Patricia Workman v. State

Court of Appeals of Texas·Decided January 13, 2010·No. 08-07-00299-CR·Published

Opinion

COURT OF APPEALS

EIGHTH DISTRICT OF TEXAS

EL PASO, TEXAS

§

PATRICIA WORKMAN, No. 08-07-00299-CR §

Appellant, Appeal from §

v. 168th District Court §

THE STATE OF TEXAS, of El Paso County, Texas §

Appellee. (TC # 20060D03130)

§

OPINION

Patricia Workman was indicted on two counts of injury to a child and convicted of one count.

She was sentenced to twenty-eight years’ confinement in the Institutional Division of the Texas Department of Criminal Justice. For the reasons that follow, we affirm.

FACTUAL BACKGROUND

At approximately 12 a.m. on January 9, 2005, Appellant took her daughter, Erika Estrada, to the emergency room at Thomason Memorial Hospital. Erika was having a seizure and was immediately brought in for examination and treatment. Dr. Patty Crocker examined the child and observed tonic-clonic movement, a jerky muscular movement typically associated with seizures. Her eyes were also rolled back in her head. The seizure stopped shortly after she was given treatment.

According to Dr. Crocker, Appellant appeared to be upset and crying when she arrived.

Appellant complained that Erika had a fever and had been vomiting all day and the seizures started that evening. After the seizure was treated and the situation was calmer, Dr. Crocker believed Appellant was not forthcoming with, and did not volunteer, information about her child. Dr. Crocker found this behavior to be unusual. Typically, mothers tend to want to give as much information as possible, down to how many diaper changes and bottles they’ve had.

Dr. Crocker performed further examinations and found Erika covered in bruises of various stages of healing. This suggests that the bruises were inflicted at different times. Erika was also a very small child and underweight. Dr. Crocker thought her to be in the four to six month age range and was surprised when she realized the child was already a year old. Dr. Crocker also noticed that Erika was not interactive. She demonstrated a flat affect in which she stayed still, did not smile, coo, babble, or move around at all. In Dr. Crocker’s experience, this is very unusual for a one year old. Dr. Crocker suspected more serious issues than just an acute episode of a seizure, fever, and vomiting.

Dr. Crocker ordered a chest X-ray to locate the source of the fever and then later ordered a CAT scan of the head. After reviewing the X-rays a second time, Dr. Crocker noticed Erika’s left arm was fractured. The fracture was in the process of healing, indicating the arm was broken more than a couple of weeks earlier. Erika was unable to use or move the arm. Crocker opined that the arm was broken by somebody grabbing it with considerable force and snapping it. Erika also had fractured ribs and bilateral hip dislocations. The CAT scan showed bleeds in the brain. Using an ophthalmoscope, Dr. Crocker could see retinal hemorrhages in the back of Erika’s eyes. According to Dr. Crocker, retinal hemorrhages are very rare in babies. She concluded that Erika was an abused child and contacted the hospital’s pediatric department to treat her.

Dr. Brett Henderson, a neurosurgeon, was consulted on Erika’s treatment. Dr. Henderson described retinal hemorrhages, which can be caused by a violent shaking of the baby. Erika suffered from subdural hematomas, which resulted in a build-up of fluid and pressure in the brain. Erika also suffered from brain atrophy, or shrinkage, which is a loss of brain tissue due to trauma from an earlier injury. She ad suffered at least two brain injuries. In Dr. Henderson’s opinion, these were acceleration-deceleration injuries caused by the brain moving back and forth inside the skull and hitting the inside of the skull. Specifically, he opined that Erika’s injuries were the result of violent shaking, consistent with somebody grabbing her from the back and violently shaking her back and forth. Dr. Henderson believed these injuries were the result of child abuse.

Child Protective Services investigator Jose Martin del Campo was already present at the hospital on another case when doctors informed him of Erika’s situation. Del Campo observed the multiple injuries on Erika’s body and suspected she was the victim of child abuse. Del Campo then flagged down police officers who were at the hospital and reported his suspicions. El Paso Police Officers Jorge Garcia and Wade White examined Erika after speaking with del Campo and Dr. Crocker. Garcia and White observed that Erika was unconscious, twitching slightly, and had fingerprint bruises on her torso from where someone had possibly squeezed or shaken her. Appellant was in the room with the officers, but she would not make eye contact with them. When the officers questioned her, she told them she believed the markings on Erika’s torso were a rash. She did not know about the broken arm, but if there were an injury, her four-year-old son had probably caused it. Appellant also advised the officers that she had not seen the father of the children in two months, that she lived alone with her three children, and that she did not have a boyfriend at the time. The officers did not believe Appellant’s story matched Erika’s injuries and suspected that Erika was the victim of abuse. They referred the case to the Crimes Against Children (CAC) unit of the police department.

CAC Detective Link Brown and his partner Detective Morales responded to the hospital and met with Officer White, Investigator del Campo and the attending physicians. The doctors pointed out the various visible injuries on Erika’s body to Detective Brown. Detective Brown then met with

Appellant and asked her to accompany him to the Child Advocacy Center. Appellant agreed to go and give a written statement. In that statement, Appellant explained that she had been raising her three children by herself for three years and that Erika was difficult to care for. About two months prior to this incident, Erika started waking up in the middle of the night and would not stop crying. Appellant could not get any sleep and became very upset and frustrated. Finally, about one month earlier, Appellant “just exploded” and grabbed Erika and “shook her real hard for about five seconds and then threw her back on the bed from about two feet.” Appellant then described a second incident, approximately two weeks prior where she became upset and grabbed Erika real hard by her left arm to pick her up. Appellant said that she knew now that she must have broken Erika’s arm during this incident.

Appellant then went on to describe the events that lead to the trip to the hospital. Erika was vomiting and Appellant thought she might be choking. Erika’s arm and head went limp and Appellant then picked her up with her hands under her arms and started to shake her real hard to try and get her to react. She did not do this out of anger, but was trying to wake Erika up. Appellant then called a friend, Melissa Martinez, who drove Appellant and Erika to the hospital. En route, Erika began having a seizure. Appellant concluded her statement by admitting that she knew Erika’s injuries were a result of her grabbing Erika and shaking her, but she did it out of frustration rather than anger. Appellant would explode or lose her temper out of frustration, but she “never intended for it to go this far.”

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