State of Iowa v. Jeffrey Alan Schories ( 2013 )


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  •                IN THE SUPREME COURT OF IOWA
    No. 11–0719
    Filed February 22, 2013
    STATE OF IOWA,
    Appellee,
    vs.
    JEFFREY ALAN SCHORIES,
    Appellant.
    Appeal from the Iowa District Court for Polk County, Odell G.
    McGhee, Judge.
    A criminal defendant challenges his conviction for driving while
    intoxicated. REVERSED.
    Mark C. Smith, State Appellate Defender and Martha J. Lucey,
    Assistant Appellate Defender, and Samuel S. Berbano, Student Legal
    Intern, for appellant.
    Thomas J. Miller, Attorney General, Sharon K. Hall, Assistant
    Attorney General, John P. Sarcone, County Attorney, and Brendan E.
    Greiner, Assistant County Attorney, for appellee.
    2
    APPEL, Justice.
    Jeffrey Schories was arrested and charged with operating a vehicle
    while under the influence of a controlled substance in violation of Iowa
    Code section 321J.2(1)(c) (2009). Schories asserted, among other things,
    the affirmative defense provided under Iowa Code section 321J.2(7)(b),
    which provides that an operator of a vehicle cannot be convicted of
    operating under the influence of a drug if he is taking the drug as
    prescribed by his doctor and in accordance with the labeling directions of
    the pharmacy. Notwithstanding this defense, a jury convicted Schories
    of operating while intoxicated.
    On appeal, Schories claims there was insufficient evidence to
    support the verdict, that the court failed to properly instruct the jury on
    the prescription drug defense, and that the district court improperly
    allowed evidence into the record related to a syringe found in the
    automobile he was driving at the time of his arrest. Further, Schories
    asserts his lawyer provided ineffective assistance by failing to properly
    preserve his insufficiency-of-the-evidence claim, failing to ask for a
    spoliation instruction in light of the state’s failure to preserve the syringe,
    failing to ask for a more specific instruction related to his affirmative
    defense, and failing to present evidence that Schories sold his plasma,
    which would have rebutted any inference that may have arisen from the
    presence of track marks and bruising over the veins of his arms.
    However, because we find there was insufficient evidence to support the
    verdict and reverse the district court, we need not consider Schories’s
    other claims.
    I. Factual and Procedural Background.
    On August 27, 2010, Des Moines police officer Colin Boone
    observed Schories driving a vehicle in what Officer Boone considered an
    3
    erratic manner.   After a preliminary investigation at the scene, which
    included the discovery of a syringe in between the front seat and the
    center console of the vehicle driven by Schories, Officer Boone
    transported Schories to the police station for further evaluation. After
    additional tests revealed methadone in Schories’s urine, the State
    charged him with operating while intoxicated under Iowa Code section
    321J.2(1)(c), which provides that a driver commits the offense when
    driving “[w]hile any amount of a controlled substance is present in the
    person, as measured in the person’s blood or urine.”                   Iowa Code
    § 321J.2(1)(c). Schories pled not guilty, and the case proceeded to trial.
    At the close of evidence, Schories moved for a judgment of acquittal
    based on the prescription drug defense, arguing it was clear that the
    methadone     found   in   Schories’s       urine   was   consistent    with   his
    prescription for methadone and that the State had failed to prove beyond
    a reasonable doubt that he was not taking it in accordance with the
    instructions of his physician or in accordance with the labeling
    instructions of the pharmacy. The court denied the motion and the jury
    found Schories guilty. Because Schories argues his conviction cannot be
    sustained on the basis that the jury’s findings were not supported by
    substantial evidence, we summarize the evidence offered at trial.
    A. Testimony of Officer Boone. The State called Officer Boone
    as its sole witness at trial.    Officer Boone has received three weeks
    training as a drug recognition expert. In addition to his ordinary police
    work, Boone has taught drug recognition courses at the Iowa Law
    Enforcement Academy for the past two years.
    On August 27, he was on routine patrol on East 14th Street in
    Des Moines.    According to Boone, around 11:15 p.m. he observed a
    vehicle that “left the pack I was in and caught the pack in front of him.”
    4
    Based on this observation, Officer Boone suspected the vehicle was
    speeding.    The vehicle then made a few lane changes without using a
    turn signal. Further, Officer Boone noticed that the vehicle was following
    another vehicle by a distance of only one car length in a 35-mile-per-
    hour zone. Considering the driving of the vehicle “erratic,” Officer Boone
    decided to make a traffic stop.
    Schories was the driver of the vehicle. Officer Boone observed that
    Schories had “bloodshot, watery eyes” and a “deep raspy voice.” Officer
    Boone further observed that when Schories exited the vehicle, he had
    “improper balance” and “slow” movements. According to Officer Boone,
    Schories “didn’t seem like—like he was acting what I would call normal.”
    Based on his observation, Officer Boone asked Schories to submit
    to a horizontal gaze nystagmus test. A horizontal gaze nystagmus test
    involves determining whether the eyes jerk involuntarily when a stimulus
    moves from side to side. Schories’s eyes tracked smoothly.
    Officer Boone also asked Schories to perform what is known as a
    Rhomberg test. The Rhomberg test asks a person to tip back his head
    and estimate the moment when thirty seconds has elapsed. During the
    test, Officer Boone observed Schories “swaying back and forth.” Schories
    estimated thirty seconds had elapsed when twenty-two seconds had
    passed.     Boone also obtained consent for a preliminary breath test,
    which did not indicate the presence of alcohol.
    Schories asked Officer Boone to retrieve his wallet and cell phone
    from the car. When Officer Boone looked for the wallet and cell phone in
    the car, he found an orange syringe between the seat and the center
    console. The syringe, however, was not preserved for evidence or testing
    by law enforcement.      The car was not registered to Schories, but
    5
    belonged to another person who is identified but not further described in
    the record.
    Officer Boone also discovered an unmarked pill bottle in Schories’s
    front pocket when he patted him down. Officer Boone checked the pills
    against his “drug bible,” a book he kept in his police vehicle that
    contained descriptions of various drugs.     Using the drug bible, Officer
    Boone specifically identified the pills found in the unmarked pill bottle as
    methadone and hydromorphone, two controlled substances.
    Officer Boone took Schories to the Des Moines police station for
    further examination. Schories consented to a data master breath test
    which, like the preliminary breath test administered at the traffic stop,
    showed no indication of alcohol. Schories also told Boone that he had
    taken a hydromorphone at 8:00 p.m. or 9:00 p.m. that evening.
    Officer Boone next examined Schories for physical signs of drug
    use.    He again observed “droopy eyelids, bloodshot, watery eyes” and
    pupils that were “a little constricted.” His pulse was a “little high” at 100
    beats per minute, with normal being in the range of 60 to 90 beats per
    minute.
    Officer Boone examined Schories’s eye function.           He again
    administered the horizontal gaze nystagmus test, which was negative.
    He also performed the lack of convergence test, during which the
    examiner makes two circles in front of the suspect’s nose with a finger
    and then touches the tip of the nose to determine if the eyes of the
    suspect converge.     Schories’s eyes did not converge.       Officer Boone
    testified, however, that twenty percent of the population cannot converge
    their eyes even when not under the influence of drugs.
    Officer Boone next administered the Rhomberg test for the second
    time.     This time, Schories estimated thirty seconds had elapsed in
    6
    twenty-four seconds. Officer Boone observed eye tremors and front-to-
    back swaying while administering the test.     Officer Boone then asked
    Schories to perform a walk-and-turn test.     During the walk-and-turn
    test, Officer Boone concluded that Schories demonstrated three of eight
    criteria showing the influence of a drug. Officer Boone also conducted a
    finger-to-nose test, during which Schories was asked to touch the tip of
    his nose.   Schories missed the tip of his nose four times out of six
    attempts.   Officer Boone concluded Schories’s coordination was off.
    Officer Boone did not ask Schories to perform a one leg stand test,
    however, in light of Schories’s assertion that his back injuries made it
    problematic for him to perform.
    Officer Boone again took Schories’s pulse, which he found to be at
    104 beats per minute. Schories’s blood pressure was also high, 160 over
    98.   His body temperature was low, 96.8 degrees Fahrenheit.      Officer
    Boone also measured Schories’s pupils in a dark room and found that
    they were on “the constricted side of normal.”     Further, Officer Boone
    observed that Schories’s muscles were “flaccid.”
    Officer Boone examined Schories’s arms and hands for injection
    sites. He saw bruising over the veins of both arms and red marks that
    resembled track marks. Because of the lack of pus oozing from the sites,
    Officer Boone concluded the injections did not occur “within the last few
    hours,” but instead occurred “within a day or two.” Officer Boone stated
    that hydromorphone and methadone can be injected.
    Based on “the totality of circumstances,” Officer Boone believed
    Schories was under the influence of a narcotic. Schories consented to
    providing a urine sample for chemical testing. His urine tested positive
    for methadone.
    7
    During the investigation, Schories told Officer Boone he was under
    the care of a physician for pain management and had prescriptions for
    methadone and hydromorphone. Schories told Boone that he had taken
    both drugs that day.
    On cross-examination, Officer Boone admitted he was not a doctor,
    that a lot of drivers speed or follow cars too closely who are not under the
    influence of a drug, and that raspy and slurred speech, bloodshot eyes,
    and droopy eyelids can be caused by other things besides use of
    narcotics. With respect to the syringe, Officer Boone admitted that the
    car did not belong to Schories and that he had not tested it for drugs.
    Boone testified, “I secured [it] in our syringe container. . . . They dispose
    of them properly because they are medical and biological hazards.”
    Officer Boone admitted he did not find the other elements of a “hype kit”
    such as a handle, elastic band, cooker, matches, lighter, tourniquet, or
    cottons in the vehicle driven by Schories. Officer Boone recognized that
    the mere presence of an injection site does not mean someone is under
    the influence of a drug. While the version of the National Highway Traffic
    Safety Administration manual that was used when Officer Boone was
    trained in 2006 or 2007 stated that methadone cannot be injected, he
    believed that version was not “up to date” based upon what he had read
    on the Internet.    When asked by the State on redirect examination
    whether methadone could be reduced to a liquid state and then
    transported, Officer Boone responded that it “could.”         Officer Boone
    admitted he initially believed Schories was under the influence of
    marijuana based on his observations, but that subsequent chemical
    testing was negative for the presence of marijuana.
    Schories’s counsel also probed the validity of certain physical
    indicators cited by Officer Boone in his direct examination. Officer Boone
    8
    admitted a person who has taken a narcotic analgesic, such as
    methadone, should have a lower-than-normal pulse rate and blood
    pressure, not higher-than-normal signs as exhibited by Schories.       He
    also admitted the Rhomberg test and finger-to-nose test had not been
    scientifically validated.   He admitted he did not observe a number of
    symptoms of use of narcotic analgesics, such as drowsiness, dry mouth,
    euphoria, facial itching, and slow breathing.
    B. Testimony of Dr. Daniel Baldi. Schories called his physician,
    Dr. Daniel Baldi, as a witness in support of his defense.     Dr. Baldi’s
    substantive testimony can be summarized as follows.       Since the early
    2000s, Dr. Baldi has treated Schories for chronic back pain following
    back surgery.    For a couple years prior to Schories’s arrest, Dr. Baldi
    prescribed methadone and hydromorphone for Schories for pain
    management. He testified methadone has a long half-life and provides
    long-term relief while hydromorphone is taken for break-through pain.
    Dr. Baldi prescribed two eight-milligram tablets of hydromorphone to be
    taken three times a day, plus one additional tablet at bedtime. He also
    prescribed four ten-milligram tablets of methadone to be taken in the
    morning, two in the afternoon, and two at bedtime.
    Dr. Baldi did not specifically have a discussion with Schories
    concerning driving while using the medication and did not advise
    Schories to refrain from driving while taking the drugs.        Dr. Baldi
    administered random drug tests on Schories. With the exception of one
    time in the “distant past” when he tested positive for marijuana, Schories
    never tested positive for any drug other than those prescribed. Dr. Baldi
    testified he could not recall any occasion where Schories ran out of his
    prescription too soon and noted that it had not been a recent problem for
    Schories. He stated that he saw no abuse of the drug by Schories and
    9
    that if he had, he would have taken appropriate steps such as seeing him
    more frequently, taking him off the medication, giving him less
    medication, giving him more drug screens, or ending the doctor–patient
    relationship in the event of illegal abuse.
    On cross-examination, Dr. Baldi was presented monographs for
    methadone and hydromorphone issued by Hy-Vee. The monographs are
    several pages of print that accompany a prescription obtained from a
    pharmacy.    The monographs for both methadone and hydromorphone
    state: “This drug may make you dizzy or drowsy.          Do not drive, use
    machinery, or do any activity that requires alertness until you are sure
    you can perform such activity safely.” The monographs were admitted
    into evidence over Schories’s objection.
    Dr.   Baldi   stated    both   methadone   and   hydromorphone    are
    addictive. He further testified that he did not prescribe that the drugs be
    injected and that he would have been concerned if he had observed
    Schories with somnolence or dizziness.        He testified that he would be
    surprised if Schories was driving erratically, that he had driven beside
    him coming home from work without observing any problems, and that
    hundreds of persons receive methadone shots each morning at two local
    clinics and subsequently drive to work. He further testified that while
    constricted pupils are a common side effect of all opioids, to the best of
    his knowledge, nystagmus, or the jerking of the eye, is not.
    II. Standard of Review.
    We review challenges to the sufficiency of the evidence for
    correction of legal errors.    State v. Heard, 
    636 N.W.2d 227
    , 229 (Iowa
    2001). Further, we review de novo the constitutional claim of ineffective
    assistance of counsel. State v. Risdal, 
    404 N.W.2d 130
    , 131 (Iowa 1987).
    10
    III. Sufficiency of the Evidence.
    A. Issue Preservation. Schories’s counsel moved for judgment of
    acquittal for failure of the State to present sufficient evidence both on the
    substantive crime and on the prescription drug defense.          On appeal,
    Schories presses only the latter claim.
    The State suggests that Schories did not properly preserve the
    issue at trial because Schories “did not challenge the State’s evidence
    disproving his prescription medication defense.” As a result, the State
    argues the only avenue to review the issue is through a claim for
    ineffective assistance of counsel. See, e.g., State v. Fountain, 
    786 N.W.2d 260
    , 263 (Iowa 2010).
    Schories counters that he recognizes we have required counsel to
    point out specific deficiencies in the evidence in the district court. See
    State v. Crone, 
    545 N.W.2d 267
    , 270 (Iowa 1996). He claims, however,
    that his motion was sufficient to preserve the issue. In the alternative,
    Schories urges us to consider the challenge as a claim of ineffective
    assistance of counsel.
    In making the motion for acquittal, Schories’s counsel asserted the
    State had presented insufficient evidence to overcome the prescription
    drug defense because the evidence demonstrated Schories had a
    prescription for the methadone found in his urine and was taking the
    drug in accordance with the directions of his physician and the
    pharmacy. Although the statement was conclusory, counsel did identify
    the elements of the affirmative defense for which the State allegedly had
    insufficient evidence. In Crone, we emphasized that in order to preserve
    error on a motion to acquit, the defendant must specifically identify the
    elements for which there was insufficient evidence. Id.; see also State v.
    Geier, 
    484 N.W.2d 167
    , 170 (Iowa 1992) (finding no preservation where,
    11
    in motion to acquit, defendant did not state that stun gun does not
    satisfy element of “dangerous weapon”). However, to the extent Schories
    stated the evidence showed that he had a prescription for methadone
    and that he was taking the drug in accordance with the directions of his
    physician and in accordance with the labeling instructions of the
    pharmacy, he has preserved error on this issue.1
    In any event, the question of preservation hardly matters because
    Schories may raise the issue through a claim of ineffective assistance of
    counsel. It would surely be ineffective under the standards announced
    in Strickland v. Washington, 
    466 U.S. 668
    , 
    104 S. Ct. 2052
    , 
    80 L. Ed. 2d 674
     (1984),2 if Schories’s counsel failed to preserve a valid motion for
    acquittal based on the State’s lack of substantial evidence tending to
    disprove the elements of the prescription drug defense.                     Further, the
    prejudice prong would obviously be satisfied where acquittal would have
    resulted if trial counsel had preserved the motion. Finally, there is no
    conceivable strategic reason for failing to preserve a potentially valid
    motion to dismiss for lack of sufficient evidence. Therefore, in order to
    determine the ineffectiveness issue on this appeal, we are only required
    1Schories’s   counsel did not raise a sufficiency-of-the-evidence challenge on the
    question of whether Dr. Baldi had instructed Schories not to drive. At trial, however,
    the State made no claim that Dr. Baldi had instructed Schories not to drive and neither
    party proposed an instruction on the issue. Because this issue was not contested at
    trial, Schories’s counsel had no obligation to specifically raise a claim of lack of evidence
    based upon it.
    2Although    Schories makes an ineffectiveness claim under both the Sixth
    Amendment of the United States Constitution and article I, section 8 of the Iowa
    Constitution, he asserts the test announced in Strickland v. Washington, 
    466 U.S. 668
    ,
    
    104 S. Ct. 2052
    , 
    80 L. Ed. 2d 674
     (1984), is the appropriate test under both
    constitutions. Where counsel does not assert a different standard under the Iowa
    Constitution than that developed by the United States Supreme Court under the
    Federal Constitution, we ordinarily apply the test advocated by the parties, but reserve
    the right to apply the test in a different manner. E.g., NextEra Energy Res. LLC v. Iowa
    Utils. Bd., 
    815 N.W.2d 30
    , 45 (Iowa 2012).
    12
    to determine whether the motion would have been meritorious even if the
    sufficiency of the evidence challenge had not been preserved.
    B. Merits of Motion for Acquittal Based on Insufficient
    Evidence.    There is no question that a reasonable fact finder could
    conclude that Schories was driving a vehicle on August 27 when a
    controlled substance, methadone, was in his system, as shown by the
    urine test. Thus, the basic elements of the offense established in Iowa
    Code section 321J.2(1)(c) were uncontested and clearly established. The
    fighting issue is whether Schories was entitled to acquittal as a matter of
    law based on the evidence presented relating to the prescription drug
    defense. See Iowa Code § 321J.2(7)(b). Once a defendant has presented
    evidence sufficient to show the prescription drug defense applies, the
    State has the burden of disproving each element of the defense beyond a
    reasonable doubt. See, e.g., State v. Lawler, 
    571 N.W.2d 486
    , 489 (Iowa
    1997).   It is undisputed that Schories had a valid prescription for
    methadone at the time of his arrest. The question thus becomes this:
    was there substantial evidence in the record to support the jury’s
    conclusion that Schories at the time of his arrest was not taking
    methadone according to his physician’s instructions and the labeling
    directions of the pharmacy?
    Schories claims there was not sufficient evidence to support the
    jury verdict because there was no evidence that he failed to take the
    prescription drugs as directed by his doctor or the pharmacy. According
    to Schories, once a valid prescription is established, the State must then
    show that Schories did not take the prescription as directed by his
    physician or pharmacy.      According to Schories, the State proved only
    methadone use, not methadone abuse. The State counters with three
    theories to sustain the jury verdict.
    13
    1. Substantial evidence based on behavior and symptoms.          The
    first substantial evidence theory offered by the State is based on a series
    of inferences that the State claims the jury was entitled to draw based on
    the behavior and symptoms exhibited by Schories on August 27.
    According to the State, a reasonable jury could infer that Schories’s
    erratic driving and difficulty with various tests on the night in question
    resulted from methadone intoxication.       The State further asserts a
    reasonable jury could conclude that because Schories had been under
    the supervision of Dr. Baldi in connection with his methadone
    prescription for a period of approximately two years, Schories would have
    reported to Dr. Baldi if he had been experiencing serious side effects from
    taking the drug. If Schories had reported serious side effects, the State
    argues, a reasonable jury could conclude that Dr. Baldi would have then
    adjusted the dosage until the side effects were alleviated. In other words,
    according to the State, a reasonable jury could infer that Schories, if he
    was taking methadone as prescribed by Dr. Baldi, would not have been
    experiencing the side effects exhibited on August 27 because such side
    effects would have been reported to Dr. Baldi earlier and would have led
    to an adjustment in the prescription.    Thus, according to the State, a
    reasonable jury could conclude that Schories was taking methadone in
    excess of the amount prescribed by Dr. Baldi.
    The problem with this theory is that the behavior and symptoms
    exhibited by Schories on August 27 were comparatively mild. Without
    expert testimony, the evidence is not sufficiently strong to allow a
    reasonable jury to conclude beyond a reasonable doubt that Schories
    was abusing rather than simply using methadone according to his
    prescription. See State v. Lawson, 
    913 A.2d 494
    , 504–05 (Conn. App. Ct.
    2007) (holding that expert testimony is required to link a trace amount of
    14
    methadone to a driving impairment); State v. Bealor, 
    902 A.2d 226
    , 237–
    38 (N.J. 2006) (noting that expert testimony is preferred on a cause of
    intoxication other than alcohol).     While the State established that
    methadone was in Schories’s urine, it did not introduce any evidence
    regarding the amount of methadone in his urine. The mere presence of
    methadone does not establish misuse because its presence could have
    been the product of valid use consistent with his prescription. Similarly,
    the mere facts that Schories changed lanes multiple times or sped from
    one pack of cars to another do not establish misuse. See People v. Vente,
    
    970 N.E.2d 578
    , 579–80 (Ill. App. Ct. 2012) (driving in a lane improperly
    and making an improper turn do not, standing alone, show an unlawful
    consumption of controlled substance).     While Dr. Baldi was generally
    asked whether the erratic driving of a patient on methadone would be a
    subject of concern, he was not specifically asked whether the driving
    observed on the night in question, in addition to the symptoms observed
    by Officer Boone, suggested Schories was abusing methadone. Further,
    a pain patient who experienced the mild side effects arguably established
    by the record would not necessarily report them to his physician. We
    therefore conclude the inferences the State asked the jury to draw were
    too speculative to support a jury verdict of guilt beyond a reasonable
    doubt. See State v. Truesdell, 
    679 N.W.2d 611
    , 618 (Iowa 2004).
    2. Substantial evidence of violation of labeling instructions.   The
    State argues it offered substantial evidence from which a jury could
    conclude beyond a reasonable doubt that Schories violated the labeling
    directions provided by his pharmacy by driving a vehicle on August 27.
    The State offered into evidence the monographs for methadone and
    hydromorphone.     These monographs provide details about the drugs,
    their side effects, and appropriate usages.    Both monographs stated:
    15
    “This drug may make you dizzy or drowsy. Do not drive, use machinery,
    or do any activity that requires alertness until you are sure you can
    perform such activity safely.” Dr. Baldi testified that these monographs
    are provided to a consumer by the pharmacy when the prescription is
    filled.3 The State argues there was substantial evidence Schories violated
    the instruction in the monograph that he should not drive until he was
    sure he could do so safely. The nub of the State’s argument is Schories’s
    behavior and symptoms on August 27 demonstrated that he objectively
    could not drive safely and that from these facts a jury could conclude
    beyond a reasonable doubt Schories drove his vehicle when he was not
    sure he could do so safely.
    The record contains evidence that Schories was driving in a less
    than optimum manner and in a fashion that would to some extent
    increase the risk of harm to himself and others. Many people drive in
    this fashion, however, without being under the influence of methadone or
    any other drug.      We do not think there is sufficient evidence in this
    record for a jury to conclude beyond a reasonable doubt that Schories
    was not sure he could perform the activity of driving safely as a result of
    methadone usage when he drove on the night in question. There is no
    evidence Schories had been warned in the past that he should not drive
    because of the side effects of methadone. There is no evidence in the
    record of previous mishaps or problems that might have put Schories on
    notice that he should not be driving while taking methadone. Further,
    we think the State’s theory requires a sense of self-awareness that is not
    3On   appeal, Schories does not question that the monographs are part of the
    labeling instructions of a prescription drug. The Food, Drug, and Cosmetic Act defines
    “labeling” as including any written material accompanying the drug. See 21 U.S.C.
    § 321(m) (2006) (labeling includes “all labels and other written, printed, or graphic
    matter (1) upon any article or any of its containers or wrappers, or (2) accompanying
    such article”).
    16
    likely to be exhibited by many persons taking prescription drugs.      We
    conclude there is insufficient evidence for a jury to conclude beyond a
    reasonable doubt that Schories was not sure, on August 27, that he
    could drive safely.
    3. Substantial evidence of unauthorized injection of methadone.
    The State argues it offered sufficient evidence to allow a reasonable jury
    to conclude beyond a reasonable doubt that Schories was injecting the
    methadone, a procedure not directed by his physician. On August 27,
    Schories exhibited track marks and bruising on both arms.         Further,
    police found a syringe in the car he was driving at the time of his arrest.
    Schories had also been driving erratically and arguably exhibited some
    symptoms of methadone use. Thus, the State claims that a reasonable
    jury could infer beyond a reasonable doubt that Schories was taking
    methadone by injection and that this unauthorized use was the cause of
    the behavior and symptoms of methadone intoxication.
    We are unconvinced by this last theory. While Schories had track
    marks and bruising on his arms on the night of his arrest, Officer Boone
    testified he did not see any oozing from the track marks and offered his
    opinion that the bruises and track marks were a day or more old.
    Further, Schories asserted he had taken methadone on the day of his
    arrest.   While Schories could have injected methadone at some point
    prior to his arrest, the record is silent as to how long methadone remains
    in a person’s urine when it is injected.     Thus, even if Schories had
    injected methadone, there is no evidence in the record that would permit
    a reasonable jury to infer that the methadone measured in Schories’s
    urine on August 27 was taken by injection as opposed to another method
    consistent with the directions of his physician and the pharmacy.
    Further, the track marks could have resulted from the injection of
    17
    something other than the methadone that was measured in Schories’s
    system on August 27.      Finally, the jury was left to speculate as to
    whether methadone could be injected.         Officer Boone testified the
    National Highway Transportation Safety Manual upon which he was
    trained indicated methadone could not be injected, but added that his
    unidentified searches on the Internet suggested the manual was
    incorrect. Thus, although it is clear there has been some needle activity
    on Schories’s arms in the past, there was no evidence of needle activity
    on the day of his arrest, no evidence of how long methadone remains in a
    person’s urine after injection, and no direct evidence that the tracks and
    bruising were a result of the injection of the methadone that was present
    in his urine on August 27. As with the other theories, we conclude the
    evidence is simply too speculative for a jury to conclude beyond a
    reasonable doubt Schories had injected the methadone measured in his
    urine on August 27.
    IV. Conclusion.
    We conclude there was insufficient evidence for a jury to conclude
    beyond a reasonable doubt the State disproved Schories’s prescription
    medication defense to operating while intoxicated.      As a result, the
    judgment of the district court is reversed.       Because jeopardy has
    attached to the defendant, the district court on remand shall enter
    judgment for the defendant.
    REVERSED.
    All justices concur except Waterman, Mansfield, and Zager, JJ.,
    who dissent.
    18
    #11–0719, State v. Schories
    WATERMAN, Justice (dissenting).
    I respectfully dissent because I conclude the evidence was
    sufficient to sustain Schories’s conviction for operating a motor vehicle
    while under the influence of a controlled substance in violation of Iowa
    Code section 321J.2(1)(c) (2009), notwithstanding his defense that he
    was prescribed methadone by Dr. Daniel Baldi. The majority usurps the
    role of the jury by dissecting the State’s rebuttal of the prescription-drug
    defense into separate, distinct theories and finding the evidence
    insufficient for each unique theory viewed in isolation. That is not how
    the case was tried and submitted to the jury that convicted Schories, nor
    should that approach govern appellate review for sufficiency.        It was
    undisputed that Schories had methadone in his system when driving and
    the only fighting issue was whether he was using it in compliance with
    instructions. We must examine the entire trial record in the light most
    favorable to the verdict. The aggregate evidence was more than sufficient
    to support the jury’s rejection of his prescription-drug defense. See Iowa
    Code § 321J.2(7)(b) (requiring proof defendant took prescribed drug as
    instructed by his physician and the labeling directions of the pharmacy).
    Schories was lawfully stopped by Officer Boone for erratic driving—
    speeding, repeated lane changes, and tailgating. The majority equates
    Schories’s manner of driving to that of many sober drivers. But, neither
    Schories nor the majority contends Officer Boone lacked probable cause
    for this traffic stop. Next, we have Officer Boone’s close observation of
    Schories’s symptoms and behavior on the side of the road and at the
    police station. Officer Boone testified Schories had “improper balance”
    and moved slowly getting out of the vehicle. His speech was slurred. His
    coordination was off. He displayed visible signs of impairment on several
    19
    field tests for sobriety. He failed to touch his finger to his nose four times
    out of six.    He “sway[ed] back and forth” when asked to tilt his head
    back. He showed three signs of impairment on the walk-and-turn test.
    He had watery, bloodshot eyes; eye tremors; droopy eyelids; and
    constricted pupils. He failed an eye convergence test that eighty percent
    of people can pass when sober. Officer Boone, based on all his personal
    observations, testified he believed Schories was under the influence of a
    narcotic.     The majority, relying on its review of the cold transcript,
    characterizes Schories’s behavior and symptoms the night of his arrest
    as “comparatively mild.”     I defer to the jury that apparently had a
    different take on Officer Boone’s live testimony.
    Schories had needle track marks on his arm and a syringe within
    his reach in the vehicle he was driving alone. He had both methadone
    and hydromorphone pills with him.             Schories tested positive for
    methadone in his urine.
    The pharmacy’s instructions accompanying Schories’s methadone
    prescription state: “This drug may make you dizzy or drowsy. Do not
    drive, use machinery, or do any activity that requires alertness until you
    are sure you can perform such activity safely.”           Dr. Baldi testified
    methadone is addictive and has a long half-life.           Dr. Baldi further
    testified he will make adjustments for patients who report methadone
    affects their driving. Schories had been taking prescription methadone
    for two years—ample time to work with Dr. Baldi on the appropriate
    dosages to avoid impaired driving. Schories was to take the methadone
    orally.     Injecting it would constitute abuse.       Schories offered no
    explanation at trial for the syringe in his passenger compartment or the
    needle tracks on his arm.
    Officer Boone’s unthinking disposal of the syringe in the biohazard
    container is regrettable. The opportunity was lost to test the syringe for
    20
    methadone or the DNA of Schories or another. But, the majority stops
    short    of   contending   evidence   of   the   syringe   should have   been
    suppressed, a remedy defense counsel never requested at trial. The jury
    was entitled to consider the presence of the syringe in the vehicle within
    Schories’s reach, together with the needle tracks on his arm and his
    multiple behavioral and symptomatic signs of impairment.
    The foregoing evidence in the aggregate was sufficient for a jury to
    find Schories either injected the methadone or ingested too much,
    contrary to the instructions from his physician or pharmacy.
    The majority errs by rejecting an injection theory based on Officer
    Boone’s speculation the needle tracks on the arm were not made “within
    the last few hours” because there was no pus oozing out at the time of
    his arrest. I find it inconsistent for the majority to credit Officer Boone’s
    lay opinion on the age of Schories’s needle marks while rejecting Officer
    Boone’s opinion that Schories was under the influence of a narcotic
    based on his observed behavior and symptoms.               An appellate court
    should not cherry-pick testimony from the same witness to believe and
    disbelieve in the guise of determining the sufficiency of the evidence. It is
    the jury’s role to weigh the evidence and decide what testimony is
    credible.
    Theoretically, it is possible that Schories was using methadone in
    compliance with his physician’s instructions, despite his erratic driving,
    his drugged appearance, the syringe in the car, and the track marks on
    his arm. But, a jury was entitled to find otherwise.
    The jury reasonably could conclude at least one of the needle
    tracks was less than a day old or infer Schories injected himself in a
    fresh spot Officer Boone did not examine, or find that at the time of his
    arrest Schories remained impaired by methadone previously injected in
    his arm. On this record, a reasonable jury could find Schories violated
    21
    Dr. Baldi’s instructions by injecting the methadone.     Alternatively, the
    jury could find Schories took more methadone in pill form than permitted
    by the labeling instructions.
    The majority opinion will require expert testimony in more OWI,
    prescription-drug-defense cases. The majority asserts: “Without expert
    testimony, the evidence is not sufficiently strong to allow a reasonable
    jury to conclude beyond a reasonable doubt that Schories was abusing
    rather than simply using methadone according to his prescription.”
    Thus, the majority questions the lack of evidence that methadone can be
    injected and faults the lack of expert testimony as to how long injected
    methadone would remain detectable in a person’s urine.            Yet, the
    majority cites no Iowa case or other persuasive authority requiring expert
    testimony to show defendant was abusing a prescription drug when
    other signs of impairment are present.       The two cases cited by the
    majority do not support requiring expert testimony here.
    The majority relies solely on State v. Lawson, 
    913 A.2d 494
    , 504–
    05 (Conn. App. Ct. 2007), for the proposition that “expert testimony is
    required to link a trace amount of methadone to a driving impairment.”
    (Emphasis added.)     Yet, that case is inapposite.   There, the appellate
    court affirmed the conviction of a drunk driver who caused a fatal
    collision by turning into the path of the victim–motorcyclist, who braked
    and swerved but was unable to avoid the impact. Lawson, 913 A.2d at
    496. “The victim was thrown from the motorcycle and died as a result of
    the collision.” Id. An autopsy revealed a trace amount of methadone in
    the victim’s blood.   Id. at 503.   There was no evidence the victim was
    driving erratically or was otherwise impaired. Lawson argued the jury
    should have been allowed to consider evidence of the trace amount of
    methadone in the victim’s blood, despite the lack of any “testimony as to
    the effect of the drug on the victim’s ability to operate the motorcycle.”
    22
    Id. at 504.    The appellate court disagreed and affirmed Lawson’s
    conviction because “there was no evidence that any impairment [of the
    victim] could constitute an independent and intervening cause of the
    collision.” Id. at 505. Lawson simply did not adjudicate whether expert
    testimony is required to prove a defendant was abusing methadone.
    The second case cited by the majority actually affirmed the
    defendant’s conviction for impaired driving without expert testimony and
    reversed the intermediate appellate court decision requiring expert
    testimony. See State v. Bealor, 
    902 A.2d 226
    , 237–38 (N.J. 2006). The
    majority merely cites Bealor for the proposition that “expert testimony is
    preferred on a cause of intoxication other than alcohol.”       (Emphasis
    added.)    I agree.    Expert testimony may well assist the jury in
    prescription-drug-defense cases, but should not be required when other
    admissible evidence supports the finding of impaired driving. Indeed, in
    Bealor, the New Jersey Supreme Court held that the arresting officer’s
    lay observations of defendant’s impairment and the presence of
    marijuana in his bloodstream were sufficient to convict him, without
    expert testimony the drug impaired his driving.          Id. at 236 (“The
    aggregate of those proofs was more than sufficient to permit the fact-
    finder to conclude, beyond a reasonable doubt, that the defendant
    violated the driving while intoxicated statute.”). The same is true here.
    In contrast to these two cases, I would commend to the majority
    the well-reasoned decision of the Pennsylvania Supreme Court, which
    specifically rejected an expert testimony requirement in a similar case
    involving impaired driving and a prescription-drug defense.             See
    Commonwealth v. Griffith, 
    32 A.3d 1231
    , 1238–39 (Pa. 2011).
    Prescription-drug abuse is a growing problem nationally and in
    Iowa. Our laws prohibiting impaired driving are intended to save lives
    and make our roads safer. See State v. Comried, 
    693 N.W.2d 773
    , 775–
    23
    78 (Iowa 2005) (affirming conviction for vehicular homicide based on
    trace amount of methamphetamine in defendant’s blood). We noted the
    purpose of Iowa Code chapter 321J is “to reduce the holocaust on our
    highways” caused in part by intoxicated drivers. Id. at 775 (citation and
    internal quotation marks omitted). In State v. Garcia, 
    756 N.W.2d 216
    (Iowa 2008), we reiterated that the purpose of chapter 321J is “ ‘to help
    reduce the appalling number of highway deaths resulting in part at least
    from intoxicated drivers.’ ” Garcia, 756 N.W.2d at 220 (quoting State v.
    Wallin, 
    195 N.W.2d 95
    , 96 (Iowa 1972)).        We should not undermine
    chapter 321J by playing Monday morning quarterback to second-guess
    juries or by superimposing a requirement of expert testimony when the
    aggregate record evidence is sufficient to prove prescription-drug abuse.
    Unfortunately, the majority’s de facto expert testimony requirement will
    raise the cost of prosecuting OWIs based on prescription-drug abuse.
    The district court correctly denied Schories’s motion for judgment
    of acquittal challenging the sufficiency of the evidence. Schories raised
    other issues including errors in the jury instructions.     I agree with
    Schories that the jury instructions given may have confused the jury as
    to who had the burden of proof concerning his prescription-drug defense.
    The instructional error entitles him to a new trial.   I will refrain from
    addressing the other issues not reached by the majority because its
    holding today requires dismissal of the charges against him without a
    retrial.
    Mansfield and Zager, JJ., join this dissent.