PRESENT: Kinser, C.J., Lemons, Goodwyn, Millette, Mims, and
Powell, JJ., and Lacy, S.J.

MATTHEW A. GALUMBECK, ET AL.
                                              OPINION BY
v.   Record No. 102416                 JUSTICE CLEO E. POWELL
                                            March 2, 2012
JOSEPH LOPEZ, ADMINISTRATOR OF THE
ESTATE OF MARITESS Q. LOPEZ, DECEASED

       FROM THE CIRCUIT COURT OF THE CITY OF VIRGINIA BEACH
                   Edward W. Hanson, Jr., Judge

      Dr. Matthew A. Galumbeck and Plastic Surgery of Tidewater,

P.C. appeal a judgment in favor of the plaintiff Joseph Lopez

(“Lopez”), administrator of the estate of Maritess Q. Lopez

(“Maritess”).   Finding that the trial court did not err, we

affirm the judgment.

                              BACKGROUND

      On July 30, 2008, Maritess underwent outpatient surgery

performed by Dr. Galumbeck.    After the surgery, Kenneth Hale

brought Maritess home.   He noticed that she was not breathing

normally, she was unable to speak clearly and she had to be

helped to his car by the nurses.

      On July 31, 2008, the morning after the surgery, Carmelita

Hale (“Hale”), Maritess’ sister, called Dr. Galumbeck’s office

and spoke to Nurse Marsha Phillips.    Hale told Nurse Phillips

that Maritess was in pain, feverish and very dizzy.    According

to Hale, Nurse Phillips expressed no concern and told her those

symptoms were normal.
     Later that same day, Maritess died from aspiration

pneumonia secondary to the surgery.    Lopez, her husband,

qualified as administrator of her estate and brought a wrongful-

death action against Dr. Galumbeck, Dr. Carl Flor, 1 and Plastic

Surgery of Tidewater, P.C.

     At trial, Dr. Galumbeck testified that Nurse Phillips could

not have answered the phone call from Hale on July 31, 2008,

because she was in the operating room with him at that time.

When asked how he knew that, Dr. Galumbeck stated that he had

reviewed the surgical log.    At that point, Lopez’ counsel

objected and the trial court held a side bar conference. 2    The

trial court then instructed the jury to disregard the mention of

any surgical log.

     Dr. Galumbeck also testified that he was not paid for the

surgery.    Another side bar conference was held, also off the

record.    Dr. Galumbeck alleges that during the side bar

conference, he attempted to offer documents into evidence that

show he was never paid for the surgery.    According to Dr.

Galumbeck, the trial court rejected the evidence.




     1
       Dr. Flor was the anesthesiologist during the surgery. The
claims against Dr. Flor were nonsuited prior to trial.
     2
       This discussion was not on the record, however, Dr.
Galumbeck claims that, during the side bar conference, he sought
to have the surgical log entered into evidence. According to
Dr. Galumbeck, the trial court denied his request.

                                  2
     During cross-examination, Dr. Galumbeck was asked about the

contents of his website, namely whether it states that he offers

board-certified anesthesiologists for all operations at Plastic

Surgery of Tidewater, P.C.    Dr. Galumbeck’s counsel stated

“Objection.   May we approach?”   Another side bar discussion was

held off the record.   At the conclusion of that discussion, the

trial court overruled the objection and Lopez’ counsel was

permitted to question Dr. Galumbeck about whether his website

indicated that he offered only board-certified

anesthesiologists.   Dr. Galumbeck admitted his website stated

that his anesthesiologists were board-certified, even though Dr.

Flor is not board-certified.    When Lopez offered a copy of the

website into evidence, counsel for Dr. Galumbeck objected to the

relevance of the exhibit.    The document was admitted into

evidence.

     At the end of the day, after the court adjourned, counsel

for Dr. Galumbeck recorded a statement with the court reporter

that he called a “proffer.”    In his statement, counsel

summarized his arguments and some of the trial court’s rulings

regarding counsel’s attempts to introduce Defendant’s rejected

Exhibit A, the surgical log, and Defendant’s rejected Exhibit B,

the payment records.   Counsel also restated his objections about

the admission of evidence that Dr. Flor was not a board-

certified anesthesiologist.


                                  3
     The following morning, Dr. Galumbeck made a motion for a

mistrial based on the misconduct of Juror Conway.   According to

Dr. Galumbeck’s counsel, he saw Juror Conway shake the hand of

Dr. Waisman, one of Lopez’ expert witnesses, and tell him “good

job,” after Dr. Waisman had testified and the jury was leaving

the courtroom.   Counsel for Dr. Galumbeck further alleged that

Juror Conway “shook his head[] and made a gesture with his right

fist, as if to say, I’m with you” towards Lopez.

     The trial court stated that it would allow counsel to

question Juror Conway about these incidents.   Counsel for Dr.

Galumbeck objected, stating that he believed it would be

improper for him to question the juror and then have the juror

remain on the jury.    The trial court overruled the objection.

     Outside of the presence of the other jurors, the trial

court asked Juror Conway if he had spoken to the plaintiff’s

expert.   Juror Conway responded that he “didn’t talk to him.

[He] just shook his hand and said ‘good job.’ ”    The trial court

asked what he meant by that, and Juror Conway responded that he

“thought [the expert] did a good job in dealing with . . . what

he was asked to do.”   The trial court asked if this interaction

in any way indicated that Conway was biased, and Juror Conway

responded that it did not.   The trial court then asked if Juror

Conway had ever shaken hands with Lopez, and Juror Conway

responded, “I have never touched Mr. Lopez.”


                                  4
     The trial court then allowed counsel for both parties to

question Juror Conway.   Counsel for Lopez asked if Juror Conway

could “fairly and impartially decide this case,” to which Juror

Conway responded “Absolutely.”

     Counsel for Dr. Galumbeck then asked Conway if he had

nodded his head at Lopez as he walked by.       Conway responded,

“Oh, I’ve nodded my head at several people in here.      What, can

you not nod your head or what?”   He further explained that he

might have acknowledged Lopez with a nod “like ‘how are you,’ ”

but reiterated that he was impartial.    The trial court

ultimately denied Dr. Galumbeck’s motion for a mistrial.

     Dr. Galumbeck then moved for a mistrial based on the

admission of evidence about Dr. Flor’s lack of board

certification.   The trial court said that it had already ruled

on that issue and denied the motion.    Counsel for Dr. Galumbeck

asked to state his motion for the record, but the trial court

denied his request, stating: “This is denied, you can cite your

objections later.”   When counsel for Dr. Galumbeck asked if the

court was not permitting him to state his motion for the record,

the trial court responded: “Not now. You will be [allowed]

later.   We’ve got to get the case moving.” 3


     3
       There is no indication in the record that counsel for Dr.
Galumbeck attempted to state his motion for the record at a
later time.



                                  5
     After hearing all of the evidence, the jury returned a

verdict in favor of Lopez.    Dr. Galumbeck and Plastic Surgery of

Tidewater, P.C. subsequently filed a motion to set aside the

verdict.    The trial court denied the motion and entered judgment

on the jury verdict.

                               ANALYSIS

     On appeal, Dr. Galumbeck asserts that the trial court erred

in (1) denying his motion for a mistrial due to a juror’s

alleged misconduct; (2) prohibiting him from introducing the

surgical log into evidence or from using it to refresh Nurse

Phillips’ recollection; (3) allowing testimony and evidence on a

collateral matter; and (4) admitting the unpaid medical bills

into evidence.

                         1. Juror Misconduct

     Dr. Galumbeck argues that the trial court abused its

discretion by denying his motion for a mistrial due to the

misconduct of Juror Conway.    Dr. Galumbeck contends that Juror

Conway’s actions and his evasive and confrontational attitude

when questioned about his actions clearly demonstrated that he

lacked impartiality.   According to Dr. Galumbeck, Juror Conway’s

lack of impartiality required the trial court to replace him

with the available alternate juror or declare a mistrial.    We

disagree.

     We have recognized that


                                  6
     a mistrial will not be declared automatically
     upon a showing of juror misconduct, but that the
     trial judge, in the exercise of a sound
     discretion, must determine whether remarks made
     about the case by a juror to persons not jurors
     demonstrate that prejudice might result. The
     burden to establish this probability of prejudice
     is upon the party moving for a mistrial. This
     view is based upon the universal rule that fraud
     will not be presumed and upon the reluctance to
     presume prejudicial misconduct.

Haddad v. Commonwealth of Virginia, 229 Va. 325, 330, 329 S.E.2d

17, 20 (1985).

     Thus, the law is clear that an empanelled juror is presumed

impartial and the burden to prove prejudice is on the party

moving for a mistrial.     Id.   Here, Juror Conway explained his

actions 4 and those explanations were found to be credible by the

trial court.     On this record, it cannot be said that Dr.

Galumbeck carried his burden of proving prejudicial misconduct

on the part of Juror Conway.

                           2.    Surgical Log

     Dr. Galumbeck next argues that the trial court erred by

refusing to allow him to question witnesses about the surgical

log or introduce the surgical log into evidence as a sanction

for violating Rule 4:12.     He contends that there was no Rule

4:12 violation, as there was no order compelling discovery of

the surgical log.    He further states that he did not violate the

     4
       We note that Juror Conway was not asked about the hand
gesture he allegedly made toward Lopez.



                                    7
pretrial scheduling order, as the order did not require either

party to list exhibits that are to be introduced for rebuttal or

impeachment.   Finding that Dr. Galumbeck has failed to present a

sufficient record to permit review of the assigned error, we

hold that this argument is waived.

     It is the obligation of the petitioner/appellant
     to ensure that the record is sufficient to enable
     the Court to evaluate and resolve the assignments
     of error. When the appellant fails to ensure that
     the record contains transcripts or a written
     statement of facts necessary to permit resolution
     of appellate issues related to the assignments of
     error, any assignments of error affected by the
     omission shall not be considered.

Rule 5:11(a)(1).   In conjunction with this Rule, this Court has

repeatedly admonished:

     A circuit court’s judgment is presumptively
     correct, and the appellant bears the burden of
     presenting a sufficient record to permit a
     determination whether the circuit court committed
     an alleged error.

Commonwealth Transp. Comm’r v. Target Corp., 274 Va. 341, 348,

650 S.E.2d 92, 96 (2007).

     “We will not consider testimony which the trial court has

excluded without a proper showing of what that testimony might

have been.”    O'Dell v. Commonwealth, 234 Va. 672, 697, 364

S.E.2d 491, 505 (1988).   A necessary corollary to this rule is

that we will not consider an objection made to the trial court

without a proper showing of what that objection was.   As with

excluded evidence, absent a transcript or written statement of


                                  8
the facts that captures the arguments made at trial, this Court

has no basis upon which to review the trial court’s ruling.

Whittaker v. Commonwealth, 217 Va. 966, 968-69, 234 S.E.2d 79,

81 (1977).

      In the present case, all of the relevant discussions

related to this issue were held off the record in a sidebar

conference.   Dr. Galumbeck contends that he preserved this

argument, as well as others, by way of a proffer made on the

record.    However, it is clear that Dr. Galumbeck’s “proffer” was

recorded after court had adjourned for the day and outside of

the presence of opposing counsel.     Under our jurisprudence, only

“a unilateral avowal of counsel, if unchallenged, or a mutual

stipulation of the testimony expected constitutes a proper

proffer.”    Id. at 969, 234 S.E.2d at 81.

      [A]bsent such acquiescence or stipulation, this
      Court will not consider an error assigned to the
      rejection of testimony unless such testimony has
      been given in the absence of the jury and made a
      part of the record in the manner prescribed by
      the Rules of Court.

Id.

      It can hardly be said that Lopez acquiesced or stipulated

to a statement that he was unaware Dr. Galumbeck was making.

Thus, Dr. Galumbeck’s statement does not qualify as a proper

proffer.    Accordingly, he failed to preserve those issues for

appeal.



                                  9
     Similarly, we hold that Dr. Galumbeck’s argument regarding

the use of the surgical log to refresh Nurse Phillips’ memory is

without merit.   A review of the record demonstrates that Dr.

Galumbeck made no attempt to refresh Nurse Phillips’

recollection with the surgical log.     Accordingly, we need not

address this argument.

                 3.    Dr. Flor’s Board Certification

     Dr. Galumbeck next argues that the trial court abused its

discretion by allowing Lopez to raise the issue of Dr. Flor’s

lack of board certification.     Dr. Galumbeck contends that these

facts were collateral to the issue before the trial court, and

therefore should have been excluded.     We need not decide this

issue, as Dr. Galumbeck has failed to preserve this issue for

appellate review.

     Dr. Galumbeck initially raised his objections to testimony

about Dr. Flor’s lack of board certifications in a pretrial

motion in limine.     However, he failed to request a ruling from

the trial court on this matter.     Accordingly, he has waived this

issue on appeal.      See Lenz v. Commonwealth, 261 Va. 451, 463,

544 S.E.2d 299, 306 (2001).

     During the course of Dr. Galumbeck’s testimony, Lopez asked

about the contents of Dr. Galumbeck’s website, specifically

referencing a statement that Dr. Galumbeck offered board




                                   10
certified anesthesiologists. 5    Dr. Galumbeck objected and sought

another sidebar conference.      Thus, his actual objection and the

grounds therefor were made off the record.     As such, this

argument is waived for the same reasons discussed above.        See,

e.g., Whittaker, 217 Va. at 968-69, 234 S.E.2d at 81.

     Finally, with regard to the information found in

Plaintiff’s Exhibit #3, a printout of Dr. Galumbeck’s website,

Dr. Galumbeck did specifically object to its introduction on the

grounds that it was irrelevant.     We note, however, that Defense

Exhibit #5, offered by Dr. Galumbeck and admitted into evidence,

contains the same printout of his website to which he now

objects.   We have repeatedly held that “where [a party]

unsuccessfully objects to evidence which he considers improper

and then on his own behalf introduces evidence of the same

character, he thereby waives his objection.”      Saunders v.

Commonwealth, 211 Va. 399, 401, 177 S.E.2d 637, 638 (1970)

(citing Snead v. Commonwealth, 138 Va. 787, 801-02, 121 S.E. 82,

86 (1924); Culbertson v. Commonwealth, 137 Va. 752, 757-58, 119

S.E. 87, 88 (1923); Hutchinson v. Commonwealth, 133 Va. 710,



     5
       Counsel for Lopez initially inquired about “board
certified plastic surgeons.” However, upon Dr. Galumbeck’s
objection to the question, counsel for Lopez realized he had
misstated the contents of the website and corrected himself,
stating: “Excuse me. Thank you, Your Honor.
Anesthesiologists.” Dr. Galumbeck then objected a second time.



                                   11
716-17, 112 S.E. 624, 626 (1922); Snarr v. Commonwealth, 131 Va.

814, 818-19, 109 S.E. 590, 592 (1921)).

                         4.   Medical Bills

     Dr. Galumbeck argues that the trial court abused its

discretion by allowing copies of Maritess’ medical bills into

evidence.   Dr. Galumbeck contends that there was no claim for

medical expenses in this case, therefore this evidence was

irrelevant.   He further asserts that the trial court compounded

this error by refusing to allow him to present evidence that

demonstrates that Maritess did not pay her medical bills.    We

disagree.

     We review a trial court’s evidentiary rulings
     applying an abuse of discretion standard. We
     will not overturn a trial court's exercise of its
     discretion in determining whether to admit or
     exclude evidence on appeal unless the evidence
     shows that the trial court abused its discretion.
     Hinkley v. Koehler, 269 Va. 82, 91, 606 S.E.2d
     803, 808 (2005). While a “trial court has no
     discretion to admit clearly inadmissible
     evidence,” Norfolk & Western Ry. Co. v. Puryear,
     250 Va. 559, 563, 463 S.E.2d 442, 444 (1995)
     (quoting Coe v. Commonwealth, 231 Va. 83, 87, 340
     S.E.2d 820, 823 (1986)), “a great deal must
     necessarily be left to the discretion of the
     court of trial, in determining whether evidence
     is relevant to the issue or not.” Peacock Buick,
     Inc. v. Durkin, 221 Va. 1133, 1136, 277 S.E.2d
     225, 227 (1981) (internal quotation marks
     omitted).

Riverside Hosp., Inc. v. Johnson, 272 Va. 518, 529, 636 S.E.2d

416, 421-22 (2006).




                                 12
        It is clear that, in the present case, the medical bills

were not offered for the purposes of seeking damages or

demonstrating how much money Dr. Galumbeck received.      Rather the

medical bills were offered to contrast the level of emphasis Dr.

Galumbeck placed on the financial aspect of the transaction with

the quality of the medical care he delivered.      Thus, the

evidence was arguably relevant to the plaintiff’s theory of the

case.       Furthermore, the record demonstrates that Dr. Galumbeck

was allowed to testify, without objection, 6 that he was not paid

for the procedure.      Accordingly, the trial court did not abuse

its discretion in allowing the medical bills into evidence.

                                CONCLUSION

        For the foregoing reasons, the judgment of the trial court

will be affirmed.

                                                               Affirmed.




        6
       The record indicates that a sidebar conference occurred
during Dr. Galumbeck’s testimony on this matter, however, as
with the sidebar conferences discussed above, the discussion was
held off the record. Accordingly, any error related to
discussions that may have occurred during that sidebar
conference is waived. See Rule 5:11(a)(1).



                                    13
