Dr. Joel Nance MD 7-19-1996 Psych Eval Dombrowski

Jul y 13, 1996 Ms. Claudi ne Domb rows ki Box 304 Larne~ Ka nsa s 675 50-03 04 To Wh om It Ma y Concern: J U L 1 9 1 9 9 5 I me t with Ms . Cl audi ne Do mbrows ki at he r requ est for thr ee ho ur s on May 14th, 20 th and 23rd. Ms. Dombrowski is a thir ty -one -yea r old Li ce nsed Prac ti ca l Nu rse. She spe ci aliz es in ps yc hi at ry, an d rece nt ly fmishcd a posi ti on at To pe ka St at e Hospit al wh ic h she held for thr ee yea rs. He r dau ghte r, Rikk i, was bo rn on Dec embe r 12, 1994. Ms. Do mbrows ki is in the pro ce ss of s ee ki ng a di yo rce from Hal, her second husband. whom she mar ri ed in Oc to ber 19 95. They had seen each ot he r for two year s be fore that; du ri ng wh ic h ti n1 e she wa s unawa re that he was marr ie d to anot he r woma n. She states that he div or ce d hi s first \\ if e in Se pt embe r of 1995. Ms. Do mbrows ki cons ul te d wi th me out of th e conce rn that her hu sband wa s tr ;.ing to fo rc e a se ri ous cust ody di sput e by c la iming th at Ms. Do mbrows ki was emot ionall y unstable ; she wante d to hay e a pr of es si onal asse ssment by a ne ut ral pa rt y wi th whi ch to r es pond to t ha t accusa ti on. Ms . Do mbrows ki gi ye s th e fol lowi ng hi stor y. She wa s bo rn in Be loit , Ka nsas, bu t he r famil y soon move d fr om th er e. She ha s fe w ear ly chil dh ood me mori es. Th e fi rs t is of a Chri stmas ti me : she and he r br ot he r we re chasin g ea ch other ar ou nd th c hou se. She was often ill an d in t he ho spit al as a child, and suffered some da ma ge to he r ri gh t ki dn ey due to ur et er al refl ux from he r bladdcr. Even tual ly she had sur ge ry for thi s, th e ure ter was re- imp lan ted and t he kidney rcc oyercd. She was in f os te r ca re duri ng ma ny of her ea rl y ye ar s. She is not enti re ly sure why this was, bu t be li eyes that she was ca ught in s ome sort of tr ia ngul ar is sues be tween he r pare nt s. She has a se ns e that some si nl li ar pr ocess is oc curr ing now as she and he r husba nd tr y to so rt ou t their rela ti on ship as di yo rcing pa re nt s, and is dete rmin ed that Ri kk i not be h ar me d bv t hi s. Ms . Dombr owski's me mori es be come clea r an d cont inuo us at abou t the age of 12, wh en she was restored to he r mother 's ca re. She remembe rs star ti ng to ge t in te re st ed in bo ys that ye ar. He r mot he r wa nt ed he r to wa it un ti l she was 16 be fore be gi rming an y rel at io nshi ps. Inde ed, she had he r fi rst boyf ri en d at 16: they would ho ld ha nd s an d he carr ie d he r books to an d fr om sc ho ol . She di d wel l in schoo l at a ll l evel s throug h ac hi eYing he r LPN. She oft en ma de gr ades of A wit ho ut openin g he r boo ks si mply by ta ki ng in the clas sroo m mater ial. Ms . Do mbrows ki ente red the Un it ed St ates Ar my Nat iona l Gu ar d in 1983 at t he age o f 18 . She had a si x- mont h tr ai ni ng pe ri od foll owed by thre e ye ar s' ac ti ve se n' ic e. In 1992 she jo ined th e army rese n' es, and se n' ed one yea r of ac ti ye du ty, fr om Janua ry to Dec embe r of 1994, to le arn nu rsing. She enjo ye d this unt il he r chil d was bo m. Shor tl y af ter this eve nt she lef t th e mi li ta ry be ca use of thei r requ ir ements that she come in on wee ke nds and od d hou rs wh ic h we re inco mpat ible wi th carr yi ng for a newborn chil d. TI n de ed, this was a ch il d wh o ha d some ea rl y spec ia l ne ed s. Ri kk i ha d be en born at 36 wee ks ' ge st at ion af te r a pe ri od of ma te rnal hype rt ensi on and ol igoh ydra nmios, and was small for ge st at iona l age. She spe nt seye n da ys in the ne\\'born le u be fore go ing home .] Ri kki is now do ing ve ry wel l, an d Ms. Dombrowski, a pr oud mother inde ed, showed me a n umbe r of ph otos of her dau gh te r in robu st he alth. It is worthy of note he re that in a ddit io n to havin g spent ma ny of he r ea rl y chil dhood ye ars in fo st er care, Ms. Do mbrows ki lost her f ir st fo ur p regn anci es th roug h sponta ne ous miscar ri ages. Thes e eyents ha ve made issues of pa rentin g and of the bond betwee n mother and daughte r more inte nsel y loaded for he r then mi gh t ot he mi se be the case. EXHIBIT , /r 2

Dr. Joel Nance MD 7-19-1996 Psych Eval Dombrowski

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