United States v. Maryea ( 2013 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 11-2239
    UNITED STATES OF AMERICA,
    Appellee,
    v.
    LYNETTE MARYEA,
    Defendant, Appellant.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF NEW HAMPSHIRE
    [Hon. Joseph N. Laplante, U.S. District Judge]
    Before
    Lynch, Chief Judge,
    Torruella and Boudin,* Circuit Judges.
    W. Daniel Deane, with whom Nixon Peabody LLP, was on brief for
    appellant.
    Seth R. Aframe, Assistant United States Attorney, with whom
    John P. Kacavas, United States Attorney, was on brief for appellee.
    January 15, 2013
    *
    Judge Boudin heard oral argument in this matter and participated
    in the semble, but he did not participate in the issuance of the
    panel's opinion.   The remaining two panelists have issued the
    opinion pursuant to 28 U.S.C. § 46(d).
    TORRUELLA, Circuit Judge.       Defendant-Appellant Lynette
    Maryea ("Maryea" or "Defendant") was charged with one count of
    conspiracy to possess with intent to distribute and to unlawfully
    distribute Oxycodone, Oxycontin, Suboxone, Lorazepam and Ativan in
    violation of 21 U.S.C. §§ 841(a)(1) and 846.        On August 18, 2010,
    a jury found Maryea guilty on that count.          She now appeals her
    conviction   on   various   grounds.     Maryea   first   challenges   the
    district court's denial of her Speedy Trial Act, 18 U.S.C. § 3161,
    claims in her motion to dismiss on the basis that the exclusion of
    time for her co-defendant's continuance was unreasonable as to her.
    Maryea also asserts that the district court's failure to order a
    mental competency evaluation after she sustained an injury during
    trial was an abuse of discretion.        Finally, she argues that the
    government's evidence at trial established a prejudicial variance
    from the charges listed in the superseding indictment against her.
    After careful consideration, we affirm in all respects.
    I.   Background
    A.   Factual Background
    Maryea was originally charged with fourteen co-defendants
    for their collective involvement in a scheme to unlawfully procure,
    smuggle into and distribute narcotic controlled substances within
    the Rockingham County House of Corrections ("RCHOC") in Brentwood,
    New Hampshire.     Since Maryea's appeal follows a conviction, the
    facts associated with that scheme are recounted "in the light most
    -2-
    favorable to the verdict."    United States v. Poulin, 
    631 F.3d 17
    ,
    18 (1st Cir. 2011).
    In March 2009, Richard Woods ("Woods") -- Maryea's co-
    defendant in the original indictment and the only remaining co-
    defendant with Maryea in the superseding indictment -- began his
    incarceration at RCHOC.    Woods and his girlfriend, Noreen Durham
    ("Durham"), both suffered from opiate addictions, and Durham was
    prescribed Suboxone, an opiate blocker that assists with withdrawal
    symptoms.     Following his incarceration, Woods regularly asked
    Durham to procure Suboxone for him.     Durham testified to having
    made three deliveries of Suboxone to RCHOC for Woods through a
    delivery scheme involving placing Suboxone and tobacco into a
    baggie, putting the baggie inside a Dunkin' Donuts coffee cup, and
    dropping the coffee cup in a pre-designated trash can in front of
    a nursing home approximately 100 yards from the jail.   The nursing
    home contained a laundry room where designated inmates ("trustees")
    were employed.    In July 2009, Durham informed Woods in recorded
    phone conversations that she would not make any further deliveries
    of Suboxone outside the nursing home for fear of getting caught and
    violating her probation for a conviction unrelated to this scheme.
    Troy Muder ("Muder") -- another co-defendant in the
    original indictment and Maryea's boyfriend -- had been committed at
    RCHOC to serve a six-month sentence, and became Woods' cellblock
    mate on July 8, 2009.     Shortly after his incarceration at RCHOC,
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    Maryea made an unsuccessful attempt to smuggle painkillers into
    RCHOC by dropping pills off in a dump truck parked on the premises
    of the jail near the nursing home.            However, in early July 2009,
    Maryea   reunited   with     a    former    acquaintance,   Justin     Knowles
    ("Knowles"), who knew Muder and had recently been released from
    RCHOC.   Knowles advised Maryea of a "better way" to smuggle drugs
    into the jail, namely, by packaging drugs -- tobacco, Oxycodone,
    Oxycontin, Xanax, and other pills -- into "slugs," or containers
    made from the tip of a latex glove, and dropping off the slugs with
    the "trustees" working in the laundry department in the nursing
    home.
    Maryea largely procured the drugs included in the slugs
    by filling fraudulent prescriptions at various pharmacies after
    stealing blank prescription pads with Knowles and Kerry Noonan
    ("Noonan"),    another     co-conspirator.        Maryea    also   created   a
    prescription    template     on     her     computer   to   generate    false
    prescriptions for obtaining the narcotics.             Once the drugs were
    procured, Maryea, Knowles and others would package them into slugs
    and drive them to the RCHOC facility; Knowles would deliver them to
    co-conspirator trustees in the laundry department at the nursing
    home.    Between July and September 2009, six such deliveries were
    accomplished into RCHOC.         Muder would receive the slugs once they
    were delivered to the trustees and smuggled inside the jail, and he
    -4-
    would use the pills and tobacco for his own consumption or as
    currency for bartering within the jail.
    On August 14, 2009, after Durham informed Woods that she
    would no longer be making Suboxone deliveries, Woods instructed her
    in a recorded phone conversation to call Maryea, tell her that he,
    Woods, "owe[s] her boy" Muder, and deliver the Suboxone to Maryea.
    Maryea would then, in turn, accomplish the Suboxone delivery to
    RCHOC.   Durham delivered Suboxone pills to Maryea three times in
    August 2009, and on one occasion, when delivering the pills to
    Maryea's home, she met Knowles.
    On September 20, 2009, Noonan and Knowles were arrested
    after Noonan drove Knowles to RCHOC and Knowles entered the laundry
    room of the nursing home.       Upon their arrest, a slug was seized
    from Knowles containing fifteen 15-milligram Oxycodone pills, three
    30-milligram Oxycodone pills, twelve Suboxone pills, and sixteen
    Xanax pills.   A pill bottle was also seized from Noonan's purse
    which contained five 30-milligram Oxycodone pills.
    B.   Indictments and Pre-Trial Motion Practice
    On December 16, 2009, a federal grand jury returned an
    indictment   against   Maryea   and   fourteen   other   individuals   for
    conspiring to possess with intent to distribute and to unlawfully
    distribute Oxycodone, Oxycontin, Suboxone, Lorazepam, and Ativan
    from July 2009 to September 20, 2009, in violation of 21 U.S.C.
    §§ 841(a)(1) and 846 ("Original Indictment").              Following her
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    indictment and detention, Maryea filed motions for release and for
    release on conditions, indicating that she suffered from bipolar
    disorder and that she had a "significant medical history which
    requires medical treatment for pain."              During hearings on these
    motions, Maryea repeatedly complained about back and neck pain that
    she claimed was not being addressed by jail officials, and it was
    also adduced that Maryea had spent time in a state psychiatric
    hospital for her bipolar disorder.
    On July 16, 2010, Woods filed a motion to continue
    ("Woods' First MTC"), and Maryea objected, providing speedy trial
    calculations.          The district court granted Woods' motion after
    Maryea's counsel "expressly informed the court that Maryea does not
    request or desire severance of her case."             In August 2010, a grand
    jury returned a superseding indictment ("Superseding Indictment")
    charging only defendants Maryea and Woods with the same conspiracy
    as in the Original Indictment, but stating that the conspiracy
    began in April 2009 instead of July 2009.
    During     Maryea's      arraignment     on     the   Superseding
    Indictment, the government moved the district court to order a
    mental health evaluation at a federal medical facility to assess
    her competency to stand trial. Maryea objected to the government's
    motion   as     she    had   already    procured     her    own   mental   health
    evaluation, and the examining physician had concluded that she was
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    competent    to   stand   trial.     The    district     court   denied    the
    government's motion for the reasons stated in Maryea's objection.
    On September 1, 2010, Woods filed his second motion to
    continue ("Woods' Second MTC"), requesting a delay in his trial
    date due to: (1) a companion state matter pending in the Rockingham
    County Superior Court with a trial scheduled for October 6, 2010,
    the outcome of which could affect Woods' plea negotiations in the
    federal     criminal   matter;     and    (2)   Woods'    continuing      plea
    negotiations with the government.         The district court granted the
    continuance on the day it was filed without obtaining Maryea's
    objection or consent, concluding that "the ends of justice served
    by granting a continuance outweigh the best interest of the public
    and the defendant in a speedy trial, 18 U.S.C. § 3161(h)(7)(B)(iv),
    for the reasons set forth in the motion."          Trial was rescheduled
    for January 4, 2011.
    Maryea filed a series of motions in late August and early
    September 2010, including, inter alia, two motions to dismiss the
    Superseding Indictment for violations of the Speedy Trial Act, a
    motion to remove counsel and appoint new counsel, and a motion for
    bail alleging the Bureau of Prisons' failure to properly provide
    medical care.1    In her September 20, 2010 Reply Brief to her motion
    1
    Although represented by counsel, Maryea filed these motions pro
    se.   Apparently resolving her disagreements with her defense
    counsel, said counsel resumed representation of Maryea throughout
    the pre-trial motion practice discussed infra.
    -7-
    to dismiss, Maryea objected to the granting of the continuance.
    Relying on the co-defendant exclusion in the Speedy Trial Act, 18
    U.S.C. § 3161(h)(6) ("Co-Defendant Clause"), Maryea argued that
    extending her trial date merely on the basis of co-defendant Woods'
    motion to continue was unreasonable:
    It is simply submitted that the Court cannot
    find the delay caused by Woods' . . . motion[]
    to continue to be reasonable as to Maryea. . .
    . This is because the Court was no longer
    dealing with more than two co-defendants and
    one of the defendants was simply looking for
    more time to resolve companion state cases.
    The   district   court   convened    a    hearing   to   address   Maryea's
    objection, where the district court judge stated to Maryea that the
    court was:
    fairly aggravated that you're advancing these
    arguments that contradict the positions you've
    taken already in the case, because I've asked
    you repeatedly every time we've talked about
    speedy trial if you wanted a severance, and
    you've stressed to me every single time you do
    not want a severance. Let me ask you this.
    Do you want to go to trial in this case next
    week? Is that what you want to do? Because
    I'm ready to try the case whenever you are.
    In response, Maryea's counsel stated that,
    [I]n terms of trial strategy, . . . I want Mr.
    Woods sitting on one of these chairs along
    with everybody else, and that's the truth.
    And that's a simply [sic] legal analysis,
    factual analysis . . . trial analysis that I
    do . . . I'm not looking for severance. I am
    objecting to the motion to continue.
    The district court judge then asked defense counsel, "But given
    that the law says when you don't agree, you have to choose trial
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    strategy; right?          Do you prefer to be sitting there next to Woods,
    or do you prefer your speedy trial?                    Because that's what the
    statute says," and defense counsel responded, "I don't think the
    statute   says      that    because     I    don't   move   to   sever,    that   I've
    forfeited my speedy trial claim."
    Evaluating the strategic choices expressed by Maryea in
    choosing not to sever her trial from Woods alongside Woods' need
    for a delay, the district court denied Maryea's Speedy Trial
    objection, extending Woods' and Maryea's trial date.                  In doing so,
    the court stated, "what's reasonable for one may not be reasonable
    for another, and that's what's wrong.                That's what (h)(6) [the Co-
    Defendant Clause] seems to allow for.                The fact that when you have
    a group, you have people with different interests, different
    strategies, different tactics, and there's been no severance, the
    clock   has    to    be    the   same       for   everyone."      Maryea    filed   a
    supplemental motion to dismiss on Speedy Trial Act grounds, but
    that motion was denied at trial for the same reasons stated in the
    district court's earlier order.
    Before trial commenced, the district court sua sponte
    ordered that Maryea undergo "a medical and psychological evaluation
    to determine her competency to stand trial, including an assessment
    of whether, and the extent to which her physical pain impacts that
    competency."        On November 10, 2010, the court-appointed doctor
    submitted his report, concluding that Maryea was competent to stand
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    trial.    The report confirmed that Maryea was "able to answer all
    . . . questions" during the doctor's evaluation and that she
    "reported that she uses the law library [to] work on her defense."
    After recognizing Maryea's "ongoing pain symptoms," the doctor
    observed that said symptoms "did not impair the cognitive process
    during the evaluation," and that it would be "a very unusual
    circumstance that, with an individual's mental disorder under
    reasonable control, the mere presence of pain would make them not
    competent to stand trial." The report thus concluded that Maryea's
    pain complaints did not affect her competency.
    C.   Maryea's Trial
    On December 30, 2010, Woods entered a plea agreement
    which the    court    accepted.   Maryea's   trial   then   commenced   on
    January 4, 2011. After the fourth day of trial, Maryea was injured
    in a car accident while being transported from the courthouse to
    the jail.    She moved to continue the trial and filed a motion for
    a mistrial, which was later withdrawn.       The district court granted
    the continuance and held two subsequent status conferences to
    consider Maryea's complaints of pain and her treatment in the
    prison.     The district court also ordered an independent medical
    evaluation to (1) evaluate and diagnose any injuries Maryea may
    have sustained in the car accident; and (2) determine whether the
    "continuing effects of those injuries, if any, will prevent her
    from meaningfully participating in the ongoing criminal trial and
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    assisting in her defense, including observing the evidence and
    communicating with her counsel."      Following an examination, the
    examining doctor concluded that Maryea had suffered a pinched nerve
    in her neck, and the district court ordered that an MRI be
    performed on her neck based on the report's recommendation.    In a
    series of hearings following the accident, the district court
    monitored Maryea's status and, following the withdrawal of Maryea's
    oral motion for a mistrial, scheduled the trial to reconvene on
    January 24, 2011.
    Upon the recommencement of her trial, Maryea said that
    she was experiencing "breakthrough pain," although she also told
    the district court that the pain was "not impairing [her] ability
    to pay attention or to sit here as of right now."        The court
    notified her that if her pain reached a point "where it interferes
    with your ability to participate meaningfully in your defense and
    consult with counsel and the like, I'm sure you're going to let us
    know."   Maryea confirmed that she would.
    On January 25, 2011, defense counsel informed the court
    that Maryea was "crying" and "hysterical" after not receiving her
    medication prior to being transported to the courthouse. According
    to defense counsel, when he asked her to discuss witness strategy,
    she said, "I don't care. . . . [d]o whatever you want, I can't do
    this anymore."   On this basis, counsel informed the court that he
    could not "effectively communicate" with his client.     The court
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    ordered a recess to allow Maryea's medication to take effect, and
    then held a status conference on the issue of Maryea's competency.
    Defense    counsel     stated       at     that   conference     that    he     had
    "reservations" regarding Maryea's competency, and the court engaged
    in a colloquy with Maryea in which she stated on the record that
    her mood was "stable," that she could assist her counsel, and that
    she wished to "forge [ahead] with this trial."                 When the district
    judge   asked   her   if    she    understood     what   he    was   saying,    she
    responded, "Absolutely.           I can understand.      I'm coherent.        I can
    comprehend."    After noting that Maryea had been previously found
    competent to stand trial, had been assisting and continued to
    assist her lawyer with her defense, and appeared capable of "having
    a conversation" with the court, the district judge stated that she
    was "quite clearly an adult intelligent person who is able to
    understand me and able to make me understand her."                   As such, the
    district   judge     concluded      that    she   fit   "the   definition      of   a
    competent defendant" and accordingly allowed the trial to continue.
    Evidence closed on January 27, 2011, and Maryea filed a
    Federal Rule of Criminal Procedure 29 motion for a judgment of
    acquittal,   arguing       that   the    government's    evidence     proved    two
    distinct conspiracies rather than one overarching conspiracy, and
    that the government had not produced sufficient evidence linking
    her to the conspiracy charged in the Superseding Indictment.                    The
    district court denied Maryea's motion, stating that, when "viewing
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    the evidence in a light most favorable to the prosecution . . . ,
    it seems to me that . . . the jury certainly could infer that . . .
    the    conspirators        who    did     tie   this    entire   course    of   conduct
    together, even if it does amount to more than one conspiracy if
    broken down, into a single conspiracy, was Lynette Maryea and Troy
    Muder.    So for the reasons . . . stated by the U.S. Attorney in his
    objection, I have to deny the motion for Rule 29."
    The district court charged the jury, and the jury sent a
    note    to    the     court      during    its     deliberations     asking,     "Which
    indictment are we supposed to refer to?                        Jury instructions are
    unclear."         The court instructed the jury to deliberate and return
    a verdict on the Superseding Indictment.                  The jury then returned a
    guilty    verdict,      and      the    district       court   entered    judgment    on
    October 19, 2011.          This timely appeal followed.
    II.    Discussion
    Maryea argues that the district court erred by (1)
    denying her Speedy Trial Act claims in her motion to dismiss; (2)
    failing      to    order    a    second     mental     health    evaluation     of   her
    competency to stand trial following her car accident; and (3)
    denying her Rule 29 motion based on a prejudicial variance between
    the conspiracy proven at trial and that charged in the Superseding
    Indictment.        We address each issue in turn.
    -13-
    A.   Maryea's Challenges on Appeal
    1.   Speedy Trial Act Claims
    This court "review[s] the district court's denial of a
    motion to dismiss based upon the Speedy Trial Act de novo as to
    legal rulings and for clear error as to factual findings."           United
    States v. Maxwell, 
    351 F.3d 35
    , 37 (1st Cir. 2003).              The Speedy
    Trial Act requires that a court grant a defendant's motion to
    dismiss for lack of a speedy trial if the defendant is not brought
    to trial within seventy non-excludable days.         18 U.S.C. §§ 3161(c)
    (h), 3162(a).
    Under the Speedy Trial Act, "[i]n any case in which a
    plea of not guilty is entered, the trial of a defendant charged in
    an . . . indictment . . . shall commence within seventy days from
    the filing date . . . of the . . . indictment, or from the date the
    defendant has appeared before a judicial officer of the court in
    which such charge is pending, whichever date last occurs."               18
    U.S.C. § 3161(c)(1).      Section 3161 designates periods of time that
    may be properly excluded in computing time on the Speedy Trial
    clock, including    the    two   exclusions   at   issue here:    the "Co-
    Defendant Clause" and the "Ends-of-Justice Clause."         Under the Co-
    Defendant Clause,"[a] reasonable period of delay when the defendant
    is joined for trial with a co-defendant as to whom the time for
    trial has not run and no motion for severance has been granted" is
    excludable from the seventy-day clock between the filing of an
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    indictment and the commencement of trial. 18 U.S.C. § 3161(h)(6).
    This provision "stops the [Speedy Trial] clock for one defendant in
    the same manner and for the same amount of time as for all co-
    defendants."   United States v. Rush, 
    738 F.2d 497
    , 504 (1st Cir.
    1984) (quoting United States v. Campbell, 
    706 F.2d 1138
    , 1141 (1st
    Cir. 1983) (alteration in original)).    The Act also permits the
    exclusion of days resulting from the granting of a continuance, "if
    the judge granted such continuance on the basis of his findings
    that the ends of justice served by taking such action outweigh the
    best interest of the public and the defendant in a speedy trial."
    18 U.S.C. § 3161(h)(7)(A).
    Between Maryea's appearance and trial, 383 days elapsed.
    Maryea concedes that, of those days, 204 days are excludable under
    the Speedy Trial Act. Maryea also assumes, without conceding, that
    for the purposes of appeal: (1) 36 days are excludable under the
    First MTC granted to Woods; and (2) 30 of the 58 total days for the
    court-ordered competency evaluation are excludable. Therefore, 113
    days remain between the filing of the Superseding Indictment and
    the commencement of Maryea's trial, and Maryea limits her challenge
    in this appeal to those sixty days within that period "erroneously
    held to be excludable by the district court based on" that court's
    granting of Woods' Second MTC.
    Maryea makes two interrelated arguments in her challenge
    to the district court's exclusion of the above-referenced sixty
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    days.    First, she contends that the court erred in not assessing
    the reasonableness of the application of the Second MTC as to her
    Speedy Trial clock.      Second, she asserts that the court erred by
    requiring severance from her co-defendant as a pre-condition for
    analyzing the reasonableness of the continuance as it applied to
    her.    We address each argument separately.
    a.     Application of a Reasonableness Requirement
    to the Co-Defendant Clause
    Maryea claims that the district court erred in failing to
    consider "the reasonableness, vel non, of the delay [resulting from
    the granting of the Second MTC] as it applied to [her] situation."
    She first argues that the Supreme Court's decision in Bloate v.
    United States, 
    130 S. Ct. 1345
    , 1349 (2010), supports reading a
    reasonableness requirement into the Co-Defendant Clause because, in
    that decision, the Supreme Court suggested that the subsections of
    § 3161 may need to be analyzed together before properly excluding
    a period of delay.      Specifically, Maryea contends that, since the
    Supreme Court read the ends-of-justice requirement under subsection
    (h)(7) into subsection (h)(1), a subsection that allows exclusions
    for procedural delays or delays resulting from ongoing motion
    practice and interlocutory appeals, subsection (h)(7) and its
    reasonableness requirement must also be read into the Co-Defendant
    Clause, subsection (h)(6).     Second, Maryea claims that there is no
    First Circuit precedent directly on point regarding the application
    of the reasonableness requirement to the Co-Defendant Clause.
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    While the issue was raised in United States v. Brown, 
    736 F.2d 807
    (1st Cir. 1984), the Court did not reach it due to the fact that
    the defendant in that case had not articulated an argument for why
    the excluded time was not reasonable as to him.                Finally, Maryea
    relies   on    Third   and   Ninth   Circuit   law    which    has   upheld   the
    proposition that, when a delay granted for one defendant in a
    multi-defendant trial is applied to a co-defendant's Speedy Trial
    clock under the Co-Defendant Clause, a court must assess the
    reasonableness of the delay not only as to the first defendant, but
    also as to any co-defendant.         See United States v. Lewis, 
    611 F.3d 1172
    , 1176 (9th Cir. 2010); United States v. Novak, 
    715 F.2d 810
    ,
    816, 821 (3d Cir. 1983), abrogated in part by Henderson v. United
    States, 
    476 U.S. 321
    , 330 (1986).
    Maryea   maintains     that    Woods'   Second     MTC   was    not
    reasonable as to her since the continuance only gave him more time
    to achieve his plea deal with the government, undermining her
    defense strategy and resulting in her being stranded as the "lone
    defendant to be tried for a conspiracy that originally named
    fifteen co-defendants."         She likens her case to that of United
    States v. Hall, 
    181 F.3d 1057
    , 1062 (9th Cir. 1999), in which the
    Ninth Circuit held that a defendant suffered prejudice under the
    Speedy Trial Act when the district court granted a continuance to
    the government for the "primary purpose" of allowing the only other
    co-defendant in the case to "pursue plea negotiations."
    -17-
    The government contends that the district court did not
    err when it excluded from Maryea's Speedy Trial clock the period
    resulting    from    the   grant   of   the   Second   MTC   following    its
    determination that Woods was entitled to a continuance due to
    ongoing plea negotiations and a pending state court matter.              That
    is because the only way that the court could honor Woods' need for
    a continuance and Maryea's right to a speedy trial was to grant
    Maryea a severance so that she could be tried ahead of Woods.
    Since the district court expressly afforded Maryea the option of a
    severance and she expressly declined to file a motion to sever due
    to her trial strategy to be tried alongside Woods, the district
    court's extension of the delay to Maryea was reasonable as the only
    way to secure Woods' interest and allow the defendant to pursue her
    strategy.    The government cites to the Tenth Circuit's recent
    decision in United States v. James, 418 Fed. Appx. 751, 754 (10th
    Cir. 2011), to support its proposition that a "[d]efendant cannot
    have the benefit of his trial strategy and then argue that the
    delay resulting from that strategy was unreasonable."
    When    a Speedy   Trial    Act   violation   is alleged     by a
    defendant, a trial court follows a two-step process. United States
    v. Staula, 
    80 F.3d 596
    , 600 (1st Cir. 1996).           First, it calculates
    and determines the aggregate time elapsed awaiting trial.           
    Id. In this case,
    the parties do not challenge the district court's Speedy
    Trial calculations with respect to the aggregate time elapsed
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    between the Superseding Indictment and Maryea's trial. Second, the
    Court determines how many days are properly excluded from that
    ultimate sum.    
    Id. Maryea does not
    contest the reasonableness of
    the ends-of-justice determination in Woods' Second MTC as to him,
    nor does she contest the validity of the Co-Defendant Clause as a
    general matter.        Rather, Maryea asks the court to impose an
    additional requirement in assessing whether days excluded from her
    co-defendant's Speedy Trial clock should be excluded from the
    ultimate sum of her own Speedy Trial clock--namely, a requirement
    that the district court find reasonable as to her days excluded
    from her co-defendant's Speedy Trial clock if they are to count as
    excludable days from her own Speedy Trial clock.
    Maryea is correct that the case law in this Circuit has
    not addressed head on whether the Co-Defendant Clause as a general
    matter is subject to a reasonableness limitation,2 and we decline
    to do so here.   However, the court agrees with the government that,
    2
    Maryea specifically refers to this Court's decision in United
    States v. Brown, 
    736 F.2d 807
    . In that case, defendant Brown asked
    the court to follow the Third Circuit's decision in United States
    v. Novak by recognizing a reasonableness limitation on the
    application of excludable time from one co-defendant to another.
    
    Id. at 809 (citing
    Novak, 715 F.2d at 814
    ). This court held that,
    since Brown did not provide any specific reasons for why the
    excludable period of delay might be reasonable as applied to his
    co-defendant but not as applied to him, the Court "need not
    interpret the precise interplay of sections (h)(1)(F) and (h)(7) of
    the Act." 
    Id. In United States
    v. Mitchell,
    723 F.2d 1040
    , 1048
    (1st Cir. 1983), we noted a circuit split on the application of a
    reasonableness requirement to the Co-Defendant Clause, but
    explicitly declined to resolve the conflict in the circuits due to
    defendant Mitchell's failure to file a motion for severance.
    -19-
    under the facts of this particular case, the district court did not
    err when it denied Maryea's motion to dismiss.                 In line with the
    principles outlined in the Supreme Court's decision in Bloate as
    well as the reasoning of our sister circuits, the Court will assume
    without   deciding,     for   the    purposes    of     this    case,   that   a
    reasonableness requirement applies, and that the requirement may be
    met through a factors-based assessment.           See     Bloate, 
    130 S. Ct. 1345
    (holding that time excluded from a Speedy Trial clock for
    pretrial motion preparation is not automatically excluded under
    §   3161(h)(1),   but   may   only   be     excluded    when    a   court   makes
    appropriate reasonableness findings under § 3161(h)(7)); United
    States v. Lewis, 
    611 F.3d 1172
    , 1176 & n. 2 (9th Cir. 2010)
    (affirming Ninth Circuit precedent that, "in order to attribute a
    co-defendant's excludable delay under § 3161(h)(7) to a defendant,
    the delay must meet the reasonableness requirement of § 3161(h)
    (6)," and noting that the reasonableness requirement "comports with
    Supreme Court precedent"); United States v. Stephens, 
    489 F.3d 647
    ,
    655 (5th Cir. 2007) ("Attribution of the excludable delay of one
    co-defendant to another co-defendant is not, however, automatic;
    rather the period of delay must be reasonable") (citing Henderson
    v. United States, 
    476 U.S. 321
    , 326-27 (1986); United States v.
    Cordova, 
    157 F.3d 587
    , 599 (8th Cir. 1998) (applying reasonableness
    requirement to and finding reasonable an 80-day delay in co-
    defendant's trial resulting from another co-defendant's capture and
    -20-
    identity hearing); United States v. Howard, 
    918 F.2d 329
    , 336 (2d
    Cir. 1990) (holding that the Co-Defendant Clause exclusion requires
    a defendant to make a motion for severance in order to benefit from
    the reasonableness limitation); United States v. Mayes, 
    917 F.2d 457
    , 460 (10th Cir. 1990) (applying reasonableness requirement to
    Co-Defendant Clause); United States v. Culpepper, 
    898 F.2d 65
    , 67
    (6th Cir. 1990) (same); United States v. Tobin, 
    840 F.2d 867
    , 869-
    70 (11th Cir. 1988) (same); United States v. Dennis, 
    737 F.2d 617
    ,
    621 (7th Cir. 1984) (same); United States v. Novak, 
    715 F.3d 810
    (3d Cir. 1983) (same).
    In considering the significance of a defendant's failure
    to petition for severance in assessing reasonableness, it is
    important to be clear about the language and stated purpose of the
    Co-Defendant Clause itself, which allows for exclusions of a
    "reasonable period of delay when the defendant is joined for trial
    with a codefendant as to whom the time for trial has not run and no
    motion for severance has been granted."    18 U.S.C. § 3161(h)(6)
    (emphasis added).   Some circuits have interpreted that provision
    as requiring a defendant to file a motion for severance in order to
    challenge the reasonableness of the delay on appeal.    See United
    States v. Howard, 443 Fed. Appx. 596, 598 (2d Cir. 2011) (citing
    
    Vasquez, 918 F.2d at 336-37
    ); 
    Culpepper, 898 F.2d at 67
    .      It is
    uncertain that this circuit has imposed such a requirement.       See
    United States v. Mitchell, 
    723 F.2d 1040
    , 1048 (1st Cir. 1983).   In
    -21-
    any event, we consider the failure to move to sever an important
    consideration given that our sister circuits have found a petition
    for severance relevant in their reasonableness analysis, having
    either found that a failure to move for severance contributes to a
    finding that a defendant was not prejudiced by a delay granted to
    a co-defendant or that, under a totality-of-the-circumstances test,
    a defendant's failure to move to sever is an important factor to
    consider.      See United States v. Messer, 
    197 F.3d 330
    , 336-38 (9th
    Cir.   1999)    (applying   a   totality-of-the-circumstances     test    in
    determining reasonableness of applying delay to a co-defendant and
    listing a defendant's failure to move to sever as a factor to
    consider); 
    Cordova, 157 F.3d at 599-600
    (finding delay reasonable
    where no motion for severance was granted and explaining that a
    defendant fails to meet his burden in showing that his right to a
    speedy trial has been violated when he fails to argue that the
    delay was unreasonable); 
    Franklin, 148 F.3d at 457-58
    (stating that
    "[a] defendant's failure to move for severance, or otherwise pursue
    a speedy trial in the district court, can undermine prejudice
    allegations made on appeal"); 
    Mayes, 917 F.2d at 460
    (finding no
    Speedy Trial      Act   violation when     considering   as a   factor   the
    defendant's failure to ask to be tried separately from a co-
    defendant); 
    Tobin, 840 F.2d at 869-70
    (noting that defendant's
    failure to move to sever his case from a co-defendant's was a
    factor supporting the reasonableness of a delay); Dennis, 737 F.2d
    -22-
    at 621-22 (finding the delay reasonable where defendant "at no time
    moved to sever his case and had failed to allege any substantial
    prejudice resulting from the delay").
    To     the   extent   that    Maryea   alleges   prejudice     or
    unreasonableness under the totality of the circumstances resulting
    from her co-defendant having reached a plea agreement with the
    government as a result of ongoing negotiations prior to trial --
    made possible, at least in part, by the continuances granted by the
    district court -- we cannot agree that such a delay goes against
    the text, legislative history, and purpose of the Speedy Trial Act.
    This is because the "utility of a joint trial [wa]s particularly
    compelling here, as the defendants were charged with a single
    conspiracy so that the government could be expected to 'recite a
    single factual history, put on a single array of evidence, and call
    a single group of witnesses.'"         
    Franklin, 148 F.3d at 457
    .      In a
    case heavily relied on by Maryea, the Third Circuit stated that
    "[t]he Legislative history of section 3161(h)(7) illustrates a
    strong congressional preference for joint trials and an intention
    that delays resulting from the joinder of codefendants be liberally
    excluded."     See 
    Novak, 715 F.2d at 814
    .       Courts have accordingly
    selected formulas that promote joint trials under the particular
    facts of the case based on the stated intent of the Senate in its
    1974 and 1979 Senate Reports that the Co-Defendant Clause was
    intended to help avoid "the time, expense and inconvenience of
    -23-
    separate prosecutions." See 
    id. at 815; United
    States v. Campbell,
    
    706 F.2d 1138
    , 1141-42 (11th Cir. 1983); S. Rep. No. 1021, 93d
    Cong., 1st Sess. 38 (1974); S. Rep. No. 212, 96th Cong., 1st Sess.
    24 (1979).        Further, Maryea could have avoided any prejudice
    resulting from ongoing plea negotiations by seeking severance, and
    she has made no showing that the granting of the Second MTC
    resulted in Woods reaching the plea agreement which allegedly
    prejudiced her, or that she would not have been convicted of the
    conspiracy had Woods joined her trial.         For all of these reasons,
    we find the application of the delay resulting from the Second MTC
    to Maryea's Speedy Trial clock to be reasonable.
    Maryea's second Speedy Trial Act argument is that the
    district court erred in requiring her to either request a severance
    or forfeit her Speedy Trial rights.             This is because, Maryea
    claims, Speedy Trial Act rights may not be waived by a co-
    defendant's failure to request a severance based on the Supreme
    Court's decision in Zedner v. United States, 
    547 U.S. 489
    (2006),
    the   rule   of   a   majority   of   sister   circuits,   and   the   text,
    legislative history, and purpose of the Act.           See 
    Mitchell, 723 F.2d at 1047
    .
    In Zedner, the Supreme Court held that, since the Speedy
    Trial Act was designed not only to protect defendants but also the
    public interest, defense continuance requests could not be based
    merely on a defendant's waiver of his rights under the Act.            
    Id. at -24- 501.
    Rather, the granting of a continuance must "fit within one of
    the specific exclusions set out in subsection (h)."               
    Id. at 500. To
    the extent the consideration of a failure to seek a severance in
    a factor-based reasonableness determination might be considered a
    "waiver," it does not constitute a prospective waiver of Speedy
    Trial Act rights of the kind at issue in Zedner.             Firstly, Zedner
    involved    a   blanket      prospective    waiver   "for   all   time"   of   a
    defendant's rights under the Speedy Trial Act; this case does not.
    See 
    Zedner, 547 U.S. at 492-93
    .            Such a broad waiver was deemed
    ineffective by the Supreme Court because it found that the breadth
    of the waiver by definition did not "fit within one of the specific
    exclusions set out in subsection (h)."           
    Id. at 500. In
    the facts
    before us, the exclusion fits within the Co-Defendant Clause, and
    we have found the application of the exclusion as to Maryea
    reasonable. The Supreme Court in Zedner also found the prospective
    nature     of   the    waiver    ineffective,    distinguishing      it    from
    retrospective waivers and stating that "there is no reason to think
    that Congress wanted to treat prospective and retrospective waivers
    similarly."      
    Id. at 502. Retrospective
        waivers,     the   Court
    reasoned, do
    not pose a comparable danger because the
    prosecution and the court cannot know until
    the trial actually starts or the guilty plea
    is actually entered whether the defendant will
    forego moving to dismiss. As a consequence,
    the prosecution and the court retain a strong
    incentive to make sure that the trial begins
    on time.
    -25-
    
    Id. The "waiver" at
    issue in this case is not a prospective waiver
    but is better characterized as retrospective since Maryea could
    either assert her right to a speedy trial by moving to sever or
    challenge   an   alleged      denial   of     her    Speedy   Trial   Act   rights
    following    the     denial       of   a    motion      to    sever    based    on
    unreasonableness.        Maryea still remained in control of the 70-day
    clock as to her since she was not precluded from accelerating the
    clock or challenging exclusions from her clock even if she may not
    -- and should not -- have control of the 70-day clock as to her co-
    defendant. Thus, merely placing conditions on her assertion of her
    Speedy   Trial     Act   rights    does     not     constitute   an   ineffective
    prospective waiver "for all time" as prohibited under Zedner.
    To conclude, we hold that the district court did not err
    in denying Maryea's motion to dismiss for lack of a speedy trial
    since the delay caused by Woods' Second MTC was reasonable.                    The
    court thus affirms the district court's finding that no Speedy
    Trial violation occurred since, applying the properly excluded days
    from Woods' Second MTC, Maryea's Speedy Trial clock did not run in
    excess of the requisite seventy days.
    2.   Mental Competency Determinations
    The competency standard for standing trial involves an
    inquiry into whether a defendant has "a rational as well as factual
    understanding of the proceedings against" him or her, and whether
    the defendant "has sufficient present ability to consult his lawyer
    -26-
    with a reasonable degree of rational understanding."                   Indiana v.
    Edwards, 
    554 U.S. 164
    , 170 (2008) (citing Drope v. Missouri, 
    420 U.S. 162
    , 171 (1975); Dusky v. United States, 
    362 U.S. 402
    , 402
    (1960)).     Pursuant to 18 U.S.C. § 4241, a district court "shall
    order . . . a hearing [to determine the mental competency of the
    defendant]    if   there    is    reasonable    cause   to   believe    that the
    defendant may presently be suffering from a mental disease or
    defect rendering him mentally incompetent to the extent that he is
    unable to understand the nature and consequences of the proceedings
    against him or to assist properly in his defense."                     18 U.S.C.
    § 4241(a); see also United States v. Brown, 
    669 F.3d 10
    , 17 (1st
    Cir. 2012) ("A district court must sua sponte order a competency
    hearing if there is reasonable cause to believe that a defendant is
    mentally incompetent."). Courts are required "to hold a competency
    hearing sua sponte whenever evidence raises a sufficient doubt as
    to the competence of the accused."            Johnson v. Norton, 
    249 F.3d 20
    ,
    26 (1st Cir. 2001).         Factors to consider in guiding a district
    judge's    inquiry   into        whether   an   evidentiary    hearing     as   to
    competence is warranted include "a defendant's irrational behavior,
    his demeanor at trial, and any prior medical opinion on competence
    to stand trial."     
    Id. at 27 (quoting
    Drope, 420 U.S. at 180
    ).                A
    district court may consider its own interactions with the defendant
    in determining whether there is reasonable cause for an examination
    or an evidentiary hearing. United States v. Curtis, 
    520 F.2d 1300
    ,
    -27-
    1304 (1st Cir. 1975).        Even if a district court has found a
    defendant competent when the trial begins, "a significant change in
    circumstances in the midst of trial may render a second competency
    hearing proper." Yehboah-Sefah v. Ficco, 
    556 F.3d 53
    , 82 (1st Cir.
    2009).    The conviction of a person legally incompetent to stand
    trial violates due process.      See 
    Johnson, 249 F.3d at 26
    .
    The court reviews the district court's decision not to
    hold a competency hearing or order a psychiatric examination for
    abuse of discretion, affirming the district court's decision as
    long as there was a sufficient evidentiary basis to support its
    decision.    United States v. Sánchez-Ramírez, 
    570 F.3d 75
    , 80 (1st
    Cir. 2009) (standard of review of decision not to hold a competency
    hearing); 
    Curtis, 520 F.2d at 1304
    (standard of review of decision
    not to order psychiatric examination).        To challenge a district
    court's finding of competency, an appellant "must present facts
    sufficient to positively, unequivocally and clearly generate a
    real,    substantial   and   legitimate   doubt   as   to   [her]   mental
    competence."    
    Brown, 669 F.3d at 17
    (quoting United States v.
    Collins, 
    949 F.2d 921
    , 927 (7th Cir. 1991)).
    Maryea argues the district court violated her due process
    and statutory rights by failing to order a re-evaluation of her
    competency to stand trial after the injuries she suffered in the
    January 14th car accident.      Specifically, Maryea asserts that the
    district court erred because the accident wrought a "significant
    -28-
    change in circumstances" warranting an evidentiary hearing on her
    mental competency.
    Maryea points to our decision in Johnson to support her
    argument stating that this case, like Johnson, involves a defendant
    in a criminal proceeding who was subjected to a physical injury
    worthy of creating a "change of circumstances."    In Johnson, this
    court found that a competency hearing was warranted when the
    defendant suffered a blow to the head on the morning of the first
    day of trial and also lost consciousness and vomited during trial.
    
    See 249 F.3d at 23
    , 28.      In this case, Maryea cites to the
    following which, she claims, created sufficient doubt as to her
    mental competency after the accident that should have triggered the
    ordering of a mental competency hearing: (1) statements she made
    during the January 18, 2011 Status Conference that her pain was
    "breaking through" her medication and that she was "damaged,"
    "broken," and rendered incapable of participating in her own
    defense;3 (2) her breakdown on the sixth day of trial when she
    received her medications late; (3) her    "rambling, incoherent and
    inconsistent"   testimony   following    the   court's   recess   and
    questioning of Maryea on that sixth day following her receipt of
    her medication; (4) her erratic behavior on the seventh day of
    trial when, in response to the court's question concerning how she
    3
    At this Status Conference and based on Maryea's representations,
    the district court granted Maryea's request for a continuance.
    -29-
    was feeling, she stated that she was "celestial" and objected to
    her own counsel while attempting to address the court directly and
    through   a    subsequent   pro    se    motion    for     a    mistrial;      and   (5)
    Dr.   Drogin's    testimony   as    to    the     nature       of   Maryea's    mental
    diagnosis as "bipolar with psychotic features," and which provided
    the court with descriptions of the disorder that she was exhibiting
    at trial.     Based on these incidents, Maryea argues that sufficient
    doubt was raised as to her competency, and "only a trained expert
    could have accurately assessed her competency to continue."
    The government rejects these arguments, contending that
    the district court was not required to order a second competency
    evaluation for Maryea.      First, the government argues that Maryea's
    post-accident behavior was not materially different from her pre-
    trial behavior, particularly with respect to her speech patterns,
    unusual use of vocabulary, disagreements with her defense counsel
    and filing of pro se motions.           Second, the government asserts that
    the district court was on notice as to Maryea's bipolar disorder
    and physical pain, and sufficiently reviewed the issue of the
    impact of physical pain on her psychological state on multiple
    occasions, namely during: (1) Maryea's motions for bail; (2) its
    order for a mental competency review; (3) its order for a medical
    examination following the accident; and (4) its direct evaluations
    and colloquies with Maryea on January 24 and 25, when it ordered
    additional delays to accommodate her need for medication and
    -30-
    proceeded   only after   she   was    questioned   and   evaluated.   The
    government also contests Maryea's arguments that the testimony of
    the clinical psychologist at trial should have alerted the district
    court to doubt Maryea's competency, arguing that his testimony was
    consistent with the mental competency report which indicated that
    it would be unusual for physical pain to make a person incompetent
    as long as their mental disorder was reasonably under control.
    Finally, the government distinguishes this case from
    Johnson, noting that the district court in this case did not
    continue the trial following the defendant's injury.          Rather, the
    court stopped the proceedings and only continued when Maryea had
    received her medication, had been treated, and the court was
    convinced that she was competent.       The government likens this case
    instead to United States v. Sánchez-Ramírez where the defendant was
    found competent to stand trial prior to its commencement, then
    suffered a breakdown before closing arguments due to his failure to
    take prescribed medications.         
    See 570 F.3d at 79
    .      In Sánchez-
    Ramírez, this court found no abuse of discretion when the district
    court did not conduct another competency hearing since the court
    relied on the fact that the defendant had already been found
    competent by experts, a defense motion for a competency hearing was
    not renewed -- suggesting that the reasons that gave rise to the
    motion were temporary -- and the district court was able to rely on
    its own observations of the defendant.       
    Id. at 80-81. -31-
                The court agrees with the government that there was no
    abuse of discretion here.         A close look at the record indicates
    that the district court had a sufficient evidentiary basis to
    support its decision not to order a second mental competency
    evaluation.    Maryea was originally found competent to stand trial,
    and the district court's competency determination was neither
    objected to nor appealed. The district court's order for a medical
    examination and subsequent questioning of Maryea following the
    accident was thorough, and she made clear and coherent statements
    about her desire and ability to move forward with the trial.
    Maryea's behavior following the accident as well as her behavior
    subsequent to receipt of her medication on January 25 was not
    demonstrably different than her behavior prior to the accident.
    Additionally, the psychologist's testimony regarding her bipolar
    disorder, while revealing details about certain aspects of her
    psychological condition, did not contradict the competency report's
    conclusions that, with adequate treatment and medication, Maryea's
    experience    of    physical     pain    would   not   interfere   with   her
    competency.
    First, while the record does not end with the district
    court's initial competency determination, it is critical to note
    that that the initial competency evaluation ordered by the court on
    September     13,   2010,      explicitly      requested   a   "medical   and
    psychological evaluation to determine her competency to stand
    -32-
    trial, including an assessment of whether, and [] the extent to
    which her physical pain impacts that competency." It is thus clear
    that the district court was aware and sensitive to the fact, early
    on in the proceedings, that Maryea's physical pain could impact her
    mental state. The district court's finding of competency relied on
    the psychiatric report submitted by Dr. Drukteinis on November 10,
    2010, and after the court ordered the parties to request any relief
    based on said report and found Maryea competent to stand trial,
    neither party objected nor appealed that determination.
    Second, within days of the accident, the district court
    granted Maryea's motion to continue filed immediately after the
    accident and ordered that Maryea
    undergo an independent medical examination as
    soon as possible (preferably within the next
    24 hours, if feasible) to further evaluate and
    diagnose any injuries she may have sustained
    in the recent automobile accident and to
    determine whether the continuing effects of
    those injuries, if any, will prevent her from
    meaningfully participating in the ongoing
    criminal trial and assisting in her defense,
    including    observing    the   evidence   and
    communicating with her counsel. A report by
    the   doctor    who   conducts   the   medical
    examination shall be filed with this court as
    soon as possible. . . .
    The   district   court   also   ordered   that   an   MRI   be   conducted.
    Additionally, it appears from the record that Maryea's pain was
    acutely experienced due to failure to take her medications, and
    upon hearing of said pain, the court ordered a recess until her
    medications took effect.        During the Status Conference conducted
    -33-
    following Maryea's taking of the medication, the court addressed
    the issue of her pain and engaged in a colloquy with her to affirm
    her ability to respond to questions intelligently.                   Not only did
    Maryea indicate her desire to proceed, but she demonstrated her
    ability to follow the court's line of questioning, to understand
    said questioning, to converse and interact with her attorney, and
    to provide coherent responses regarding her rights.                     See, e.g.,
    Cody v. United States, 
    249 F.3d 47
    , 53 n.5 (1st Cir. 2001) (stating
    that the court's observation of the defendant's "appearance and
    demeanor    as   he   answered   questions       throughout       the    colloquy"
    supported the court's competency determination) (citing United
    States v.    Savinon-Acosta,     
    232 F.3d 265
    ,   269   (1st      Cir.   2000)
    ("Courts have commonly relied on the defendant's own assurance
    . . . that the defendant's mind is clear. Further, the defendant's
    own performance in the course of a colloquy may confirm . . . his
    assurances.") (citation omitted)).              In addition, following the
    accident, Defense counsel did not file a motion for a competency
    hearing,    suggesting   that    the    issues    which    gave    rise    to   any
    competency concern were temporary in nature.              See 
    Sánchez-Ramírez, 570 F.3d at 81
    .
    Third, it does not appear from the record that, following
    Maryea's receipt of her proper medications, her behavior in court
    as it related to her defense was any different from her behavior
    prior to the accident.       Specifically, transcripts from Maryea's
    -34-
    pre-trial hearings reveal that Maryea complained about her neck and
    back pain while also using unusual vocabulary in her oral and
    written statements to the court.            In fact, the psychiatric report
    explicitly     noted      Maryea's   evasiveness,     tendency       to    speak    in
    generalities,       and    her   variable   moods.        However,    the       report
    nevertheless stated that it "would be a very unusual circumstance
    that,   with   an    individual's      mental   disorder     under        reasonable
    control, the mere presence of pain would make them not competent to
    stand trial."        That Maryea's post-medication behavior appears
    consistent with her behavior prior to the accident is another
    factor supporting         the    conclusion that     there was no          abuse of
    discretion in the court's decision not to order a second competency
    evaluation.
    Finally, the district court did not err in failing to
    "diagnose"     Maryea's     courtroom    behavior    as    identical       to    those
    characteristics of bipolar disorder flagged in the psychiatrist's
    evaluations of Maryea.            As we just stated, following Maryea's
    medication for her extreme pain, the record does not show that
    Maryea conducted herself in a manner distinct from her behavior
    before the accident.         Additionally, the psychiatrist's evaluation
    of Maryea did not contradict the court's later determination of
    Maryea's competency following the accident since his report stated
    that Maryea's experience of physical pain need not interfere with
    her mental competency so long as her disorder was under reasonable
    -35-
    control.     The court's observations on the record and the record
    itself indicate that Maryea had reasonable control over her mental
    faculties after her pain medication had time to take effect.
    To conclude, this court finds that the district court had
    a sufficient evidentiary basis when it failed to sua sponte order
    a second competency evaluation.                  The facts of this case and the
    trial court's response to Maryea were almost identical to the facts
    and    court's    response      in   Sánchez-Ramírez,            where    no   abuse   of
    discretion was found by this court when a defendant had been
    originally     found       competent,       an    expert   report       confirmed    that
    competency,      no    motion    for    a    competency      hearing       was   renewed
    following the change of circumstances, and the district court judge
    made observations on the record that there were no signs of mental
    impairment.      
    Sánchez-Ramírez, 570 F.3d at 81
    .
    3.    Prejudicial Variance
    To sustain a conviction for conspiracy, the evidence must
    show   that:     (1)   a    conspiracy       existed;      (2)    the    defendant     had
    knowledge of the conspiracy; and (3) the defendant knowingly and
    voluntarily participated in the conspiracy.                        United States v.
    Dellosantos, 
    649 F.3d 109
    , 116 (1st Cir. 2011).                          In proving the
    third element, the evidence must establish that the defendant both
    intended to join the conspiracy charged and intended to effectuate
    the objects of that conspiracy.                  
    Id. -36- A prejudicial
    variance occurs when "(1) the facts proved
    at trial differ from those alleged in the indictment; and (2) the
    error affects the defendant's substantive rights . . . . A claim
    that the Government's proof varied impermissibly from the charges
    contained in the indictment is essentially a challenge to the
    sufficiency of the evidence."         United States v. Dunbar, 
    553 F.3d 48
    , 61 (1st Cir. 2009) (citation omitted).             In assessing a claim of
    prejudicial variance, the court first examines "the evidence --
    direct and circumstantial -- as well as all plausible inferences
    drawn therefrom, in the light most favorable to the verdict, and
    determine[s] whether a rational fact finder could conclude beyond
    a reasonable doubt that the defendant committed the charged crime."
    United States v. Niemi, 
    579 F.3d 123
    , 127 (1st Cir. 2009) (quoting
    United States v. Wyatt, 
    561 F.3d 49
    , 54 (1st Cir. 2009)).             Factors
    relevant to the inquiry in the context of conspiracy charges
    include: "whether the alleged conspirators shared a common purpose,
    whether their actions demonstrated interdependency, and the extent
    to which participants overlapped during the life of the alleged
    conspiracy."       United States v. Balthazard, 
    360 F.3d 309
    , 315 (1st
    Cir. 2004).    The government need not prove that the defendant had
    "knowledge of every other participant, or of the details of the
    conspiracy,    .    .   .   but knowledge   of   the    broader   conspiracy's
    existence is critical." United States v. Franco-Santiago, 
    681 F.3d 1
    , 9 (1st Cir. 2012) (citations and quotation marks omitted).               A
    -37-
    defendant cannot succeed with a sufficiency challenge "as long as
    a plausible reading of the record supports the jury's implied
    finding that [said defendant] knowingly participated in the charged
    conspiracy."   United States v. Pérez-Ruiz, 
    353 F.3d 1
    , 7 (1st Cir.
    2003).
    If the court finds that the evidence is not sufficient to
    permit a jury to find a defendant's express or tacit agreement to
    the charged conspiracy, it then looks to whether the evidence was
    sufficient to permit a jury, under a proper set of instructions, to
    convict the defendant of a related, similar conspiracy.      United
    States v. Candelaria-Silva, 
    166 F.3d 19
    , 39 (1st Cir. 1999).     If
    the defendant could be convicted of a related, similar conspiracy,
    the court then asks whether the variance between the indictment and
    the conspiracy proven at trial affected the defendant's substantial
    rights or if the difference amounted to harmless error.    
    Id. Since Maryea preserved
    this issue through her objections
    at trial, de novo review is appropriate. United States v. DeCicco,
    
    439 F.3d 36
    , 43-44 (1st Cir. 2006).
    Maryea asserts that, because nearly all of the evidence
    introduced at trial pertained to the Muder rather than the Woods
    conspiracy, there was an impermissible variance between the charge
    in the Superseding Indictment and the evidence introduced at trial.
    Therefore, Maryea claims, her conviction was not supported by
    -38-
    sufficient evidence and the district court erred in denying her
    Rule 29 motion for judgment of acquittal.
    In support of her argument, Maryea cites to this court's
    decision      in     Dellosantos.         In    that   case,      the    two    defendants
    convicted       at    trial     had     been    part    of   an    eighteen-defendant
    superseding indictment that charged all defendants with joining an
    overarching conspiracy to distribute both cocaine and marijuana in
    Maine.       
    Dellosantos, 649 F.3d at 110-11
    .                 On appeal, this court
    found that there was insufficient evidence to support the finding
    of     a    single        conspiracy,     and     instead      found      two     separate
    conspiracies:         a     Massachusetts-based         conspiracy       to     distribute
    cocaine only, and a Maine-based conspiracy to distribute both
    cocaine and marijuana.              
    Id. at 119. Here,
    Maryea maintains, the
    government submitted evidence of a single, overarching conspiracy,
    headed by Muder, to smuggle controlled substances into RCHOC, but
    the government did not present sufficient evidence that Maryea
    knowingly and voluntarily joined the separate and distinct charged
    conspiracy involving Woods, Durham, and the smuggling of Suboxone.
    Maryea goes on to assert that she was unfairly prejudiced
    by this variance in two ways: (1) inadequate notice of the charges
    against       her;    and     (2)     prejudicial      "evidentiary       spillover."
    Regarding      notice,       Maryea     claims    that,      since      the    Superseding
    Indictment named only Maryea and Woods, it put her on notice of
    "the       smaller,    less    sophisticated        Woods     conspiracy,        when   the
    -39-
    government actually put Maryea on trial for the larger, more
    complex     Muder    conspiracy."            With   respect        to     "evidentiary
    spillover,"     Maryea       contends     that   she     was    prejudiced       by     the
    transference of guilt to her from evidence incriminating defendants
    who participated        in    another     conspiracy     in     which    she     was    not
    involved.      Specifically, Maryea asserts that all of the evidence
    introduced at trial concerned the Muder conspiracy, and the only
    evidence relating to the Woods conspiracy was Durham's testimony
    and three calls between Durham and Woods in July 2009.
    The government maintains that the evidence presented at
    trial supported the jury's verdict that she was part of the
    conspiracy charged in the Superseding Indictment. Specifically, it
    contends that there was no variance since there was "ample evidence
    to   permit    the   jury     to   conclude      that,    as    charged     in       [said]
    indictment, from April 2009 to September 20, 2009, there was an
    ongoing   conspiracy         to   smuggle   controlled         substances      into     the
    Rockingham      Jail,    which      the     defendant     joined        with     a     full
    understanding of the overall criminal objective."                       The government
    states that an agreement in the conspiracy was reached when Durham
    contacted Maryea as instructed by Woods to get her assistance in
    continuing to smuggle Suboxone into the prison. After meeting with
    Durham multiple times to get the Suboxone, Maryea arranged for the
    Suboxone to be packaged "with the Oxycodone that she was already
    smuggling for Muder and for all these drugs to be brought to the
    -40-
    nursing home together so that they could then be transported into
    the jail by the trustees.        This continued until law enforcement
    intervened on September 20, 2009, thereby ending the conspiracy.
    The   government      further   argues   that    this   case   is
    distinguishable from Dellosantos since Maryea knew about Woods'
    agreement with Durham to distribute drugs in the jail and decided
    to join the endeavor, combining it with her ongoing efforts to
    smuggle other controlled substances into the jail for Muder. Thus,
    unlike the defendants in Dellosantos -- defendants who were found
    to be indifferent to the drug distribution in the first conspiracy
    and did not even know that the conspiracy existed for most of the
    relevant time period -- Maryea had direct contact with Durham
    concerning the Suboxone smuggling and participated in the agreement
    between Woods and Muder to smuggle said Suboxone into RCHOC.
    In the alternative, the government argues that, if the
    court finds that a variance existed, it was not prejudicial to
    Maryea.   This is because the Woods conspiracy was similar to the
    broader conspiracy charged "insofar as it involved the defendant
    agreeing with Woods and others to possess with intent to distribute
    illegal drugs, including Suboxone and Oxycodone."                Maryea had
    notice,   according   to   the    government,    since     the   Superseding
    Indictment charged her with reaching an agreement that ran until
    September 20, 2009, the day that Knowles was arrested for dropping
    Suboxone and Oxycodone at the jail.             Further, the Superseding
    -41-
    Indictment identified not only Suboxone, but also Oxycodone and
    other drugs involved in the conspiracy.          The government maintains
    that Maryea demonstrated her notice at trial when she identified
    her defense theory as one in which she intended to blame Muder by
    showing that she was either under duress or did not have the
    requisite mental state due to her desire to placate him.
    Finally,    the   government    rejects     Maryea's     arguments
    regarding     "evidentiary     spillover"     since    "the    bulk    of   the
    government's case related to the August-September 2009 time frame
    rather   than   the     April-July    time   frame."      Specifically,     the
    government contends that, even if two conspiracies were proven --
    one between Woods and Durham and one between Maryea, Woods, Muder
    and others -- Maryea was not prejudiced by the admission of
    evidence about the "April through July conspiracy" since it was
    clear on the record that Maryea did not know about Durham's
    smuggling arrangement with Woods at that time.                Therefore, the
    government argues, Maryea cannot claim that she was convicted
    because of the admission of "incompetent proof about the April-July
    conspiracy involving Woods and Durham, since it was obvious to the
    jury that the defendant's first dealings with Woods and Durham were
    not until later."
    In this case, in order to find that a single conspiracy
    was charged, it must have been possible for the jury to "infer from
    the   acts   and   statements    of   the    witnesses    a   single   ongoing
    -42-
    'agreement' that embraced [Maryea] and other co-conspirators."
    United States v. Jones, 
    674 F.3d 88
    , 92 (1st Cir. 2012).              We find
    that it was more than possible for the jury to so infer.
    First, the evidence shows that the activities that took
    place between Maryea, Woods and Durham were in fact linked to the
    Muder   conspiracy's   larger   operation       of    smuggling    controlled
    substances into RCHOC.     Co-conspirators Knowles, Noonan and Bowley
    testified at trial about the details of the Muder conspiracy's drug
    smuggling operation into RCHOC, including the use of trustees to
    smuggle drugs through slugs left at the nursing home adjacent to
    the prison.     The government then presented recorded telephone
    conversations    between    Maryea     and   Muder    indicating     delivery
    arrangements for the drugs. The government also presented recorded
    telephone   conversations    between    Woods   and    Durham     where   Woods
    indicated he was looking for Suboxone, and on August 14, 2009,
    Woods gave Durham Maryea's number and directed her to contact
    Maryea because he "owe[d] her boy."             In Durham's testimony at
    trial, she stated that she not only spoke with Maryea "a few, five,
    ten" times, but also gave her Suboxone with the understanding that
    "[t]hey were going to end up [in the jail]" to Woods, and that, if
    the Suboxone made it in, it was her understanding that Woods "would
    give [Maryea's] boyfriend [Muder] a split of [it]."                  She also
    testified that she met Maryea at her home when co-conspirator
    Knowles was present and gave her Suboxones for Woods.                Finally,
    -43-
    Durham stated    that     she   got   confirmation         from    Woods    that the
    Suboxone had made it into the prison.                     That confirmation was
    reinforced at trial by Durham's explanation of recorded telephone
    conversations    played    before     the     jury   in    which   she     and   Woods
    discussed the Suboxone amounts that Woods had received. Therefore,
    Durham's testimony indicates that, while the Woods distribution
    operation in part ran separately from Muder's, Woods relied on
    Durham and Maryea to procure the Suboxone and incorporate its
    distribution into Muder's drug-smuggling operation. The government
    also presented evidence of the drugs seized from Knowles and Noonan
    upon their arrest at the nursing home, including slugs containing
    Xanax, Oxycodone and Suboxone.
    This evidence, coupled with the actual conspiracy charged
    in the Superseding Indictment, is sufficient for a jury to infer a
    single conspiracy involving the smuggling of controlled substances
    into RCHOC. The conspiracy charged extended between April 2009 and
    September 20, 2009, included Maryea's agreement with Woods and
    others -- namely, "other persons both known and unknown to the
    grand   jury"   --   to   possess     with    intent      to   distribute    and   to
    unlawfully distribute Suboxone as well as Oxycodone, Oxycontin,
    Lorazepam, and Ativan.      We therefore find that a common goal can be
    discerned between the Muder and Woods conspiracies. Under our law,
    the common goal requirement has "wide breadth," and may be easily
    found here where both conspiracies involved possession with intent
    -44-
    to distribute and distribution of controlled substances into RCHOC.
    See United States v. Sánchez-Badillo, 
    540 F.3d 24
    , 29 (1st Cir.
    2008) (citation omitted).
    Second, Maryea herself embodies the overlap among the
    activities' participants.   Even if she did not participate at the
    beginning of Woods and Durham's Suboxone-smuggling conspiracy, she
    joined it later to combine their efforts with the efforts of the
    Muder narcotics-smuggling operation.      See United States v. Bello-
    Pérez, 
    977 F.2d 664
    , 668 (1st Cir. 1992) (to determine whether a
    defendant participated in the conspiracy, it is not necessary for
    the jury to find that the alleged co-conspirators joined the
    conspiracy at the same time or shared knowledge beyond a tacit
    understanding that their illicit agreement existed, and it is
    further not required that all participants knew each co-conspirator
    or that each co-conspirator participated at the same time in
    furtherance of the criminal venture; rather, what is essential is
    that the criminal goal or overall plan "have persisted without
    fundamental alteration, notwithstanding variations in personnel and
    their roles.").
    Third,   there    was    an    interdependence     among   the
    participants of the Woods and Muder conspiracies.          "Establishing
    interdependence among the participants requires determining whether
    the activities of one aspect of the scheme are necessary or
    advantageous to the success of another aspect of the scheme."
    -45-
    
    Sánchez-Badillo, 540 F.3d at 29
    (quoting United States v. Portela,
    
    167 F.3d 687
    , 695 (1st Cir. 1999)). This interdependence "makes it
    reasonable to speak of a tacit understanding between [a core
    conspirator] and others upon whose unlawful acts" his success
    depends.    
    Id. (quoting United States
    v. Glenn, 
    828 F.2d 855
    , 858
    (1st Cir. 1987)).     Based on the evidence presented at trial --
    Durham's testimony, the recorded telephone conversations, and the
    Suboxone found with other controlled substances in the slugs seized
    upon Knowles and Noonan's arrests -- a jury could rationally infer
    that Woods' drug-smuggling operation was orchestrated through the
    same means as the Muder operation and that Woods' Suboxone supply
    depended, at least in part, upon Maryea's successful procurement
    and   distribution   of   the   substance   to   RCHOC   through   Muder's
    channels.   See United States v. Soto-Beníquez, 
    356 F.3d 1
    , 19 (1st
    Cir. 2003) (interdependency may be shown where "the success of an
    individual's own drug transactions depends on the health and
    success of the drug trafficking network that supplies him").4
    Having found that a jury could have reasonably concluded
    that the Durham-Maryea-Woods activities shared a common purpose
    4
    Since we do not find that the evidence established an agreement
    different from that charged, we need not address the issue of
    variance.   United States v. 
    Soto-Beníquez, 356 F.3d at 18
    n.1
    (stating that the Court need not reach the issue of variance
    "because we find sufficient evidence to support the finding of a
    single conspiracy."). We also need not reach the issue of whether
    Maryea was prejudiced by any variance in our analysis. See id.;
    
    Pérez-Ruiz, 353 F.3d at 7
    .
    -46-
    with Muder's drug-smuggling operation, had the requisite degree of
    interdependency, and were a portion or component of Muder's larger
    conspiracy, we cannot agree with Maryea's argument that a variance
    existed with respect to the conspiracy charged and the conspiracy
    proven.
    III.   Conclusion
    We conclude that the district court did not err in
    denying Maryea's motion to dismiss on Speedy Trial Act grounds, nor
    did the district court commit an abuse of discretion by not
    ordering a second mental health evaluation of Maryea's competency.
    We further conclude that the government's proof at trial did not
    establish an impermissible variance that would warrant reversal of
    Maryea's conviction.   Accordingly, the judgment of the district
    court as to Maryea is affirmed.
    Affirmed.
    -47-