Drayton Reed Hinton v. State of Texas

CourtCourt of Appeals of Texas
DecidedJanuary 20, 2021
Docket09-19-00134-CR
StatusPublished

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

Bluebook
Drayton Reed Hinton v. State of Texas, (Tex. Ct. App. 2021).

Opinion

In The

Court of Appeals

Ninth District of Texas at Beaumont

________________ NO. 09-19-00134-CR ________________

DRAYTON REED HINTON, Appellant

V.

THE STATE OF TEXAS, Appellee ________________________________________________________________________

On Appeal from the 435th District Court Montgomery County, Texas Trial Cause No. 17-02-02097-CR ________________________________________________________________________

MEMORANDUM OPINION

A Montgomery County grand jury indicted Drayton Reed Hinton for the first-

degree felony offense of injury to a child. See Tex. Penal Code Ann. § 22.04(a), (e).

Hinton entered an open plea of guilty to the second-degree felony offense of injury

to a child. Hinton elected to have the trial court assess punishment. Following a

punishment trial, the trial court sentenced Hinton to twenty years of confinement in

the Texas Department of Criminal Justice Institutional Division. Hinton timely

1 appealed his sentence challenging the admission of certain evidence.1 For the

following reasons, we affirm the trial court’s judgment.

Background

After the premature birth of their granddaughter, F.S., 2 Hinton and his wife

became her guardians. Hinton was unemployed at the time, but his wife worked, so

he became F.S.’s primary caregiver. At the time Hinton began caring for F.S., he

was being treated for low testosterone levels by Lynn Marquardt, a chiropractor and

nurse practitioner. Marquardt prescribed a topical testosterone cream for Hinton to

help increase muscle mass and to lose weight.

During the first few months of F.S.’s life, her regular medical examinations

revealed normal female genitalia; however, in February 2016, there was marked

clitoral enlargement noted by her pediatrician. Accordingly, the pediatrician

recommended a consult with an endocrinologist. This condition progressively

became worse, and she had repeat testosterone levels of 2,000 or greater. The

evidence established that for a female child F.S.’s age, the free testosterone levels

1 We have liberally construed Hinton’s briefing in this case and addressed his complaints as raised in the “Grounds for Review” portion of his brief. See Tex. R. App. P. 38.9. 2 We refer to the victim and her family members with pseudonyms or initials, to conceal their identity. See Tex. Const. art. I, § 30(a)(1) (granting crime victims “the right to be treated with fairness and with respect for the victim’s dignity and privacy throughout the criminal justice process”). 2 should be undetectable. Additionally, the medical records and testimony established

that at sixteen-months-old, F.S. had an accelerated bone age of three years.

Dr. Rebecca Girardet, a pediatrician specializing in child abuse, testified that

in February 2017, when F.S. was admitted to Children’s Memorial Hermann

Hospital, the admitting medical team called her for a consult. She explained the

admitting medical team had concerns about medical neglect given F.S.’s elevated

testosterone levels, the family’s refusal to follow recommendations to prevent F.S.’s

exposure, a concern about possible inappropriate sexual contact, and an open CPS

case. Dr. Girardet testified and her report noted that the medical team ruled out any

endogenous causes for F.S.’s elevated testosterone levels, concluding the source was

exogenous and “continued contact with testosterone cream appears by far to be the

most likely cause of her symptoms[.]” 3

The evidence established that F.S.’s treating physicians explained to Hinton

repeatedly that exposure to his testosterone cream likely caused F.S.’s virilization,

genital abnormalities, and accelerated growth. The evidence further established that

F.S.’s physicians told Hinton he must take precautions to prevent her further

exposure to the testosterone cream, he should obtain a second opinion about his

3 Dr. Girardet explained that “[e]ndogenous cause would mean there would be something going on inside [F.S.’s] body that’s causing the testosterone levels to be abnormally high like a tumor whereas an exogenous source would be something from outside her body like a testosterone supplement.” 3 continued use of the medication, and even abstain from using it while the infant was

in his care. The evidence also showed that despite these repeated warnings, Hinton

continued to refill the prescriptions for the testosterone cream and use the topical

cream. Dr. Girardet also testified at trial that once Hinton no longer had any physical

contact with F.S., her testosterone levels dropped.

Dr. Duong Tu, F.S.’s treating pediatric urologist, also testified. Dr. Tu

practices at Texas Children’s Hospital, where he treated F.S. in July 2017 after she

was referred to their Gender Medicine Clinic. Dr. Tu described his observations of

F.S., which included her distress, her deep voice, and the appearance of her genitals.

Dr. Tu explained that in their clinic they see many patients with clitoromegaly,4 but

this was by far the most severe case he had seen. Dr. Tu also described how the

elongation of F.S.’s clitoris distorted the labia and changed the structure of her

genital area. Dr. Tu performed surgery to reduce the size of F.S.’s clitoris, and he

explained he had to balance reducing the size and eliminating tissue overgrowth with

preserving function. He testified that the area is “still prominent[]” after surgery, and

the amount of the tissue he removed was the most he ever had to remove in a case

like this. Dr. Tu described F.S.’s case as “unprecedented[]” and said they would have

4 Clitoromegaly is defined as “[a]n enlarged clitoris.” https://dictionary.com/browse/clitoromegaly (last accessed 12/7/2020). 4 to wait and see how this condition impacted the child, which he discussed with her

caregivers.

Both physicians described the significance of F.S.’s condition and the life-

long impacts it would have on her. Dr. Girardet explained that the accelerated growth

rate could even impede F.S.’s ability to walk, as well as her overall mobility. Dr. Tu

explained that F.S. would likely require further reduction surgery as she approached

puberty. He also explained the negative psychological ramifications associated with

these surgeries and discussed the potential effects of high levels of testosterone can

have on a child generally.

T.L., a maternal great-aunt, also testified. T.L. became F.S.’s primary

caregiver after the surgery and during her follow-up medical treatment.5 T.L.

testified regarding the permanent damage F.S. has suffered. Specifically, she

described that F.S. has negative playground interactions because of her deep voice.

T.L. described the difficulties she encountered anytime she had to change F.S.’s

diaper in public. T.L. also testified that F.S. required physical therapy and braces on

her arms due to the muscular issues associated with her excessive exposure to

testosterone hormones.

Hinton testified on his own behalf during the punishment trial. He admitted

the pediatrician and endocrinologist both told him that he caused and was negatively

5 Ultimately, T.L.’s sister planned to adopt F.S. 5 affecting F.S.’s condition by continued exposure to the topical testosterone cream,

but he did not believe them.

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