Opinion
No. 02-09-021-CR
Delivered: February 25, 2010. DO NOT PUBLISH. Tex. R. App. P. 47.2(b)
Appealed from the 367th District Court of Denton County.
PANEL: GARDNER, WALKER, and MEIER, JJ.
MEMORANDUM OPINION
See Tex. R. App. P. 47.4.
I. INTRODUCTION
Appellant Brandon Lynn Hampton appeals his conviction for the murder of his seventeen-month-old son, Jody. Jody was injured while in Hampton's care when Jody's mother was at work. Jody died of his injuries two days later. In four points, Hampton argues that the trial court erred by denying his request that a lesser included charge of deadly conduct be included in the jury charge, that the evidence is legally and factually insufficient, and that the trial court erred by admitting the testimony of two experts. After this case was submitted, Hampton filed a motion to withdraw his first and fourth points. We granted the motion and therefore will address only his second and third points dealing with the sufficiency of the evidence. We will affirm.II. FACTUAL BACKGROUND A. Before "The Fall"
Because the evidence presented by the State is primarily circumstantial, we provide a detailed recitation of the facts.
B. "The Fall"
Hampton told the police that after Melissa left for work on the morning of May 25, he decided to take Jody to McDonald's for breakfast. He said that he was holding Jody's hand when they exited the apartment but said that he had to let go of Jody's hand to lock the door. As he was locking the door, he heard "plunk, plunk" and saw Jody on the stairs. He could not remember if it was two, three, or four steps that Jody fell down. Melissa testified that Jody was fine when she left him with Hampton on May 25 and went to work. After she arrived at work, she received a call from Hampton, saying that Jody was not breathing. She rushed home, and when she arrived about ten minutes later, Jody was not conscious, his eyes were closed, and his body was stiff. Hampton told her that Jody had fallen down the stairs. Melissa told Hampton to breathe into Jody's mouth while she called 911.C. Testimony from Those at the Apartment Complex
Fady Abdo, Hampton's neighbor, testified that on the day in question, he saw Hampton come running out of his apartment, crying out for help. Hampton and Melissa asked Abdo to perform CPR on their baby, but Abdo told them that the baby needed a doctor because he was breathing but his eyes were not responding. Hampton was nervous and angry that the ambulance did not arrive immediately. Hampton told Abdo that Jody had fallen down the stairs and said, "I'm in trouble." Michael Bender, who was in charge of the maintenance at the Rosemeade Apartments, testified that he saw an emergency squad in front of Hampton's apartment building on the day in question. He heard a neighbor crying, "That baby, that baby, that poor baby is hurt." Bender saw Hampton come out of his apartment and walk down the stairs, and Bender heard Hampton scream, "Shit, shit," as he clenched his fists and exhibited a mad facial expression. Donna Jones, who lived in the apartment across from Hampton and used to babysit Jody, remembered the ambulance coming on May 25 and hearing Hampton tell the paramedics, "Hurry up, he's not breathing." She saw Jody in the middle of the floor with his eyes and mouth half open; his chest was up like he was taking a deep breath, but his stomach was flat. The paramedics asked her, Hampton, and Melissa to leave, and Hampton stood over Melissa "beating like this" and saying, "You is the one who caused this; you is the one who caused this." Jones said that the paramedics left with Jody on a stretcher.D. The Paramedics' Observations
William Bostwick, a firefighter and paramedic with the City of Dallas Fire/Rescue Department, testified that he arrived at the Rosemeade Apartments on May 25 after receiving a call about an unconscious person. He said that Hampton was hollering from the second-floor balcony that the patient had stopped breathing and was yelling, "Save my son, save my son." Hampton scooped up Jody from the couch and brought him to the paramedics, frantically asking them to hurry and get Jody to the hospital. Bostwick took Jody and laid him on the living room floor. Hampton said that Jody had fallen down a flight of concrete stairs. Bostwick looked through Jody's scalp and did not see any abrasions but noted that he was unconscious and thought that Jody's injuries must have been caused by trauma. Before placing a cervical collar on Jody's neck, Bostwick noticed that there was a scratch on the left side of Jody's neck that was consistent with a fingernail scratch. He could not say how the scratch occurred, nor could he say that Jody's injuries were not the result of an accident; the Dallas Fire Department described the injuries as unintentional. Spencer Smith, a flight paramedic with Care Flite, testified that he took Jody to Children's Medical Center in Dallas via helicopter. He noted that Jody's airways were partially obstructed, that he had a decreased level of consciousness, and that he was "posturing," which was an indication of a head injury.E. At the Hospital
Dr. Matthew Cox, who is an assistant professor of pediatrics at UT Southwestern Medical School and is the medical director of the child abuse evaluation team at Children's Medical Center, testified that he has been doing child abuse evaluations for six and a half years and sees 250-300 cases a year. When Jody presented to the emergency department at Children's Medical Center on May 25, Dr. Cox was contacted to help with the evaluation due to the severity of Jody's head injury. Jody presented with a severe, life-threatening head injury and associated retinal hemorrhages, and the initial history of falling down the stairs was not of a severity to adequately explain the extent of his injuries. When Dr. Cox went to the emergency room, he saw that Jody was on life support, that he was not responsive, and that he was being prepped for brain surgery. He quickly looked at Jody and noted that he had an abrasion and some surrounding bruising on the left side of his forehead, that he had a red abrasion on the side of his neck, and that there was not any significant swelling or injury to the scalp tissue. Dr. Cox also saw that Jody had a patterned scar on his left buttock, a loop mark on his "left butt cheek," some linear scars on his other "butt cheek," and straight line scars on the outer part of his left leg. Jody had no broken bones and no signs of abdominal injuries. Dr. Cox then went to the emergency room's waiting room to attempt to get a history from Jody's parents. When Dr. Cox asked Jody's parents for a history, they told him "no" and that they had already talked to the doctors and were not going to talk to anyone else. This concerned Dr. Cox because no family had ever refused to provide information, and he believes that parents are the best source of information. While Dr. Cox attempted to question Hampton, he was angry and yelling, and a security guard was called to calm him down. Ultimately, Hampton said that Jody had fallen down four or five stairs and that he was limp when he picked him up. Hampton said that he called Jody's mother and that they called 911 after she returned home from work. Dr. Cox testified that Hampton's explanation-that Jody fell down several stairs-was not consistent with Jody's injuries. Dr. Cox said that stairway falls typically cause bumps and bruises and that concrete steps usually cause skin injuries. Dr. Cox stated that children have a tendency to fall head down because their heads are disproportionately larger than the rest of their bodies. Consequently, a child falling down stairs usually endures a series of falls and has minor, superficial, nonfatal injuries, like a bump on the head. But here, Jody had no skin injuries on his head other than a superficial abrasion on the left of his forehead and one along the side of his neck, a location that Dr. Cox noted would be unusual for a fall down stairs, and yet Jody's CT scan showed bleeding around Jody's brain and brain swelling. Dr. Cox explained that the subdural hemorrhage and hematoma (i.e., blood that was collecting) on the right side of Jody's brain was exerting pressure on the brain and causing a midline shift of the brain structures. Dr. Cox explained that typically, subdural hemorrhages are indicators of a traumatic event, as are retinal hemorrhages. Dr. Cox testified that Jody underwent a craniotomy to drain the blood that was exerting pressure on his brain. Dr. Cox opined that Jody's injuries were the result of severe traumatic forces because Jody's height and weight would not have generated enough force to cause this kind of injury by falling down four or five steps. Based on Dr. Cox's training and experience, he opined that some object had to strike Jody in the head or that he struck some object with his head in order to cause his injuries or that shaking could have caused his injuries. He did not think it was an accident because of the severity of Jody's injuries. Instead, he said that there was no indication of anything other than trauma causing the hemorrhage. During cross-examination, Dr. Cox agreed that short falls can produce intracranial hemorrhaging but that he does not see that very often. Dr. Cox agreed that if Jody had recently injured his neck from the fall on the stairs, he could have, if the fall was severe enough, suffered bleeding from arteries and veins in the lower portion of his neck. Dr. Cox did not agree, however, that if there had been bleeding in Jody's neck that no one noticed that it could account for some of the hemorrhaging that was attributed to the front right of his brain. Dr. Cox said that no other area of hemorrhaging was noted other than that seen in the CT scan on the right top side of the brain. Moreover, there were no medical findings to suggest that Jody had any preexisting conditions; Jody's pediatrician told Dr. Cox that Jody had been otherwise healthy and had normal development. And because Jody was walking and acting normally earlier that day, Dr. Cox testified that it was highly unlikely that Jody had brain swelling before May 25. Instead, Dr. Cox stated that based on the symptoms Jody presented with, he had a new head injury, and Dr. Cox's best medical evaluation was that Jody's injury occurred right before he developed neurological symptoms when he was found limp. Dr. Cox testified that Jody ultimately died on May 27, two days after he was admitted to the hospital. When asked to explain what caused Jody's death, Dr. Cox testified that Jody was brain dead; he did not have signs of neurologic function as a result of a brain tissue injury that led to a fatal intracranial injury.F. Autopsy Findings
Dr. Reade Quinton of the Dallas County Medical Examiner's Office performed the autopsy on Jody. He noted no evidence of bruising on Jody's back, legs, or arms but found a few small scars on the right and left buttocks that were consistent with trauma and a small linear red abrasion on the left side of Jody's neck. There were dark areas evidencing trauma to the scalp, but Dr. Quinton said that some of that was caused by the craniotomy. Dr. Quinton said that the eyes are removed in autopsies, particularly when children have suffered head injuries, because it may show a manifestation of trauma. He explained that retinal hemorrhaging shows trauma because it reveals an increase in pressure in the head. Here, when Dr. Quinton removed Jody's eyes, he saw a number of small, dot-like retinal hemorrhages that were distributed over the retinas in both eyes. Dr. Quinton stated that there was increased pressure in Jody's brain because there was a large subdural hematoma taking up space in his skull; Dr. Quinton said that when there is an injury to the brain that causes it to swell, there is no place for it to go but down to the base of the brain stem, where it can shut down the respiratory system and ultimately cause death. Dr. Quinton stated that his autopsy findings all fall under the heading of "blunt force injury of the head": there was diffuse soft tissue hemorrhage of the right side of the scalp (i.e., bleeding under the scalp); patchy subdural hemorrhage on both the right and left sides, but greater on the right side; patchy subarachnoid hemorrhage, which is basically an additional hemorrhage right over the surface of the brain itself; the optic nerve sheath hemorrhage; retinal hemorrhages; prominent cerebral edema (i.e., swelling of the brain); evidence of surgical intervention (i.e., craniotomy); and scattered small abrasions on the left side of the face and neck. He noted nothing significant during the internal exam of Jody's organ systems and no previous skull fractures. Instead, he said that Jody's severe head trauma was an acute injury that had not had time to heal. Dr. Quinton could not tell the jury what force was used but disagreed with Dr. Cox that a seventeen-month-old child could be exclusively shaken to death without some type of impact as well; Dr. Quinton opined that this was not a shaking case. He clarified that he could not say that there was not some shaking, but he did not care about that because this case involved an impact. Dr. Quinton also disagreed with Dr. Plunkett's stance, as set forth in a study paper introduced by the defense, that short falls can kill children. To determine the cause and manner of Jody's death, Dr. Quinton spoke to the police and reviewed the crime scene investigation. He said that the findings did not match the story that the child had fallen down four or five stairs because the force of falling down a few stairs would not generate this type of subdural traumatic brain injury. After a fall, he would have expected to see outward injuries to the scalp, but none were documented. Dr. Quinton therefore concluded that Jody's death was related to blunt force injuries to Jody's head and that the manner of his death was homicide.G. Findings of Investigation
Gary O'Pry, who was formerly with the Dallas Police Department's crime scene unit, testified that he went to the Rosemeade Apartments on May 26, 2007 to look for evidence and to photograph the scene. He found a child's shirt that had blood on it and noted that the neck of the shirt was torn, and he took pictures of the bedroom, showing two indentations of fist prints in the wall over the bed. He said that there were no signs of a fall on the stairs and that the only blood that was found was on the child's shirt. Katherine Zimmer, a crime scene detective with the Dallas Police Department, testified that she took photographs of and fingernail clippings from Hampton on the evening of the incident. Another crime scene investigator, Jeffrey Coats, read the DNA test results from Hampton's fingernail clippings into evidence:Based on the analysis, the DNA obtained from Sample 3T1, swabbing of fingernails, right hand, of Brandon Hampton, is at least 136 million times more likely that Brandon Hampton and Jody Hampton were the sources of the DNA obtained from Sample 3T1, which is the fingernails of the right hand of Brandon Hampton . . . than if Brandon Hampton and an unknown individual were the source of the DNA obtained from 3T1, swabbing of right fingernails — or swabbing of fingernails from right hand of Brandon Hampton.Coats testified that "you'd have to grab somebody pretty hard to get skin cells underneath [your fingernails]."