ST. N1ARY'S HEALTH CENTER 206 GRAt"lD, ST.

MARY'S, KS 66536 PAGE 1 OF 3 CLAUDINE DOMBROWSKI EMERGENCY ROOM TREATl\tfENT SUT'vuvLJ-\R Y HOSP # DOB 04/1 0/65 YEARS 35

DATE OF TREAThfENT: 12-15-00

S: 35 y/o white female patient 'vvhopresents to Emergency Room by POV attended by her mother, alleging sexual assault sometime around 11:00 p.m. on 12/14/00. The patient states that she knows her attacker. and patient is extremely upset that the Pottawatomie County Sheriff's deputies are questioning her and she Only wanted to have treatment for her eye. as she could not stop the bleeding. On several occasions while being questioned by deputies patient attempted to leave the hospital: patient exhibits great anxiety talking to the deputies. stating that she cannot tell them who it is. Patients mother. calmed the patient and talked with the Deputies outside of treatment room where patient was being treated. Patient states that someone she could not tell to the police assaulted her. She states that this male had grabbed her by the hair and drug her a distance. and v.:hile dragging her, he was striking her in the face with his tists. I asked if there were any type of object or weapon utilized and she denied the same. She did state a couple of times that he was wearing some large jewelry over both hands. Patient alleges that this male sexually assaulted her including penile penetration of her vagina and penile penetration of her oral cavity. She stated that she did not attempt to resist him. as she knew that he would "beat" her more if she resisted. After this alleged assault, she placed the only leg that \vas removed out of her jeans pant leg back into her jeans and then put her socks and shoes back on. She states she got into her car and drove back to her apartment in Topeka where her mother was present and encouraged her to seek medical care for the bleeding above her eye. She states 'afraid of Police involvement' and went to her primary care physician's office in S1,Mary's. She does not recall leaving any marks on him and is unaware of any type of weapon and that she did not believe that the male was inebriated or intoxicated. to the best of her knowledge. She says to her knowledge, her young daughter is in the custody of this male whom allegedly sexually assaulted her. She admits to being abused by this same male several times in the past. \Vhen I asked her if she wanted to press charges against this male. she said yes, but only if she could be assured of her daughter's safety. She says that she has previously arranged to have someone pick up her daughter this Friday evening, 12/15/00, at 6:00 p.m. for a weekend visitation. Patient continues to express concern for the safety of her daughter. Stating that there is a Court Order prohibiting her from calling the authorities on this male.

ST. l'iIARY'S HEALTH CENTER 206 GRAND, ST. MARY'S, KS 66536 PAGE:2 OF 3 CLAUDINE DOMBROWSKI HOSP # DOB 04/1 0/65 YEARS 35

EMERGENCY

ROOM TREAT~IENT 12-15-00

SL'MivlARY

DATE OF TREATMENT:

S: (cant.) Currently. patient is complaining of a cut to her kft eye and soreness to her left \VTist and feeling achy over her 'Jpper extremities. chest and vaginal area. She denies any loss of consciousness. CURRENT ALLERGIES: MEDICATIONS: Klonopin. Ambien. Prilosec. Serazone. and Depo-Provera.

No known drug allergies.

She does not recall the date of her last menstrual period. Her last tetanus injection was approximately ten years ago. Her primary care physician is Dr. David Jones in St.

Mary's.
0: Vitals noted. The patient is alert. crying, tearful and afraid. HEENT: Shows some bleeding tram a 2-inch vertical laceration aiong the lateral aspect of the left eyebrow. The bleeding is easily controlled with direct pressure. Her left eye. upper aspect. appears bruised and swollen. and the eyelid is swollen to cover greater than half of the iris and pupil. There are some fresh appearing bruises noted to the lower lip to the right midline with no obvious laceration or bleeding. Otherwise the head, bce and neck appear atraumatic. Her pupils are 5.0 mrn. dilated. PERRLA. EOMI. TMs and nose deferred. Mouth and pharyILx appear without intraoral trauma. No halitosis or alcoholic odor noted. Scalp. tacial structures and T:V11 palpation shows mild tenderness to the left eye the upper and lower aspects with mild point tenderness. TMJ intact. NECK: Supple. Chin-to-chest without difficulty. The cervical spine is nontender to palpation. The range of motion is intact without difficulty. EXTREMITIES: Both wrists and hands are neurovascularly intact. Motor function intact. There is some dried blood and bruises noted over a couple of digits of the left hand. The wrists, hands and digits appear atraumatic bilaterally. NEURO: The cranial nerves II through XII are grossly intact. She is alert oriented x 3, memory intact. speech t1uent. Coordination intact. She is obviously emotionally upset and is crying periodically.

ST.MARY'S HEALTH CENTER 206 GRA..t"\JD,ST. MARY'S KS 66536
PAGE 3 OF 3

CLAlJD~'"E DOMBROWSKI HOSP # DOB 04/1 0/65 YEARS 35

ElvIERGENCY ROOM TREA T:vIENT SL1vlMAR Y DATE OF TREATNIENT:
12-15-00

Further exam regarding any evidence collection was deferred due to no sexual assault specimen collection kit available at this facility.

A:

1. l'\l1eged sexual assault including rape. 2. :2 inch laceratIon to left eyebrow. 3. Contusions to the lower lip and left hand digits. 1. Informed consent obtained for cleansing, local anesthesia and repair of the laceration to the left eyebrow, five sutures. Also. informed consem obtained for transfer of patiem to \fercy Medical Center in :vlanhattan. KS for further medical exam and specimen collection. Wound care was performed using 1% Lidocaine wi Epinephrine inllltrated locally over left eyebrow laceration. Following this. wound was cleansed with Hibiclens and then closed with 5-0 Ethi10n with interrupted sutures. The wound was dried and Bactroban ointmem Was applied. Due to the need for a timely collection of appropriate specimens, the tetanus booster injection deferred to receiving facility. 2. Wound care and inlection precautions were described. Sutures are to be removed in 7 days with her PCP. 3. I spoke directly with Dr. Doug Harper at Mercy Hospital in Manhattan, KS describing the patient and the alleged sexual assault. He agreed to accept the patient. My nursing staff contacted the Emergency Room nurse at Mercy, they had some questions regarding our patient and I spoke directly with Vicki, a nursing supervisor, described the patient and Vicki agreed as they had room and capacity to accept her as a patient. The patient was transported in a law enforcement vehicle so as to remain in attendance by law enforcement and be driven directly to the Emergency Room at Mercy Hospital for further examination.

P:

It/If,!! )II~V"~
David JonesJ'yLD.
I

,M.D.

12-15-00/d

- I:2-18-00/t

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