Gerald Phillip May, Jr., pleaded guilty to assault with intent to commit murder, in violation of 18 U.S.C. §§ 113(a)(1), 1151, and 1153(a). May was sentenced to ninety-seven months’ imprisonment. He appeals his sentence and argues that the district court 1 erred in: (1) granting an upward departure, (2) ordering restitution in an amount not supported by the evidence, and (3) sentencing him in violation of his Sixth Amendment rights. We affirm.
May did not object to the following facts from the presentence report. On the morning of August 28, 2002, Colleen Johns awoke to find May, her husband, assaulting her. May slapped, punched, kicked, and choked her. He bit her all over her body, threatened to kill her, and burned her chest with a cigarette. The assault lasted approximately four hours. Eventually, Johns was able to reach a phone and call 911 for help. Johns was taken to Red Lake Indian Health Service Hospital, transferred to another hospital because of the seriousness of her injuries, and later airlifted to the Fargo Merit Care Hospital. She suffered a subdural bleed in two regions of her brain, a seizure, cuts to her *844 mouth and face, numerous bite wounds and cigarette burns, and she required approximately forty-seven stitches to her lip.
The district court determined that the applicable guideline range was forty-six to fifty-seven months, after the court applied a four-level increase for permanent or life-threatening bodily injury and a thrée-level reduction for acceptance of responsibility. May had a criminal history category of I. The court upwardly departed five levels based upon U.S.S.G. § 5K2.3 for severe psychological injury and § 5K2.8 for extreme conduct. From the resulting range of seventy-eight to ninety-seven months, the court sentenced May to ninety-seven months’ imprisonment and ordered him to pay $39,368.20 in restitution pursuant to the Mandatory Victims Restitution Act of 1996.' See 18 U.S.C. § 3663A (2000).
I.
May argues that the district court erred in applying an upward departure to his sentence. The Supreme Court recently changed the way district courts are to apply the federal sentencing guidelines and courts of appeals are to review sentences imposed.
United States v. Booker,
— U.S. —,
Although the Guidelines are no longer mandatory, the district court must still consult the Guidelines and take them into account when sentencing.
Id.
at 767. In reviewing whether the district court correctly determined the applicable Guideline range, we continue to review the district court’s findings of fact for clear error and its interpretation and application of the Guidelines de novo.
United States v. Mashek,
We first address the district court’s departure for severe psychological injury under U.S.S.G. § 5K2.3, which authorizes the court to increase the defendant’s sentence above the guideline range if the victim “suffered psychological injury much more serious than that normally resulting from commission of the offense.” The amount of the increase ordinarily depends on the severity of the injury as well as the extent to which the injury was intended or knowingly risked. U.S.S.G. § 5K2.3. The departure normally applies:
only when there is a substantial impairment of the intellectual, psychological, emotional, or behavioral functioning of a victim, when the impairment is likely to be of an extended or continuous duration, and when the impairment manifests itself by physical or psychological symptoms or by changes in behavior patterns. The court should consider the extent to which such harm was likely, given the nature of the defendant’s conduct.
Id.
The district court found that Johns suffered a severe psychological injury, which was much more serious than would normally result from the commission of assault with intent to commit murder. The effects of her “extremely life-threatening” injury were likely to be permanent and could “easily be exacerbated in the future.” The court also noted that the assault had caused “tremendous damage to Johns and to others.”
These findings are well-supported by the record and are not clearly erroneous. At the sentencing hearing, Johns testified about the extent of her injuries. She explained that she has experienced headaches, lack of concentration, both short-term and long-term memory loss, and she has not been able to continue her career as a registered nurse. Johns’s mother also testified that since the assault Johns has had headaches, memory loss, depression, and her personality has become more distant. Johns’s doctors testified that Johns’s head trauma was the likely cause of the headaches, memory loss, and increased depression Johns had been experiencing since the assault.
May claims that Johns’s memory loss cannot provide a basis for the departure because memory loss was already taken into consideration by the four-level enhancement under U.S.S.G. § 2A2.1(b)(l)(A), which applies if the victim sustained either “permanent” or “life-threatening bodily injury.” The district court found that Johns sustained both permanent and life-threatening injury. The record does not indicate that the district court based both the enhancement and the departure on memory loss. The enhancement is sufficiently supported by the district court’s findings that (1) Johns’s injuries were “extremely life-threatening,” (2) the assault “could have resulted in death,” and (3) the effects of her injury were “likely permanent.” Testimony at the sentencing hearing addressed Johns’s headaches, memory loss, depression, changed personality, and her inability to continue *846 her career as a registered nurse. That testimony supports the district court’s finding that Johns’s sustained a “severe psychological injury,” beyond the injury typical of the charged assault. In essence, the district court found that Johns’s injuries fell outside the heartland of the charged offense.
Even if the district court had relied on the memory loss for both the enhancement and the departure, this form of “double-counting” is permissible under the Guidelines.
See United States v. Thin Elk,
Second, May claims that some degree of emotional damage, change in behavior, and impairment is always involved in cases of domestic assault and must have been inherent in May’s guideline sentence. This is a variation of May’s “double-counting” argument above. May’s argument lacks merit. His convicted offense was assault with intent to commit murder, not domestic assault, and he provides no support for his assertion that assault with intent to commit murder inherently involves the severe psychological consequences that Johns experienced.
The district court’s departure was also based, in part, on May’s extreme conduct pursuant to U.S.S.G. § 5K2.8. That section permits an increased sentence if “the defendant’s conduct was unusually heinous, cruel, brutal, or degrading to the victim.” Id. Examples of extreme conduct include “torture of a victim, gratuitous infliction of injury, or prolonging of pain or humiliation.” Id. May argues that his conduct was not sufficiently cruel or heinous to support a departure for extreme conduct.
In
United States v. Lewis,
[the alien] was repeatedly physically beaten, tormented, and sexually abused. He was degraded, humiliated, and psychologically controlled, manipulated, and restrained to the point where he could no longer think rationally about his own well-being. He was deprived of nourishment and medical care. Because of the abuse he suffered, he lost all hope and was too afraid to leave ...
Id. at 396. We affirmed the district court’s twelve-level upward departure based, in part, on its findings of severe psychological injury and extreme conduct.
The record reveals that May similarly engaged in cruel and heinous conduct. Johns testified that May dragged her out of bed by her hair and dragged her from room to room. He punched her in the face, kicked her in the back, and choked her. May ripped off her bra and underwear, leaving her completely naked. During the course of the three to four hour attack, Johns lost consciousness at least three times. May bit her lip so hard that she required forty-seven stitches, and he burned her at least five times with a cigarette. Johns testified that May’s repeated beatings throughout their relationship sent her to the hospital several times. May admitted to many of the facts of the charged assault and presented no evidence to the contrary. May’s conduct, like that *847 in Lewis, was long-term, and it was degrading, abusive, and controlling. The district court specifically found that the three to four hour duration of the assault and multiple bites showed extreme conduct. The record reflects extensive support for the district court’s statement that “it’s hard to imagine a situation that would have the sort of lack of dignity and degrading nature as being naked and being bit many, many times, being treated much as an angry animal would treat another.” The district court’s decision to depart on the basis of extreme conduct was not unreasonable.
May additionally argues that the court’s five-level departure from the guideline range was excessive because his sentence range already included a four-level enhancement for Johns’s permanent injuries. He provides no case law or further analysis to support his contention. This argument is without merit. The district court’s bases for departure are sufficiently supported by the record and the district court committed no error.
Because the district court sentenced May before the Supreme Court issued its opinion in
Booker,
the court did not specifically discuss its analysis of the factors listed in 18 U.S.C. § 3553(a). However, our review of these statutory factors leads us to conclude that they support the reasonableness of the district court’s sentencing decision. See
Pizano,
II.
May argues in a supplemental brief that the district court’s sentence violates his constitutional rights because it was based in part on judicial fact-finding. May filed his supplemental brief after the Supreme Court issued its decision in
Blakely v. Washington,
The plain error standard requires “(1) error, (2) that is plain, and (3) that affects substantial rights.”
Johnson v. United States,
The defendant must first show that an error occurred that is plainly contrary to the law at the time of appeal.
Id.; see Johnson,
Even if the district court committed plain error, May has not established that the error affects his substantial rights. May has the burden of showing, with reasonable probability, that he would have received a more favorable sentence had the district court considered the Guidelines advisory. Id. He cannot meet this burden.
In
Pirani,
the district court sentenced him at the bottom of the Guidelines range, avoided enhancements that would make his sentence “too high,” and allowed Pirani to serve half of his sentence in home confinement rather than in prison.
Id.
at 553. Additionally, the judge twice expressed her dislike of the Guidelines, though this Court held those statements to be irrelevant.
Id.
at 553 n. 6. In contrast, May’s sentence was at the top of the applicable Guidelines range after the court applied a four-level enhancement and a five-level upward departure. The fact that the district court exercised its discretion to depart upward five levels makes it unlikely that the court would lower the sentence if given more discretion.
See, e.g., United States v. Cunningham,
III.
May argues that the evidence does not support the order of restitution included in the judgment. The presen-tence report recommended restitution in the amount of $39,368.20, based on a Victim Impact Statement completed by the Minnesota Center for Crime Victim Services. May objected to the restitution amount for the first time at the sentencing hearing. Although Johns testified about her injuries' at that hearing, she did not testify about the cost of her medical care, and the record contains no such evidence. The district court adopted the restitution amount from the presentence report without requiring any additional information regarding her medical bills.
We review a district court’s finding of loss relating to restitution for clear error.
United States v. Young,
Where a defendant makes a specific objection to a statement in the pre-sentence report, the district court is obliged to resolve the factual dispute.
United States v. Stapleton,
However, a district court may regard as true facts contained in the presen-tence report to which no specific objection is made.
United States v. Cole,
The reason for the fourteen-day filing requirement is “so that the objections can be addressed and investigated
prior
to the sentencing hearing.”
United States v. Jones,
May also argues that the district court committed a constitutional error in ordering a restitution amount that was not proven beyond a reasonable doubt. The basis for May’s argument is the Supreme Court’s statement, “Other than the fact of a prior conviction, any fact that increases the penalty for a crime beyond the prescribed statutory maximum must be submitted to a jury, and proved beyond a reasonable doubt.”
Apprendi v. New Jersey,
Neither the Supreme Court nor this Court has addressed whether
Booker
applies to restitution orders, so any error made by the district court cannot be “plain” error.
See United States v. DeSoto,
No. 04-12307,
We affirm the district court’s sentence.
Notes
. The Honorable Atm D. Montgomery, United States District Judge for the District of Minnesota.
.
See United States v. Hadash,
