ: âA person is reckless or acts recklessly when he or she knows of and disregards a substantial risk that a wrongful
¶29 It is unclear from the record whether the second paragraph of jury instruction 10 was based on former WPIC 10.03, which stated in part, â[Recklessness also is established if a person acts [intentionally] [or] [knowingly].].â 11 WPIC 10.03, at 153 (alterations in original). In July 2008, WPIC 10.03 was revised âto more closely follow the statutory language.â 11 Washington Practice: Washington Pattern Jury Instructions: Criminal 10.03 cmt. at 211 (3d ed. 2008); see also 11 WPIC 10.03 note on use at 209 (2008). The revised WPIC 10.03 states, â[When recklessness [as to a particular [result] [fact]] is required to establish an element of a crime, the element is also established if a person acts [intentionally] [or] [knowingly] [as to that [result] [fact]].].â 11 WPIC 10.03, at 209 (2008) (alterations in original).
¶30 Hayward argues that jury instruction 10 failed to âplace any limitation on the intentional acts that could establish the [required] recklessness.â Br. of Appellant at 8. He argues that âthe instruction did not reflect The exact language of the statute,ââ Reply Br. of Appellant at 2 (quoting Br. of Respât at 5), where RCW 9A.08.010(2) states that â[w]hen recklessness suffices to establish an element, such element also is established if a person acts intentionally or knowingly,â while jury instruction 10 states that â[r]ecklessness also is established if a person acts intentionally.â CP at 33. Thus, Hayward apparently argues that the second paragraph of jury instruction 10 should have read, Recklessness is also established if a person acts intentionally to cause substantial bodily harm.
¶32 Furthermore, we hold that the presumption created by the second paragraph of jury instruction 10 violated Haywardâs due process rights because it relieved the State of its burden to prove that he recklessly inflicted substantial bodily harm, a separate element of the charged crime. Thomas, 150 Wn.2d at 844.
¶33 We note that this court held otherwise in State v. Keend, 140 Wn. App. 858, 166 P.3d 1268 (2007), review denied, 163 Wn.2d 1041 (2008). In Keend, the court affirmed Keendâs conviction for second degree assault where Keend punched Daniel Reeves, breaking Reevesâ jaw. The jury was similarly instructed that â â[Recklessness also is established if a person acts intentionally or knowingly.â â Keend, 140 Wn. App. at 862 (alteration in original) (quoting Keend Clerkâs Papers at 33). The court determined that the instruction did not create a mandatory presumption, relying on former WPIC 10.03 (1994). Keend, 140 Wn. App. at 862.
¶34 But Keend, decided in 2007, did not have the benefit of the 2008 amended WPIC 10.03. The revision to WPIC 10.03, carried out in order âto more closely follow the statutory language,â shows that the previous version of WPIC 10.03 (1994) did not adequately follow RCW 9A.08.010. 11 WPIC 10.03, at 211 (2008). Had this court considered Keend after the amendment, it may have reached a different result.
¶35 Furthermore, WPICs are not the law; they are merely persuasive authority. State v. Mills, 116 Wn. App.
C. No Harmless Error
¶36 Even if a jury instruction âomits an element of the charged offense or misstates the law,â it does not necessarily require reversal. Thomas, 150 Wn.2d at 844. Such an erroneous jury instruction is subject to harmless error analysis. Thomas, 150 Wn.2d at 844. Therefore, we must next determine whether the erroneous jury instruction was harmless.
¶37 â[A]n erroneous jury instruction that omits an element of the charged offense or misstates the law is subject to harmless error analysis.â Thomas, 150 Wn.2d at 844 (citing Neder v. United States, 527 U.S. 1, 9, 119 S. Ct. 1827, 144 L. Ed. 2d 35 (1999)). âConstitutional error is presumed to be prejudicial and the State bears the burden of proving that the error was harmless.â State v. Guloy, 104 Wn.2d 412, 425, 705 P.2d 1182 (1985). In cases involving âomissions or misstatements of elements injury instructions, âthe error is harmless if that element is supported by un
¶38 Here, the only uncontroverted evidence relating to recklessness included that (1) Hayward admitted that he intentionally struck Baar; (2) Hayward was not drinking the night of the incident; (3) Baar had been drinking; and (4) Baar suffered significant injury to his jaw requiring surgery.
¶39 Because the uncontroverted evidence regarding Haywardâs recklessness is insufficient to support a finding that Hayward acted recklessly, the State has not carried its burden to show that the error was harmless. It is not clear beyond a reasonable doubt that the outcome would have been the same without the erroneous jury instruction.
¶40 We, therefore, hold that jury instruction 10 violated Haywardâs right to due process and we reverse Haywardâs conviction and remand for further proceedings. Because the following issues may arise on retrial, we briefly address them.
II. Opinion Testimony
¶41 Hayward also argues that Wallaceâs opinion testimony that Baar âsuffered a âsubstantial loss or impairment of the function of a bodily partâ â violated his constitutional right to a jury trial. Br. of Appellant at 14 (emphasis omitted) (quoting RP (Apr. 8, 2008) at 40). He argues that Wallace âtestified that a legal element had been satisfied, using the language set forth in the courtâs jury instructions.â âThis testimony was more than [a] ânearly explicitâ or âalmost explicitâ â statement of an ultimate issue and, therefore, was forbidden. Br. of Appellant at 15.
¶42 The State argues that âWallace never mentioned [Hayward] in any of his testimonyâ and never stated an
A. Standard of Review
¶43 The trial court has considerable discretion when admitting or excluding evidence. State v. Demery, 144 Wn.2d 753, 758, 30 P.3d 1278 (2001). Witness opinion testimony is typically limited because it invades the juryâs exclusive province. Demery, 144 Wn.2d at 759. We consider a trial courtâs admission or rejection of testimony, including expert testimony, for an abuse of discretion. State v. Ortiz, 119 Wn.2d 294, 308, 831 P.2d 1060 (1992); State v. Swan, 114 Wn.2d 613, 655, 790 P.2d 610 (1990).
B. No Improper Statement of Guilt
¶44 Expert witnesses may testify in the form of an opinion. ER 702. âEvidence is admissible under ER 702 if the witness qualifies as an expert and the expert testimony would be helpful to the jury.â State v. We, 138 Wn. App. 716, 724-25, 158 P.3d 1238 (2007), review denied, 163 Wn.2d 1008 (2008). But expert witnesses may not testify as to a defendantâs guilt. State v. Olmedo, 112 Wn. App. 525, 530, 49 P.3d 960 (2002). âSuch an improper opinion undermines a juryâs independent determination of the facts, and may invade the defendantâs constitutional right to a trial by jury.â Olmedo, 112 Wn. App. at 530-31; see also State v. Kirkman, 159 Wn.2d 918, 927-28, 155 P.3d 125 (2007).
¶45 A witness may not offer opinion testimony by a direct statement or by inference regarding the defendantâs guilt, but testimony is not objectionable simply because it embraces an ultimate issue the trier of fact must decide. See ER 704; Demery, 144 Wn.2d at 759. âThe fact that an opinion encompassing ultimate factual issues supports the conclusion that the defendant is guilty does not make the testimony an improper opinion of guilt.â City of Seattle v. Heatley, 70 Wn. App. 573, 579, 854 P.2d 658 (1993).
Your Honor, thereâs been ample evidence through Mr. Baarâs testimony and now through Dr. Wallaceâs testimony regarding what injuries Mr. Baar suffered, and what the effects of those injuries were. [I]tâs up to the jury to draw some conclusion as to whether that meets the legal standard of ... a substantial though perhaps temporary loss of function of a body part. . . . The question asked just deals clearly with the legal standard.
RP (Apr. 8, 2008) at 39-40. The trial court determined that the question was admissible under ER 704, stating, âI donât think the . . . doctor is giving an opinion as to guilt [ ]. Heâs giving a medical opinion.â It noted that, given the facts of the case, the medical opinion â[i]s something thatâs not very difficult for him to give.â RP (Apr. 8, 2008) at 40. In the presence of the jury, the prosecutor asked the question again and Wallace answered, âYes.â
¶47 The âto convictâ instruction required the jury to find that Hayward had ârecklessly inflicted substantial bodily harmâ on Baar. CP at 30. Jury instruction 8 defined âsubstantial bodily harmâ as âbodily injury that involves a temporary but substantial disfigurement, or that causes a temporary but substantial loss or impairment of the function of any bodily part or organ, or that causes a fracture of any bodily part.â CP at 31 (emphasis added).
¶48 Though Wallaceâs testimony addressed an ultimate issue of substantial bodily harm that the jury was required
C. Harmless Error
¶49 Furthermore, any error in admitting Dr. Wallaceâs testimony was harmless. A trial courtâs decision to admit evidence is subject to harmless error analysis. See Guloy, 104 Wn.2d at 432. âWhere evidence is improperly admitted, the trial courtâs error is harmless âif the evidence is of minor significance in reference to the overall, overwhelming evidence as a whole.â â State v. Yates, 161 Wn.2d 714, 764, 168 P.3d 359 (2007) (quoting State v. Bourgeois, 133 Wn.2d 389, 403, 945 P.2d 1120 (1997)), cert, denied, 128 S. Ct. 2964 (2008). A constitutional error is harmless if the reviewing court is âconvinced beyond a reasonable doubt any reasonable jury would have reached the same result absent the error.â State v. Easter, 130 Wn.2d 228, 242, 922 P.2d 1285 (1996).
¶50 Here, there was overwhelming evidence that Baar suffered a substantial loss or impairment of the function of his jaw. Baar testified that doctors placed âthree metal plates in [his] jaw and did surgery on it.â RP (Apr. 7, 2008) at 65. His jaw was wired shut for a â[m]onth and a half, two months.â RP (Apr. 7, 2008) at 67. Baar was required to maintain a liquid diet while his jaw was wired shut. Smith testified that, on the morning of March 25, Baar âcouldnât hardly talkâ and that âhe couldnât hold his jaw up ... so he was holdinâ it... and it was all swollen up.â RP (Apr. 7, 2008) at 92. After the surgery, Smith testified that Baar could not talk and that he had to âeat through a straw.â RP (Apr. 7, 2008) at 100. Wallace testified that Baarâs jaw was broken on both sides. Baar required âa
¶51 Because there was overwhelming evidence that Baar suffered a substantial loss of the function of his jaw, a reasonable jury would have reached the same determination regarding that element of the crime. Therefore, we hold that any error in admitting this evidence was harmless.
¶52 We reverse Haywardâs conviction and remand for further proceedings.
Thurman also testified that she encountered Baar following the fight between Hayward and Baar and that he âwas speaking just fine.â RP (Apr. 8, 2008) at 164.
Vaughan corroborated this testimony.
Hayward is right-handed.
We also held that Goble did not waive the issue by failing to object to the instruction because if the instruction relieved the State of its burden to prove the knowledge element âthen this error is of constitutional magnitude.â Goble, 131 Wn. App. at 202-03. Here, the State does not argue that Hayward waived his challenge to jury instruction 10. Nevertheless, we hold that, because jury instruction 10 relieved the State of its burden to prove the recklessness element, the error was of a constitutional magnitude and, therefore, ripe for appeal. RAP 2.5(a)(3).
Hayward cites to Yates v. Evatt, 500 U.S. 391, 403, 111 S. Ct. 1884, 114 L. Ed. 2d 432 (1991), overruled on other grounds by Estelle v. McGuire, 502 U.S. 62, 72 n.4, 112 S. Ct. 475, 116 L. Ed. 2d 385 (1991) and argues that unconstitutional presumptions in jury instructions ârequire a more thorough harmless error analysis than other unconstitutional instructions.â Br. of Appellant at 11. In Yates, the United States Supreme Court set out a two part analysis for unconstitutional presumptions in jury instructions. First, the reviewing court âmust ask what evidence the jury actually considered in reaching its verdict,â analyzing the jury instructions and applying the âcustomary presumption that jurors follow instructions and ... that they consider relevant evidence on a point in issue when they are told that they may do so.â Yates, 500 U.S. at 404.
Second, the reviewing court must âweigh the probative force of that evidence as against the probative force of the presumption standing alone.â Yates, 500 U.S. at 404. The Court emphasized that it is not enough âthat the jury considered evidence from which it could have come to the verdict without reliance on the presumption. Rather, the issue ... is whether the jury actually rested its verdict on evidence establishing the presumed fact beyond a reasonable doubt, independently of the presumption.â Yates, 500 U.S. at 404 (citing Chapman v. California, 386 U.S. 18, 87 S. Ct. 824, 17 L. Ed. 2d 705 (1967)).
Furthermore, the Court cautioned that reviewing the entire record before judging the harmlessness of an error assumes that âthe jury considered all the evidence bearing on the issue in question before it made the findings on which the verdict rested.â Yates, 500 U.S. at 405. âIf, on the contrary, that assumption were incorrect, an examination of the entire record would not permit any sound conclusion to be drawn about the significance of the error to the jury in reaching the verdict.â Yates, 500 U.S. at 405. Therefore, before applying the two part harmless error analysis, a reviewing court must âascertain from the trial courtâs instructions that the jurors, as reasonable persons, would have considered the entire trial record, before looking to that record to assess the significance of the erroneous presumption.â Yates, 500 U.S. at 406.
Because we hold that the jury instruction was harmful under the standard harmless error test, we need not consider the more stringent Yates test.
There was conflicting testimony regarding the character of the punch: Muck, Mellott, and Hayward testified that Hayward struck Baar with his left hand. Baar and Potter testified that Hayward struck Baar with his right hand. Hayward testified that he struck Baar with a slightly opened fist, but Muck testified that he struck Baar with a closed fist. Hayward testified that he did not use his full strength; Muck testified that the punch was âa good hit.â RP (Apr. 7, 2008) at 51.
Wallace further testified that âthere is considerable pain involved [and] the mandible canât be used for this period of time, during the healing, which greatly limits oneâs ability to communicate. ... [S]o this is a substantial loss of function of that body part, definitely.â RP (Apr. 8, 2008) at 41.