• If the AG that filed the significantly falsified Dependency Petition had done his job to make sure it was reasonably accurate, Dr. Lamb's false, misleading and inaccurate testimony would have likely caused Judge Clarence Henderson to rule differently.

• If Fawn Cooper had not signed under penalty of perjury a significantly falsified Dependency Petition, Dr. Lamb's false, misleading, and inaccurate testimony would have likely caused Judge Clarence Henderson to rule differently.

• Fawn Cooper testified she did not prepare it and did not know who did prepare it. Would you sign something you did not prepare that could result in a child being taken from their parents?

Non-credible testimony regarding Changes to her Report
Lamb's report (the (10/5/23;10/13/23)* version and the 10/24 version)
Lamb is asked twice about changes to her report (three times if you include Judge Clarence Henderson) and twice testified falsely about changes, corrections, additions and omitting key Information in changes to her report.
*(the exact same report appears to have been filed on 10/5/23, 23 minutes after being notified there was not a skull fracture, but not sent to DCYF until 10/13/23 for some reason. Thigpen's version is from 10/5/23.

1/25/24
Q: (AG) "Did you make any additions or corrections to your CAID evaluation?
A: (DSL) "Yes in this case I did"
Q: (AG) "Can you explain to us why that came about?"
A (DSL) "Certainly, so Winona's family did not want to follow up with myself or one of my colleagues, there, and so, normally we have the CAD follow up in two weeks, to document and look and see if all the injuries have healed, if any new injuries have come up, if there is more information that there might be a medical condition involved, and then we also do a repeat skeletal survey, so that's a series of x-rays performed two weeks after the initial presentation or injury because it's well documented that on initial skeletal survey we can miss fractures, if the bones are perfectly lined up, um and not offset. Fractures that are offset are very easy to see when they're fresh, but, like rib fractures, greenstick fractures where the bone stays aligned, it still looks normal, on the initial x-rays, but when the body starts putting down new bone to heal, they're very apparent on two week follow-up x-rays. and so in respecting the family's wishes, and there expressed desire to go to their pediatrician's office, I worked closely with Dr. Lavinder, at their Pediatrician's office, to try to make sure that they came in for the exam portion and there was documentation of healing, of any additional bruising,  any evidence of a medical condition, and then Dr. Lavinder and myself worked in conjunction for Winona to be able to go to Seattle Children's to have her follow-up Skeletal Survey done, so just in medical charting if I don't see a patient again, I don't create a new note for them, I just add it on an addendum after the Skeletal Survey and the exam with Dr. Lavinder was complete, that information to the end of my hospital report."
(Comment - There is a pattern to Dr. Lamb's testimony in which when asked a simple question in which she is going to answer in a misleading way, she goes off on a tangent. This long recitation of the reason that second skeletal surveys are done was not necessary and not asked. She was asked to explain additions or corrections.  This only explains her routine change to add a few sentence about the Pediatrician visit and Seattle Children's visit - both of which found nothing. 

She did not admit the more troubling, credibility-damaging changes in her reports, occurring after four emails from CPS/DCYF of escalating urgency. She admitted to errors, claiming she had "omitted" the forehead bruise she initially reported as not present.  She edited her diagram to add it to the diagram of Winona's body. Side Note she bragged about her accurate diagrams in another court case hearing in Spring/Summer of 2023 in Thurston County. Additionally, she altered the dates o f injuries and a doctor’s visit—originally listed in her first CPS report as occurring before Winona was even born! Since Lamb claimed Winona had injuries over many dates and times, and 

Also, this "redo" was never shared with the family when she knew they had the original. (See below)

2/9/24
Q: (GAL) "Dr. Lamb did you make mistakes in how you documented information in your report?"
A: (DSL) "Not that I'm aware of, but of course I'm humor, human, and sometimes I make typos, or errors"

Documentation her statements are non-credible and omit critical information that would harm her credibility:

• Dr. Lamb had four emails from CPS which she could not credibly say she can not remember, and to which she responded finally after their four attempts acknowledging some serious mistakes!
• Also Dr. Lamb's made a call to CPS on 10/19/23 at 9:42 AM when they recorded this message from you "Dr. Lamb said this week has been a crazy week and I am still trying to get to the email that Rylee sent to address the typos" and "Dr. Lamb said I will get to that email, my week just went sideways." 
•  On10/6/23 a grievance was filed about Dr. Lamb and her report with Mary Bridge and was being investigated by Risk Manager Sandra Slaton. Lamb knew there had been a complaint filed about her report and many of the exact same issues that Rylee McCauley was questioning. Sandra Slaton dated her response Thursday 10/19/23. 
  
  

These questions were emailed to Lamb four times by CPS. Lamb's responses came on 10/24.
Q: The History of Concern (Page 2) states Winona was seen on 8/2/2023 and 8/3/2023, Winona’s
DOB is 8/29/2023, which makes it impossible for her to be seen prior to her birth. Can you
clarify this?
Dr. Lamb's response: I have corrected this typo. The dates are 10/2/23 and 10/3/23. Heck it is only a child's life we are worried about. No big deal. No one expects accuracy. But doesn't that make Lamb's claim that there were injuries over many dates and times questionable?
Q: Under the Review of Medical Records (Page 3), it is stated Winona had “Petechia on the remainder of the body” and “scattered facial petechia”, are you able to confirm where exactly the petechia was located?
Dr. Lamb's response: These injuries were noted on other medical providers physical examinations (in the PCPs office
and the ED). There are no images of the injuries so I cannot independently verify where the
petechia was located.   Medical records show in ER the intake nurse documented "slight petechial rash noted under the eyes." 

 Q: Page 3 states “Mother reported that Winona’s bruising to her face had mostly healed by 10/5/2023 when I was examining Winona.” Did you see the bruising? What did you discover upon your exam?

Dr. Lamb's response: "Please see the physical examination section of my report. I had omitted a bruise initially and corrected that omission in the addended note."
Dr. Lamb - you are falsifying. You made this up. The bruise was gone and we have pictures to prove it. Also, why would you have written this if you saw the bruise? That makes no sense. The report you wrote shortly after seeing Winona and timestamped 23 minutes after you learned there was not a skull fracture shows that. 

"Mother reported that Winona’s bruising to her face had mostly healed by10/5/2023 when I was examining Winona."

if you were staring at a "rectangular bruise" half the length of the skull as you described it in your perjurious testimony in court. 
Rectangles are flat and can not be found on a surface curved in 360 degrees?

Q: Is petechia only caused by direct blunt force trauma? Would petechia be caused by a illness, cough, sneeze, excessive crying?

Lamb's response: "The reports in the medical literature where petechia is caused by vomiting or coughing in young infants, involve infants with significant medical conditions, such as pertussis or pyloric stenosis. There are no reports of minor coughing, sneezing, pooping or crying causing petechia. As I also reported in my note, petechia can be caused by impaired blood flow."
Comment: Just the fact that Lamb qualified her answer with the adjective "minor" shows that tha she knew darn well that moderate or heavy coughing or sneezing can indeed cause petechiae. Her report also does not say "impaired blood flow" it says compression.
Both of Lamb's reports (the original report and the "corrected" report suggest that both can only come from blunt force trauma or compression. That is false. Also, in court we found out that Lamb had not read the medical records to see that Winona presented with heavy cough and sneezing.  

 

Non-credible testimony
Describing the Forehead Bruise as Rectangular, that she saw it in her exam, and that it was half the length of the skull. 

"Rectangle" "Rectangular"  Her "rectangular" bruise "half the length of the skull" claim

Note that the word rectangular did not show up until AFTER 2:30 PM on 10/5/23 when Lamb learned there was no skull fracture. Prior to that the "linear" was used and photos of photos were taken of the first photo Annie had taken that morning. The original photo has a lot of detail missed or ignored by Lamb. There was no evidence of any competent biomechanical skills used.
Almost every time Lamb mentioned the forehead bruise in court testimony she used the adjective "rectangular" which was not used until AFTER the skull fracture was determined to be a misdiagnosis. She was trying to hit home her allegation that blunt force hit with a rectangular item caused the two day bruise. Here is the problem:

Lamb committed perjury claiming to see a rectangular bruise half the length of the skull in her exam. Her initial report shows there was not one and after four emails asking for clarification about whether there was or was not a skull fracture, Lamb redid her diagram and claimed she "omitted" the bruise in her initial report. At the same time, she finally confirmed in writing there was no skull fracture. "Take one away, add one" seems like her policy. 

Second even if you could have a rectangle shaped bruise on a 360° curved surface which you can not, a rectangular items hitting it would intersect at one point (known as a tangent point) creating what is commonly referred to as a knot, bump, small circle or oval, etc. A rectangular shaped item would have a single plane surface which would touch the curved surface at one point. Think of a tennis ball resting on a piece of tile. It would look absolutely nothing like the bruise Winona had. You do not need a medical degree to understand this.  In fact, the shape of the bruise, and particularly the spot under it, align incredibly well with the burping incident explanation. 

1/25/23 10:09  

SL: Testifying abut her examination of Winona

"Winona still had a rectangular bruise on the right side of her skull, kind of in this area there." 
She even stated when describing how Annie reported to her that she noticed the bruise that "mother noticed that she had a bruise on her right forehead in a rectangular pattern." actually putting the word rectangular in Annie's mouth when she never said such a thing. 
(one of many comments that Lamb made including the mathematically impossible word rectangle to describe the bruise.)
First, you can not have a rectangle on a sphere. Infant skulls have significant curvature in all directions. Second, if you can imagine something like a rectangle on a forehead like a bandaid, it would need to be flexible to fit a 360° curved surface). 
Properties of Rectangles are a 4th grade math standard
Rectangles have 4 right angles - the bruise had none
Rectangles have two sets of parallel lines - the bruise had none
Rectangles are flat - The bruise was on a curved surface with curvature in 360°
The bruise actually had an initial curved arc above the eyebrow, very irregular edges, separated into two faint lines, and had a light spot under it. 
There is no plausible way that Dr. Lamb's blunt force trauma with a rectangular object could apply to this two day bruise.
Later when Lamb was asked why she did not ask Paternal Grandmother questions about what happened, Lamb gave many reasons but the true reason should have been "I did not interview her because I had already submitted my report at 2:53 PM and the meeting was at 4:00 PM and Kristi just came in at the end of the meeting around 4:15 PM. My diagnosis was made without considering what her story was, or looking at the text exchange between her and Annie about the bruise on 10/3/23."
Instead Lamb gave all sorts of justifications (some idiotic such as It wouldn't have explained the line on the arm, it's not my job, and I am not and investigator, and "she had nothing rectangular on her face" - completely non-credible. This person should never be allowed to testify anywhere. 
Lamb was non credible by even saying she saw a bruise in her exam. 
Her first report dated 10/5/23 shows no forehead bruise which was correct.
The Detective was told by Fawn Cooper on 10/4/23 that the bruise that showed on 10/3 was now "faint".
Lamb included the strange statement " Mother reported that Winona’s bruising to her face had mostly healed by 10/5/2023 when I was examining Winona"

Non-Credible Testimony
Claiming There Was No Skull Fracture Diagnosis 

An unexplained skull fracture diagnosis was reported as the reason for admittance to the hospital, the intake to CPS, the intake from PCSD, many times in medical records and as the cause of Lamb's evaluation, as the only thing mentioned in the call to the Pierce County Sheriff by Makayla Blanco, in the Sheriff report from her interview, emailed to Abram's employer on 10/4/23.

Lamb did NOT mention it her report as part of the calls to Law Enforcement or CPS even though it was the primary issue and the only thing mentioned at all in the call to Law Enforcement.

Here is Lamb's completely non-credible testimony:

3:27

AG: to your knowledge, did any treating physician, any physician that treated Winona, diagnose a skull fracture?

SL: Not to my knowledge

3:28

AG… and at no place in this case were you or your colleagues ever certain that there was a skull fracture?

SL: Correct

3:30

AG: So you clarified for us that there was no diagnosis, does that also mean that there was never a misdiagnosis of a skull fracture?

SL: Correct

3:41

CT: You also said that there was no misdiagnosis here, is that correct?
SL: Yes, 

CT: Well look at Dr. Blakes's assessment, do you still have that in front of you?

SL: Yes

CT Well on Page 5, you see that, as diagnosis, you see those 6 things there?
SL: Yes

CT: Is one of those things a non depressed right parietal skull fracture?

SL: Yes

CT: I don’t have any further questions.

CT is Thigpen's attorney and AG is the Attorney General Attorney representing DCYF, and appearing to represent Dr. Lamb and Mary Bridge.

How could she possibly falsify this much and the Attorney General and CPS not recommend that she receive a letter of impeachment?

More Evidence there was a skull fracture diagnosed 9:11 - 9:15 PM on 10/3:

• The ONLY thing listed as "Primary Problem" in the medical records under admittance to the Hospital  which showed: "Primary Problem: Fracture* of Parietal Bone of the Skull",
• Skull Fracture* was listed on the Intake from Law Enforcement to CPS
  
• Skull Fracture* was listed on the intake from the Hospital to CPS
  
• Skull Fracture* was the ONLY injury mentioned in the call from the Hospital to Law Enforcement
• Skull Fracture* is mentioned in Ashley Pacheco's CPS log of conversation with Maternal Grandmother on 10/4
• Skull Fracture* is mentioned at the beginning of Lamb's report as the reason for a Child Abuse Evaluation
• Skull Fracture* is reported to in an email to the Family's employer from CPS the morning of 10/4
• Dr. Lamb is recorded in CPS records as stating there was a skull fracture* in a call to CPS on 10/5
• Many many other times and many other places in the medical files.
• It is mentioned 92 times in CPS records.
• Dr. Lamb was the Medical Director for the CAID Office and as the Leader directs policy and procedure. It is absolutely not credible that Dr. Lamb did not know this. 
  Not only was there a misdiagnosis made, we believe that Hospital staff falsified their certainty about it to the Family, to Law Enforcement, and the CPS.
• Then, in an alarming coincidence, both DCYF and Dr. Lamb attempted to hide the skull fracture diagnosis and falsify information about it occurring to the detriment of Thigpens. Not only was a mistake made that resulted in Thigpens being accused of Child Abuse, both DCYF and Lamb said it never happened. 
• We also believe it may have motivated Dr. Lamb to diagnose Child Abuse over minor injuries. 

*IN NONE OF THESE INSTANCES, DOES THE WORD "POSSIBLE" or "Rectangular" OR ANY SIMILAR WORD, SHOW UP BEFORE SKULL FRACTURE.

 

Non-Credible and Contradicting Testimony  about not being and Investigator and claims of Thoroughness