Filed 10/30/13 Steiner v. Volkswagen Group of America CA2/6
                  NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
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              IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

                                     SECOND APPELLATE DISTRICT

                                                   DIVISION SIX


CHRISTIE STEINER, as successor in interest,                                              2d Civil No. B236532
etc.,                                                                                  (Super Ct. No. 1374169)
                                                                                        (Santa Barbara County)
         Plaintiff and Appellant,

v.

VOLKSWAGEN GROUP OF AMERICA,
INC., et al.,

         Defendants and Respondents.

CHRISTIE STEINER, as successor in interest,                                              2d Civil No. B240488
etc.,

         Plaintiff and Respondent,

v.

VOLKSWAGEN GROUP OF AMERICA,
INC., et al.,

         Defendants and Appellants.



                   Plaintiff Richard Steiner (Steiner) contracted terminal lung cancer. He was
a longtime smoker and, early in his life, worked with motor vehicle parts that purportedly
contained asbestos. He contended that the effect of his smoking was profoundly
exacerbated by his exposure to the asbestos, resulting in his cancer. Steiner and his wife,
Christie Steiner, brought a personal injury action against a number of automobile parts
manufacturers, including defendants Volkswagen Group of America, Inc. (Volkswagen),
Ford Motor Co. (Ford), Nissan North America, Inc. (Nissan) and Pneumo-Abex Corp.
(Pneumo-Abex). The trial was a "battle of experts."1 Plaintiffs contend they were
hamstrung by the trial court's rulings limiting the scope of their cross-examination of the
defense experts. Our examination of the record leads to a contrary conclusion.
               Plaintiffs' causation expert testified that Steiner's exposure to both tobacco
and asbestos created a "synergistic effect," increasing Steiner's risk of lung cancer by as
much as 50-fold. Defendants' causation experts agreed that asbestos, in sufficient doses,
can increase a smoker's risk of lung cancer, but determined Steiner's exposure was
insufficient to cause such a "synergistic effect." The defense pathologist, radiologist and
pulmonologist testified that Steiner's lung tissue, x-rays and scans displayed substantial
physical changes due to smoking, but none of the changes typically associated with
asbestos exposure. The defense epidemiologist opined that even career automobile
mechanics do not have an increased risk of lung cancer from asbestos exposure.
Plaintiffs cross-examined these experts extensively, but offered no pathologist,
radiologist, pulmonologist or epidemiologist to counter their opinions.
               Following a six-week trial, the jury returned a defense verdict on all issues.
Plaintiffs do not challenge the sufficiency of the evidence to support the verdict. 2 They
contend the trial court abused its discretion by prohibiting their causation expert's
discussion of hearsay scientific literature and studies on direct examination pursuant to
Evidence Code section 802,3 and by limiting plaintiffs' cross-examination of the defense
experts as to certain hearsay literature and studies under section 721, subdivision (b)(1).

       1 See Edwards v. Superior Court (1976) 16 Cal.3d 905, 918-919, fn. 6 (conc. &
dis. opn. of Sullivan, J.).
       2 Richard Steiner died shortly after the trial. Christie Steiner has been substituted
as his successor in interest and thus is the only remaining plaintiff.
       3 All statutory references are to the Evidence Code unless otherwise stated.


                                              2
The record does not support plaintiffs' assertion that these limitations, combined with
other erroneous evidentiary rulings, deprived them of a fair trial.
              Following the verdict, Volkswagen and Ford claimed their expert witness
fees as an item of costs based on plaintiffs' rejection of their pretrial offers to compromise
under Code of Civil Procedure (CCP) section 998. The trial court granted plaintiffs'
motion to tax the expert witness fees, concluding that the respective offers of $2,202 and
$5,000 were not reasonable or made in good faith. Volkswagen and Ford fail to show
that the court abused its discretion in striking the fees.4 We affirm both the judgment and
the order taxing the expert witness fees.
                   FACTUAL AND PROCEDURAL BACKGROUND
              In 1976, Steiner took a high school auto repair class in which he learned
how to repair and replace brakes, clutches and engine gaskets. Steiner applied these
lessons while working part-time at a gas station for seven months in 1978 and for ten
months in 1980. He also worked on cars owned by family and friends between
approximately 1977 and 1985. At that time, friction products, such as brake linings,
clutch facings and engine gaskets, normally contained asbestos.
              Steiner began smoking at age 20 and continued for the next 30 years. He
smoked approximately a half pack to a pack of cigarettes a day. In 2009, at the age of 49,
he was diagnosed with squamous cell carcinoma of the right lung, and underwent
numerous treatments, including removal of the lung. Steiner claimed he stopped smoking
shortly after the diagnosis.
              In March 2010, Steiner and his wife filed a personal injury action against
Volkswagen, Ford and other manufacturers or distributors of automotive parts, alleging
that Steiner's exposure to asbestos in automotive brakes, clutches and engine gaskets
caused his lung cancer. Seven months later, Volkswagen served plaintiffs with individual


       4 Volkswagen and Ford filed their consolidated appeal from the order taxing the
expert witness fees (No. B240488) after plaintiffs appealed from the judgment (No.
B236532). The briefs in both appeals cite extensively to the 30-volume reporter's
transcript filed in plaintiffs' appeal. On our own motion, we consolidated the two appeals
for purposes of decision only.

                                              3
offers to compromise under CCP section 998. Volkswagen offered to settle Steiner's
claims for $1,501 and Christie Steiner's claims for $501, plus a waiver of costs.
Volkswagen based the offers on "Steiner's medical records showing no asbestos markers,
[his] deposition testimony lacking a showing of exposure to parts distributed by
Volkswagen, and [his] Social Security records." Plaintiffs declined the offers.
              Approximately two months before trial, Ford made similar statutory offers
to compromise, offering Steiner $4,000, and Christie Steiner $1,000, plus a complete
waiver of all costs and attorney fees. Plaintiffs rejected the offers, declaring they were
"not in good faith given the seriousness of the disease, the scientific literature tying lung
cancer to asbestos exposure, [Steiner's] age and shortened life expectancy, and shortened
work life."
                                Trial Testimony and Verdict
              The trial began in August 2011 with only Ford, Volkswagen, Nissan and
Pneumo-Abex as remaining defendants. Through his videotaped deposition, Steiner
testified that he typically worked on used cars. He recalled using replacement brake or
clutch parts made or sold by defendants, and stated that the work generated dust which he
inhaled.
              Plaintiffs did not dispute that Steiner's smoking was a causative factor in his
diagnosis. The primary issue was whether Steiner's lung cancer was caused solely by
smoking or by a "synergistic" combination of smoking and asbestos exposure. Plaintiffs
presented four experts: Carl Brodkin, M.D., an expert in occupational medicine; Arnold
Brody, Ph.D., a cell biologist; Gerald Deutsch, M.D., an addiction specialist; and
Steiner's thoracic surgeon, Robert Cameron, M.D. Only Dr. Brodkin testified as a
causation expert.
              Dr. Brodkin testified that Steiner's exposure to both tobacco and asbestos
acted synergistically to increase his risk of lung cancer by as much as 50-fold. Dr.
Brodkin based this opinion on Steiner's history of occupational asbestos exposure, as
stated in Steiner's deposition testimony, and on the "biapical" pleural thickening of the
tissue at the apex of Steiner's lungs, which Dr. Brodkin said is consistent with asbestos


                                              4
exposure. Drs. Brody and Cameron generally agreed that a combination of smoking and
asbestos can increase the risk of lung cancer, but expressed no opinion on whether that
actually occurred in Steiner's case. Dr. Brody was not retained for that purpose, and Dr.
Cameron's role was to treat Steiner's cancer, not to determine its cause.
              Dr. Cameron testified he saw no evidence of asbestosis when he removed
Steiner's right lung. He also found no evidence of pleural calcifications -- a marker of
asbestos exposure. Nor were there any objective signs of asbestos exposure in the
pathology reports. Steiner's lung did evidence chronic obstructive pulmonary disease
(COPD) and emphysema, which are consistent with smoking damage. Although he had
no opinion on whether asbestos was a causative factor in Steiner's cancer, Dr. Brody
conceded "the overwhelming majority of people who change brakes don't get lung
cancer."
              Defendants presented four causation experts: Victor Roggli, M.D., a
pathologist; David Godwin, M.D., a radiologist; Allan Feingold, M.D., a pulmonologist
specializing in smoking-related diseases; and Patrick Hessel, Ph.D., an epidemiologist.
These experts uniformly agreed that exposure to asbestos can cause lung cancer, but only
"in sufficient doses." In their opinion, Steiner's exposure to asbestos during his relatively
short tenure as a vehicle mechanic was insufficient to cause his lung cancer, which they
believed was caused entirely by smoking.
              Dr. Roggli testified, based on his own assessment of Steiner's pathology,
that the pleural thickening described by Dr. Brodkin was the type caused by smoking, not
by asbestos exposure. He concluded that Steiner's pathology revealed changes in the
lung that clearly were associated with cigarette smoking, including respiratory
bronchiolitis, emphysema and apical fibrous cap. He did not find any evidence of
asbestosis or any signs of asbestos bodies in the pathology slides. Dr. Roggli further
observed that "there's no convincing evidence that friction products cause lung cancer, in
general."
              Dr. Godwin specializes in examining radiographic material for signs of
pneumoconiosis, i.e., lung disease caused by the inhalation of dust, such as asbestos.


                                              5
Based on his personal review of Steiner's chest x-rays, CT scans and PET scans, Dr.
Godwin opined there was no "radiographic evidence of asbestos exposure." He found no
indication of asbestosis or pleural placques, pleural calcification and diffuse pleural
thickening, which typically evidence asbestos-related disease.
              Dr. Feingold, the defense pulmonologist, displayed photomicrographs
revealing the characteristic markers of smoking on Steiner's lungs. He also saw no signs
of asbestosis, pleural placques or asbestos bodies in the lung tissue. Dr. Feingold
explained: "I know that asbestos does increase the risk of lung cancer in individuals who
have significant asbestos exposure, sufficient asbestos exposure to cause asbestosis.
[Steiner] did not have that kind of exposure and, therefore, asbestos did not contribute to
his lung cancer." Dr. Feingold was a "hundred percent certain" that Steiner's cancer was
caused exclusively by smoking.
              Experts on both sides agreed that epidemiology is "the gold standard in
order for doctors in science to find out whether or not a substance has an impact on a
population of people." Defendants' epidemiologist, Dr. Hessel, testified that although
epidemiologic studies confirm that smokers are at an increased risk for lung cancer over
the general population, the studies do not suggest that asbestos exposure from vehicle
repair work "synergistically" increases a smoker's lung cancer risk. Dr. Hessel explained
that because there is zero increased risk associated with vehicle repair work in general,
"then multiplying that [zero] times the smoking risk still gives you the [same] smoking
risk."
              In the absence of their own pathologist, radiologist, pulmonologist or
epidemiologist, plaintiffs had difficulty countering the defense experts' opinions and, on
occasion, even deferred to those opinions. For example, when told that Dr. Roggli had
found no pathological evidence suggesting that asbestos was a causative factor in
Steiner's cancer, plaintiffs' cell biology expert, Dr. Brody, replied: "Well, I would not
dispute a diagnosis by Victor Roggli or a number of other eminent pathologists. That's
not my position."



                                              6
              After six weeks of trial, the jury returned a complete defense verdict.
Plaintiffs appeal from the judgment.
                           Post-Judgment Motions to Tax Costs
              Following trial, Volkswagen filed a memorandum seeking costs of
$435,439.15, which included expert witness fees of $228,826.26. Ford claimed costs of
$992,202.36, which included $174,565.29 in expert witness fees. Plaintiffs moved to tax
the expert witness fees and other costs. Plaintiffs contended the offers to compromise
were token offers, made in bad faith with no reasonable expectation of acceptance.
              In a detailed written decision, the trial court awarded $164,889.90 in costs
to Volkswagen and $59,892.69 to Ford. Striking all the expert witness fees, the court
determined the CCP section 998 "offers were not reasonable or in good faith." The court
noted that Volkswagen's offer was made early in the case, before plaintiffs had received
any discovery from Volkswagen, and before they knew how their case may develop as to
Volkswagen. The court concluded that "[u]nder the facts then available to the parties,
Volkswagen would not reasonably believe that plaintiffs would consider their causation
theory as remote."
              Acknowledging that Ford's offer was made closer to trial, the trial court
determined that the offer was very low compared with the potential liability of $2.4 to
$2.9 million identified by plaintiffs' economist during his deposition. The court stated:
"Given the high potential damages, the offer would only have been reasonable if
plaintiffs considered the likelihood of their proving causation to be very small or remote.
. . . Plaintiffs did not view their likelihood of proving causation as remote, and while
plaintiffs' causation theory may have been attenuated, it was not unreasonable."
Volkswagen and Ford appeal from the order taxing the expert witness fees.
                                        DISCUSSION
                                       Plaintiffs' Appeal
   1.         Standard of Review
              We review the trial court's evidentiary rulings for an abuse of discretion.
(San Lorenzo Valley Community Advocates for Responsible Education v. San Lorenzo


                                               7
Valley Unified School Dist. (2006) 139 Cal.App.4th 1356, 1419.) "Under this standard, a
trial court's ruling will not be disturbed, and reversal of the judgment is not required,
unless the trial court exercised its discretion in an arbitrary, capricious, or patently absurd
manner that resulted in a manifest miscarriage of justice." (People v. Guerra (2006) 37
Cal.4th 1067, 1113, overruled on another point in People v. Rundle (2008) 43 Cal.4th 76,
151.) Even when evidence has been improperly excluded, reversal is only proper where
there is a reasonable probability that a more favorable result would have been reached.
(Tudor Ranches, Inc. v. State Comp. Ins. Fund (1998) 65 Cal.App.4th 1422, 1431–1432
(Tudor Ranches).)
   2.         Exclusion of Evidence During Dr. Brodkin's Direct Examination
              Plaintiffs contend the trial court violated section 802 by precluding their
causation expert, Dr. Brodkin, from testifying on direct examination that certain hearsay
scientific literature and studies supported his opinion that Steiner's lung cancer was
causally connected to his occupational asbestos exposure. They claim that without this
supporting information, Dr. Brodkin's opinion had virtually no value, giving the jury the
impression he was "just making it up."
              As both sides point out, Dr. Brodkin is a highly qualified expert in his field
of occupational and environmental medicine, with an emphasis on asbestos-related
diseases and other occupational lung disorders. He has published numerous scientific
articles and studies, including a study that showed that with increasing exposure to
asbestos, a risk for developing lung cancer increases significantly. Plaintiffs
acknowledge that Dr. Brodkin was permitted to present his full qualifications, all of his
opinions and virtually all of the bases for his opinions. The question is whether the trial
court should have given him more leeway to identify and generally describe the hearsay
scientific literature and studies and, if so, whether it would have created a reasonable
probability of a more favorable result for plaintiffs. (See Tudor Ranches, supra, 65
Cal.App.4th at pp. 1431-1432.)
              Section 802 provides that an expert "may state on direct examination the
reasons for his opinion and the matter . . . upon which it is based . . . ." (See People v.


                                               8
Catlin (2001) 26 Cal.4th 81, 137.) Hence, a physician expert "may rely upon medical
texts as the basis for his testimony. [Citations.]" (Brown v. Colm (1974) 11 Cal.3d 639,
644, fn. omitted; see People v. Bui (2001) 86 Cal.App.4th 1187, 1196 [expert may rely on
scientific literature, statistical data, and an epidemiological study for his opinions].) But
this rule may not be used as a vehicle to bring before the jury incompetent evidence.
(People v. Dean (2009) 174 Cal.App.4th 186, 201 (Dean); see Grimshaw v. Ford Motor
Co. (1981) 119 Cal.App.3d 757, 788-789 (Grimshaw).) "Although an expert 'may rely
on inadmissible hearsay in forming his or her opinion [citation], and may state on direct
examination the matters on which he or she relied, the expert may not testify as to the
details of those matters if they are otherwise inadmissible [citation].' [Citations.]"
(Korsak v. Atlas Hotels, Inc. (1992) 2 Cal.App.4th 1516, 1524-1525.)
               A trial court "has considerable discretion to control the form in which the
expert is questioned to prevent the jury from learning of incompetent hearsay." (People
v. Price (1991) 1 Cal.4th 324, 416.) Here, the trial court allowed Dr. Brodkin to rely on
hearsay in rendering his opinions on direct examination, but for the most part, would not
permit him to recount that hearsay in his testimony. The court clarified several times that
Dr. Brodkin could testify about materials from the literature and studies that he had
adopted as his own opinions, but could not recite to the jury the conclusions of the
literature or studies themselves. The court instructed: "Let's be sure that we're clear on
it. I don't want to -- and he's done it at least once, said that `based upon the medical
literature.' I understand he can rely on it, but I want to hear his opinion, not what's in the
medical literature."
               Plaintiffs do not claim the trial court should have allowed Dr. Brodkin to
recite or quote the contents of the hearsay literature and studies. Relying primarily on
Grimshaw, supra, 119 Cal.App.3d 757, and Notrica v. State Compensation Ins. Fund
(1999) 70 Cal.App.4th 911 (Notrica), plaintiffs assert the court should have permitted Dr.
Brodkin "to actually identify the publications he referenced and to generally discuss the
findings of the studies in order to demonstrate that his opinions had objective support in
the literature."


                                              9
              It is true that, in some circumstances, appellate courts have upheld the trial
court's discretion to allow an expert more latitude in describing hearsay while rendering
opinions on direct examination. (E.g., Notrica, supra, 70 Cal.App.4th at pp. 932-933
[permitting expert to recite excerpts of a hearsay article "when context is needed [for the
jury] to understand what has transpired"].) In other circumstances, appellate courts have
held the trial court abused its discretion by allowing an expert to testify about hearsay
records. (E.g., Dean, supra, 174 Cal.App.4th at pp. 200-201 ["[U]nder the guise of
supporting her opinion, [the expert's] testimony improperly brought before the jury
incompetent hearsay evidence"].) The key is the trial court must "weigh the probative
value of inadmissible evidence . . . against the risk that the jury might improperly
consider it as independent proof of the facts recited therein." (People v. Coleman (1985)
38 Cal.3d 69, 91, disapproved on another point in People v. Riccardi (2012) 54 Cal.4th
758, 824, fn. 32.) "Within this context, 'probative value' refers to . . . the relative
reliability of the inadmissible evidence and its necessity to the jury's understanding of the
credibility and bases for the expert opinion." (Dean, at p. 199.)
              Although plaintiffs expressed frustration over the trial court's decision to
limit Dr. Brodkin's direct examination under section 802, they did not specifically request
that he be allowed to identify the medical literature or studies, such as by title or author,
and to generally describe their contents. Nor did they make an offer of proof as to what
such evidence would have revealed. As a result, the trial court never addressed the
relative reliability of this evidence, the potential value to the jurors' understanding of Dr.
Brodkin's opinion and the risk that the jurors would consider the evidence for an
improper purpose. (See Dean, supra, 174 Cal.App.4th at p. 199.) We decline to do so on
appeal. "A judgment cannot be set aside on the ground that the court erroneously
excluded evidence unless the substance, purpose and relevance of the excluded evidence
were made known to the court by an offer of proof or by other means." (Gordon v.
Nissan Motor Co., Ltd. (2009) 170 Cal.App.4th 1103, 1113.)
              Plaintiffs argue that even if the trial court properly applied section 802 to
the questioning of Dr. Brodkin, the court abused its discretion by holding the defense


                                               10
experts to a standard different from the one applied to plaintiffs' experts. A review of the
expert testimony as a whole belies this claim. The examples cited by plaintiffs typically
(1) concerned literature or studies authored by the defense expert, and thus within his
personal knowledge, (2) occurred when the expert was discussing publications raised by
plaintiffs on cross-examination, (3) did not reveal the actual content of the publications,
or (4) involved testimony that was admitted without objection.5
               By way of illustration, plaintiffs complain "the trial court said to [Dr.]
Hessel exactly the opposite of what he said to Dr. Brodkin: 'Obviously, your opinion can
be backed up with what you perceive the studies to say . . . .'" But the full quotation
reveals the instruction was entirely consistent with the instructions to Dr. Brodkin: "Dr.
Hessel, please, when you answer these kind[s] of questions, remember I'm interested in
your opinion, not what the studies might show. Your opinion, please. . . . [¶] Obviously,
your opinion can be backed up with what you perceive the studies to say, but talk to us
about what your opinion is." (Italics added.) A short while later, the court again
reminded Dr. Hessel: "Obviously, you've read the literature, obviously you relied on the
literature, but I don't want you to tell me what the literature says . . . ." This example
fairly represents the consistency of the trial court's rulings on the section 802 objections.
   3.          Exclusion of Evidence on Cross-Examination of Defense Experts
               Plaintiffs assert that in addition to improperly limiting Dr. Brodkin's direct
examination, the trial court incorrectly and prejudicially limited their cross-examination
of Drs. Roggli, Hessel and Feingold regarding certain hearsay scientific literature and
studies. Section 721, subdivision (b) identifies three instances in which an expert witness
may be cross-examined regarding the content or tenor of a scientific, technical or
professional text, treatise or journal.6 At issue here is subdivision (b)(1), which allows

      5 Plaintiffs made virtually no section 802 hearsay objections to Dr. Roggli's direct
examination, and thus waived that issue on appeal. (See Alexander v. Codemasters
Group Limited (2002) 104 Cal.App.4th 129, 139-140 [failure to object to an evidentiary
ruling waived the argument on appeal].)
        6 Section 721, subdivision (b), provides: "If a witness testifying as an expert
testifies in the form of an opinion, he or she may not be cross-examined in regard to the

                                              11
cross-examination when "[t]he witness referred to, considered, or relied upon such
publication in arriving at or forming his or her opinion." (§ 721, subd. (b)(1).)
              Plaintiffs extensively cross-examined all three experts,7 but claim the trial
court should have permitted cross-examination regarding scientific literature and studies
with which they are generally familiar, even if they did not refer to, consider or rely upon
them in forming their opinions. Defendants correctly respond that mere familiarity with
the scientific literature is not enough. Although plaintiffs need not show that the expert
relied upon a particular publication in forming the opinion, they must lay a foundation
showing that the expert at least referred to or considered it in forming that opinion.
(§ 721, subd. (b)(1).)
              "[T]he purpose of section 721(b) is 'to prevent an adverse party from
getting before the trier of fact the inadmissible hearsay views of an absent expert, which
may be contrary to the expert witness' opinion, through the device of cross-examining the
expert witness regarding the absent expert's publication or report even though the
testifying expert had not used or considered that publication or report in any way in
arriving at or forming his opinion testimony.'" (McGarity v. Department of
Transportation (1992) 8 Cal.App.4th 677, 683 (McGarity), quoting 2 Jefferson, Evidence
Benchbook (2d ed. 1982) § 29.8, p. 1036, original italics.) Permitting such cross-
examination would bring before the jury the opinions of absentee authors without the
safeguard of cross-examination. (Id. at p. 683.) As reflected in the Law Revision
comment to section 721, "it is important to permit an expert witness to be cross-examined
concerning those publications referred to or considered by him even though not
specifically relied on by him in forming his opinion. An expert's reasons for not relying

content or tenor of any scientific, technical, or professional text, treatise, journal, or
similar publication unless any of the following occurs: [¶] (1) The witness referred to,
considered, or relied upon such publication in arriving at or forming his or her opinion.
[¶] (2) The publication has been admitted in evidence. [¶] (3) The publication has been
established as a reliable authority by the testimony or admission of the witness or by
other expert testimony or by judicial notice. [¶] If admitted, relevant portions of the
publication may be read into evidence but may not be received as exhibits."
       7 The testimony of these experts spanned five days. Their cross-examinations
comprise 689 pages of the reporter's transcript; the direct examinations total 395 pages.

                                             12
on particular publications that were referred to or considered by him while forming his
opinion may reveal important information bearing upon the credibility of his testimony."
(Cal. Law Revision Com. com., 29B West's Ann. Evid. Code (1995 ed.) § 721, p. 348,
italics added.)
              In McGarity, supra, 8 Cal.App.4th at page 680, the defendant's accident
reconstruction expert estimated the speed of the vehicle at the time of the crash at issue in
the case. On cross-examination, the trial court excluded a vehicle crash test report that
the expert had not referred to, considered or relied on in forming his opinion. (Id. at pp.
681-682.) The appellate court determined the expert's reference to other crash tests did
"not open the door to cross-examination with tests of the same generic nature which the
witness did not refer to, consider, or rely upon . . . ." (Id. at p. 684; see People v. Visciotti
(1992) 2 Cal.4th 1, 80-81.)
              To support their broader interpretation of section 721, subdivision (b)(1),
plaintiffs cite People v. Ledesma (2006) 39 Cal.4th 641, 695, and People v. Clark (1993)
5 Cal.4th 950, 1013 (Clark), overruled on other grounds as stated in People v. Doolin
(2009) 45 Cal.4th 390, 421, fn. 22. As defendants point out, Ledesma referred to the
scope of expert cross-examination in general, as set forth in section 721, subdivision (a),
and did not address the limits of permissible cross-examination regarding scientific
literature and studies specified in subdivision (b). (Ledesma, at p. 695.)
              Clark also did not address whether section 721, subdivision (b)(1) requires
admission of scientific literature or studies with which an expert is generally familiar.
(Clark, supra, 5 Cal.4th at p. 1013.) In one paragraph of a lengthy death penalty opinion,
the court determined it was "permissible" under the circumstances to allow the
prosecution to cross-examine the defense psychiatric expert with a "scholarly article"
written by a psychiatrist formerly associated with the witness. (Ibid.) A trial court's
failure, however, to do what is "permissible" does not constitute an abuse of discretion.
(See People v. Guerra, supra, 37 Cal.4th at p. 1113.)




                                               13
               a.             Cross-Examination of Drs. Hessel and Roggli
               While Dr. Hessel was working at a consulting firm called Exponent, Ford
and two other automobile manufacturers commissioned Exponent to examine whether
vehicle mechanics have a higher rate of asbestos diseases than the general population. In
2004, Dr. Hessel and his Exponent colleagues published two epidemiological studies
concluding that vehicle mechanics do not experience higher rates of asbestos disease as a
result of working with friction products. A year later, another epidemiologist, Dr. David
Egilman, criticized the Exponent studies in an article entitled "Abuse of Epidemiology:
Automobile Manufacturers Manufacture a Defense to Asbestos Liability" (Egilman
article).
               In the absence of Dr. Egilman or any other epidemiologist, plaintiffs
attempted to introduce Dr. Egilman's opinions through the defense experts. On cross-
examination, Dr. Hessel acknowledged that the Egilman article criticized the Exponent
studies, and stated he did not consider, refer to or rely on the article in forming his
opinions in this case.
               Unlike in Clark, the Egilman article was not written by a colleague
formerly associated with Dr. Hessel. It was written by an epidemiologist who disagreed
with the conclusions reached by Dr. Hessel and others in the Exponent studies. As noted
above, section 721, subdivision (b)(1) precludes a party from introducing the
inadmissible hearsay views of an absent expert unless the testifying expert used or
considered the absent expert's publication in forming his opinion testimony. (McGarity,
supra, 8 Cal.App.4th at p. 683.) Dr. Hessel explained that he read and discounted the
Egilman article when it was published in 2005, calling it a "horrible piece of work."
Plaintiffs failed to show that Dr. Hessel, some six years later, considered or used the
article in arriving at his opinions in Steiner's case.
               Similarly, Dr. Roggli testified that he was familiar with the Egilman article,
but had never relied on, quoted or referred to it in any of his publications, reports or
opinions. Plaintiffs cross-examined Dr. Roggli extensively about chapters in his book,
"Pathology of Asbestos-Associated Diseases," and about a number of other publications,


                                               14
but did not establish that Dr. Roggli used or considered the Egilman article in forming his
opinions in this case. By excluding cross-examination regarding the Egilman article, the
trial court appropriately prevented plaintiffs from using an adversary's expert witness as
nothing more than a proxy for the introduction of evidence of the opinions of another
which do not meet the statutory requirements. Any other approach would turn that expert
witness into little more than a "Google" search. (See McGarity, supra, 8 Cal.App.4th at
p. 684; People v. Criscione (1981) 125 Cal.App.3d 275, 285-286.)
              The same is true of a 2009 fact sheet on asbestos published by the National
Cancer Institute. Dr. Hessel testified that he was "not intimately familiar with it," and
thus would have to read the sheet before commenting on it. Without any showing that
Dr. Hessel had used or considered the sheet in forming his opinions, the trial court
properly excluded it under section 721, subdivision (b)(1).
              b.             Cross-Examination of Dr. Feingold
              Defense pulmonologist, Dr. Feingold, prepared a 182-page report with a
bibliography listing 113 studies and publications. Plaintiffs claim that because Dr.
Feingold's report "refers to" these 113 publications, they all were subject to cross-
examination under section 721, subdivision (b)(1). Dr. Feingold testified that he did not
refer to, consider or rely on all of the bibliographical references in forming his opinions
in this case. He said he included some of the references strictly for historical purposes.
When asked about two articles from 1976 discussing asbestos exposure in brake workers,
Dr. Feingold said that perhaps he would have relied on them in 1976, but that they are no
longer valid given more recent studies. He elaborated that each "article [was] included
for identification. It is certainly not included because I've recently considered it or read it
at any time in the last decade, or relied upon it. I did not rely upon it, and I should not
have."
              Dr. Feingold gave essentially the same testimony with respect to two U.S.
Surgeon General reports from 1964 and 1989. He explained that by 2001, more accurate
information had become available, superseding earlier literature and studies. The trial
court did not abuse its discretion in disallowing further discussion. Dr. Feingold


                                              15
emphatically discounted the articles as outdated, and as plaintiffs acknowledge, defense
counsel would have underscored that very point on re-direct examination. Trial courts
reasonably may restrict cross-examination where marginally relevant testimony will
result in an undue consumption of time or confusion of the issues, among other concerns.
(See § 352; People v. Harris (1989) 47 Cal.3d 1047, 1090-1091.)
              Plaintiffs contend the trial court improperly excluded cross-examination
regarding "current governmental regulations" applicable to asbestos exposure. Plaintiffs
do not disclose in their brief that the trial court previously had granted a defense motion
in limine excluding that specific evidence. After Dr. Feingold referenced the "current
concept" of asbestos exposure during direct examination, plaintiffs claimed defendants
had opened the door for cross-examination. The trial court disagreed, explaining that
when an in limine ruling is in place, the parties should immediately "get me to the side-
bar, and I'll stop it right then, but to let it come in, and then say, 'Now they've opened the
door' is not something that I'm going to embrace." Consistent with that decision, and at
plaintiffs' request, the trial court struck the inappropriate comment from the record and
admonished the jury not to consider it for any purpose. There was no abuse of discretion.
              Plaintiffs also complain the trial court incorrectly prohibited them from
reading from publications that were qualified for cross-examination under section 721,
subdivision (b). The cited record references do not support that claim. After initially
instructing plaintiffs' counsel not to read directly from Dr. Roggli's textbook, the trial
court reversed itself and allowed counsel to read substantial portions of the textbook
during Dr. Feingold's cross-examination.
   4.         Admission of Smoking Video
              During trial, defendants produced a surveillance video obtained from the
insurer in a separate workers' compensation case filed by Steiner. The video showed
Steiner briefly smoking a cigarette on June 19, 2011 -- six months after testifying at his
deposition that he had ceased smoking shortly after he was diagnosed with lung cancer.
Plaintiffs assert the trial court prejudicially abused its discretion by admitting the video.



                                              16
They claim the video had no probative value, was highly prejudicial and thus should have
been excluded under section 352. We are not persuaded.
              First, plaintiffs incorrectly assert that the video was not disclosed in
discovery or on the defendants' exhibit list. As defendants point out, a non-party insurer
conducted the video surveillance in an unrelated matter a short time before trial. That
party produced the video to all parties at the same time under a subpoena previously
approved by the trial court and discovery referee. There was no surprise.
              Second, the evidence was relevant, as it related to the causation element of
plaintiffs' failure-to-warn claims in that it showed Steiner continuing to smoke after his
cancer diagnosis. It also had a bearing on Steiner's credibility, which was central to
plaintiffs' case. Dr. Brodkin's opinion that Steiner's cancer was caused by a synergistic
combination of tobacco and asbestos exposure was based largely on Steiner's historical
account of his smoking and vehicle repair work. Just two days before the video was
taken, Steiner told Dr. Brodkin that he had given up smoking no later than November
2009. The video was relevant to assist the jury in deciding the appropriate weight to
accord Dr. Brodkin's testimony given his reliance on Steiner's representations.
              Finally, "[s]ection 352 does not . . . allow for the exclusion of evidence
merely because it is 'prejudicial' in the sense of damaging to a litigant's position. The
relevant phrase from the statute is 'substantial danger of undue prejudice.'" (O'Mary v.
Mitsubishi Electronics America, Inc. (1997) 59 Cal.App.4th 563, 575.) Plaintiffs have
not shown that the admission of the video was unduly prejudicial, particularly given its
relevance to Steiner's claims and credibility.
   5.         Cumulative Error
              Plaintiffs contend the cumulative effect of the purported evidentiary errors
undermined the fundamental fairness of the trial. Having either rejected plaintiffs' claims
of error on the merits or found any assumed errors to be nonprejudicial, we reach the
same conclusion with respect to the cumulative effect of any purported erroneous
evidentiary rulings. (See People v. Cole (2004) 33 Cal.4th 1158, 1235-1236.) The
claimed errors are insignificant in light of the substantial expert evidence that Steiner's


                                             17
lung cancer was caused exclusively by smoking. Our review of the record in its entirety
demonstrates that the trial court was consistent in its rulings.
   6.         Appointment of Discovery Referee
              Plaintiffs challenge the trial court's appointment of a discovery referee and
allocation of the referee's fees. Although plaintiffs initially objected to the appointment
of a discovery referee because of the costs involved, they ultimately agreed to the
appointment and to the allocation/apportionment of the referee's fees. Plaintiffs' failure to
object in the trial court constitutes a waiver of the issue on appeal. (Karlsson v. Ford
Motor Co. (2006) 140 Cal.App.4th 1202, 1227.)
                       Volkswagen and Ford's Consolidated Appeal
   1.         Standard of Review
              Volkswagen and Ford agree that "'[w]hether a [CCP] section 998 offer was
reasonable and made in good faith is a matter left to the sound discretion of the trial
court, and will not be reversed on appeal except for a clear abuse of discretion.'
[Citation.]" (Najera v. Huerta (2011) 191 Cal.App.4th 872, 877 (Najera).) The
appellant bears the burden "'. . . to establish an abuse of discretion, and unless a clear case
of abuse is shown and unless there has been a miscarriage of justice a reviewing court
will not substitute its opinion and thereby divest the trial court of its discretionary power.'
[Citations.]" (Denham v. Superior Court (1970) 2 Cal.3d 557, 566.) To satisfy that
burden, the appellant must show that the trial court exercised its discretion "in an
arbitrary, capricious or patently absurd manner that resulted in a manifest miscarriage of
justice. [Citation.]" (Najera, at p. 877.)
   2.         Order Taxing Expert Witness Fees
              Under CCP section 998, subdivision (c)(1), if a plaintiff does not accept a
defendant's settlement offer and the plaintiff fails to obtain a more favorable judgment or
award, the plaintiff must pay the defendant's post-offer costs. In addition, the court, in its
discretion, may require the plaintiff to pay a reasonable sum to cover expert witness fees.
(Ibid.)



                                              18
              CCP section 998 is a cost-shifting statute, the purpose of which is to
encourage pretrial settlements and avoid needless litigation. (Barba v. Perez (2008) 166
Cal.App.4th 444, 451.) Nevertheless, the courts must apply this section in a manner that
best promotes its purpose. (Guerrero v. Rodan Termite Control, Inc. (2008) 163
Cal.App.4th 1435, 1440.) This purpose is not accomplished by permitting the defendant
to recover costs in every case where the plaintiff fails to recover more than the
defendant's offer. (Ibid.) To advance the legislative purpose of encouraging settlement, a
good faith requirement must be read into CCP section 998. (Ibid.) "Good faith . . .
requires that the settlement offer be 'realistically reasonable under the circumstances of
the particular case.'" (Adams v. Ford (2011) 199 Cal.App.4th 1475, 1483 (Adams),
quoting Wear v. Calderon (1981) 212 Cal.App.3d 818, 821.) The offer must therefore
"carry with it some reasonable prospect of acceptance. [Citation.]" (Elrod v. Oregon
Cummins Diesel, Inc. (1987) 195 Cal.App.3d 692, 698 (Elrod).) A party having no
expectation that its offer will be accepted "will not be allowed to benefit from a no-risk
offer made for the sole purpose of later recovering large expert witness fees." (Jones v.
Dumrichob (1998) 63 Cal.App.4th 1258, 1262-1263.)
              The reasonableness of a defendant's CCP section 998 settlement offer is
evaluated in light of "what the offeree knows or does not know at the time the offer is
made." (Santantonio v. Westinghouse Broadcasting Co. (1994) 25 Cal.App.4th 102, 119
(Santantonio).) As set forth in Elrod, supra, 195 Cal.App.3d at page 699, the trial court
first must determine "whether the offer represents a reasonable prediction of the amount
of money, if any, defendant would have to pay plaintiff following a trial, discounted by
an appropriate factor for receipt of money by plaintiff before trial, all premised upon
information that was known or reasonably should have been known to the defendant."
(Fn. omitted.) If the offer passes that test, the court then must assess "whether
defendant's information was known or reasonably should have been known to plaintiff."
(Ibid.)
              Where the defendant obtains a judgment more favorable than its offer, "the
judgment constitutes prima facie evidence showing the offer was reasonable."


                                             19
(Santantonio, supra, 25 Cal.App.4th at p. 117.) Here, the jury found that neither
Volkswagen nor Ford was liable, establishing the prima facie reasonableness of their
CCP section 998 offers. (Ibid.) The burden then shifted to plaintiffs to show otherwise.
(Nelson v. Anderson (1999) 72 Cal.App.4th 111, 134.) The trial court determined
plaintiffs had met that burden. Volkswagen and Ford now must show that the trial court
abused its discretion in reaching that decision. (Najera, supra, 191 Cal.App.4th at p.
877.)
              a.             Volkswagen's Offer
              Volkswagen admits their combined settlement offer of $2,002 was modest,
but asserts that a defendant may be justified in making a modest settlement offer when it
"perceives [itself] to be fault free and has concluded that [it] has a very significant
likelihood of prevailing at trial." (Culbertson v. R.D. Werner Co., Inc. (1987) 190
Cal.App.3d 704, 710.) Volkswagen claims it reached that conclusion early in the case, in
October 2010, before any meaningful discovery had occurred. At that time, the case was
still pending in Los Angeles County Superior Court, where plaintiffs' counsel recently
had obtained a $1.5 million jury verdict in a similar friction products case involving Ford.
Plaintiffs had not yet received responses to written discovery from Volkswagen. Nor had
Volkswagen produced its custodian of records or person most knowledgeable for
deposition.
              In Najera, the plaintiff served a CCP section 998 offer along with the
complaint. Although the plaintiff prevailed at trial, the trial court denied his request for
expert fees because he had served the offer without giving the defendant a reasonable
opportunity to conduct discovery. (191 Cal.App.4th at pp. 878-879.) The Court of
Appeal affirmed, noting that "'litigants should be given a chance to learn the facts that
underlie the dispute and consider how the law applies before they are asked to make a
decision that, if made incorrectly, could add significantly to their costs of trial.'" (Id. at p.
878, quoting Wilson v. Wal-Mart Stores, Inc. (1999) 72 Cal.App.4th 382, 390.)
              Here, the trial court similarly concluded that in the absence of any
meaningful discovery, plaintiffs "did not know how the case may develop as to


                                               20
Volkswagen." At that early stage, the waiver of costs would have had little impact on the
parties' considerations of the offer, and in the trial court's view, Volkswagen did not
reasonably believe that plaintiffs would accept the offer. Volkswagen has not
demonstrated that the court abused its discretion in denying fees under these
circumstances. (See Najera, supra, 191 Cal.App.4th at p. 877.)
              b.             Ford's Offer
              Ford's combined offer to compromise under CCP section 998 is different
from Volkswagen's because it was made shortly before trial, after most discovery had
been completed, and was for $5,000, instead of $2,002. Relying heavily upon Adams,
supra, 199 Cal.App.4th 1475, Ford contends the trial court did not give appropriate
deference to the presumption of reasonableness flowing from the defense verdict. We
disagree. Although Adams is factually similar, it did not divest the trial court of its
discretion to evaluate the reasonableness of Ford's offer under the specific facts and
circumstances of this case. (See id. at pp. 1485-1486.)
              The decedent in Adams died from mesothelioma, a form of lung cancer
associated with asbestos exposure. (Adams, supra, 199 Cal.App.4th at pp. 1478-1479.)
His survivors brought a wrongful death action against a number of defendants, including
Ford, alleging that the decedent was exposed to asbestos while working in construction
and also while changing brakes on vehicles manufactured by Ford and others. (Ibid.)
The plaintiffs reached pretrial settlements with some of the defendants. (Id. at p. 1479.)
              A few days before trial, Ford made a CCP section 998 offer to settle the
case for a total of $10,000 ($2,500 per plaintiff), including a waiver of costs. (Adams,
supra, 199 Cal.App.4th at p. 1479.) The jury returned a verdict in favor of Ford, finding
it did not manufacture or distribute the brakes that allegedly caused the decedent's illness.
The plaintiffs moved to tax Ford's claim for expert fees of $167,570. (Ibid.) The trial
court denied the motion, noting that the evidence against Ford was "'pretty attenuated,'"
and that it "'was not surprised at all by the jury's verdict.'" (Id. at p. 1480.) The trial
court determined the offer was not "'out of the ballpark'" given both the settlements with
other defendants and the significant value of the costs waiver. (Id. at p. 1481.) The


                                               21
Court of Appeal affirmed, remarking that "[h]aving presided over the trial, the trial judge
was in the best position to evaluate the respective strength of [the plaintiffs'] claim and of
Ford's defense, and as such, was also in the best position to evaluate the reasonableness
of Ford's [CCP] section 998 offer." (Id. at p. 1486, italics added.)
              Here, the trial court acknowledged Adams in its written decision but, based
on its own assessment of the evidence, ruled that "the purpose and effect of Ford's section
998 offer was not to promote settlement, but to position Ford to benefit from section
998's cost-shifting provisions." The court took into account the waiver of costs, but
observed that the offer was still very low compared with the overall damages of $2.4 to
$2.9 million. It further noted that the predominant issue was not, as it was in Adams,
whether the injured plaintiff was exposed to asbestos-containing Ford products, but
whether this exposure was a substantial factor in causing the cancer. The court allowed
that plaintiffs' theory of causation on this issue "may have been attenuated," but unlike in
Adams, the court did not find it unreasonable. As plaintiffs point out, less than a year
before the trial in this case, their trial counsel obtained two large jury verdicts in
automobile friction cases involving Ford. In one case, the jury found Ford liable on
theories of both negligence and strict liability and imposed compensatory damages in
excess of $4.3 million.
              We will not substitute our judgment for that of the trial court. (Najera,
supra, 191 Cal.App.4th at p. 877; see In re Marriage of Rosevear (1998) 65 Cal.App.4th
673, 682 ["'". . . When two or more inferences can reasonably be deduced from the facts,
the reviewing court has no authority to substitute its decision for that of the trial
court"'"].) Having presided over a six-week trial involving nearly 30 witnesses and a
complex "battle of experts," the trial court was indeed "in the best position to evaluate the
reasonableness of Ford's [CCP] section 998 offer." (Adams, supra, 199 Cal.App.4th at p.
1486.) In the absence of a showing that the trial court's decision was arbitrary, capricious
or patently absurd, we must, and therefore do, defer to its discretionary decision to strike
Ford's claim for expert fees. (See Najera, supra, 191 Cal.App.4th at p. 877.)



                                              22
                                    DISPOSITION
             The judgment on jury verdict and the order taxing the expert witness fees
are affirmed. No costs on appeal are awarded.
             NOT TO BE PUBLISHED.




                                        PERREN, J.


We concur:



             GILBERT, P. J.



             YEGAN, J.




                                          23
                               Thomas P. Anderle, Judge
                         Superior Court County of Santa Barbara
                          ______________________________


             The Arkin Law Firm, Sharon J. Arkin; Farrise Firm, Simona A. Farrise for
Appellant Christie Steiner.
             Yukevich Calfo & Cavanaugh; Yukevich Cavanaugh, James Yukevich,
Steven D. Smelser, Patricia Ball; Dykema Gossett, John M. Thomas, Tamara A. Bush,
for Appellant Ford Motor Company.
             Herzfeld & Rubin, Craig L. Winterman, Tara-Jane Flynn; Carroll, Burdick
& McDonough, Laurie J. Hepler, Nathaniel K. Fisher for Appellant Volkswagen Group
of America, Inc.
             Bowman & Brooke, Susan Vargas, John Eberlein; Reed Smith, Margaret
M. Grignon for Respondent Nissan North America, Inc.
             Dehay & Elliston, Jennifer Judin, Kevin Wyles; Herrick & Associates,
David P. Herrick for Respondent Pneumo-Abex Corp.




                                          24
