Melisa Ann Miller v. State ( 2020 )


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  •                                        In The
    Court of Appeals
    Ninth District of Texas at Beaumont
    __________________
    NO. 09-18-00378-CR
    NO. 09-18-00379-CR
    __________________
    MELISA ANN MILLER, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    __________________________________________________________________
    On Appeal from the 411th District Court
    Polk County, Texas
    Trial Cause Nos. 25454 & 25455
    __________________________________________________________________
    MEMORANDUM OPINION
    A grand jury indicted Appellant Melisa Ann Miller (“Miller” or “Appellant”)
    for the murder of James Bradberry, a first-degree felony, and for intoxication assault
    with a vehicle causing serious bodily injury to Melissa Bradberry, a third-degree
    felony. See Tex. Penal Code Ann. §§ 19.02, 49.07. Miller pleaded “not guilty,” but
    a jury found Miller guilty on both charges. The jury also made a deadly weapon
    1
    finding for both crimes charged. The court assessed punishment at fifty-five years
    on the murder charge, and ten years on the intoxication assault charge, with the
    sentences to run concurrently. Miller appeals her convictions, and in two issues, she
    challenges the admission of autopsy photos and the legal sufficiency of the evidence
    supporting the jury’s verdict. We affirm.
    Indictments
    A grand jury indicted Miller in cause number 25454 for felony murder, and
    the indictment alleged that the underlying felony offense was driving while
    intoxicated. The indictment alleged that Miller
    . . . while in the course of and in the furtherance of the commission of
    the felony of driving while intoxicated and having two prior convictions
    for driving while intoxicated did commit an act clearly dangerous to
    human life, to-wit: by operating her motor vehicle in such a manner as
    the motor vehicle moved into an on-coming lane of traffic and did
    collide with a motorcycle operated by James Bradberry and did cause
    the death of James Bradberry[.]
    A grand jury also indicted Miller in cause number 25455 for intoxication
    assault with a vehicle causing serious bodily injury, alleging that Miller:
    . . . operate[d] a motor vehicle in a public place while intoxicated, and
    did by reason of such intoxication cause serious bodily injury to
    another, Melissa Bradberry, through accident or mistake, namely: by
    allowing her motor vehicle to move into an on-coming lane of traffic
    and did collide with a motorcycle on which Melissa Bradberry was a
    passenger[.]”
    2
    Both indictments alleged that Miller used a deadly weapon, an automobile, in the
    commission of the offense.
    Evidence
    Testimony of Trooper Kevin Burman
    Trooper Kevin Burman, with the Texas Department of Public Safety (“DPS”)
    highway patrol, testified that he was dispatched to a crash involving motorcycles and
    severe injuries on FM 356 in Polk County on June 25, 2016, shortly after 9 p.m.
    According to Burman it was dry, hot and clear that day. Burman observed an SUV
    partly in the road and partly on the shoulder, close to the guardrail. He identified
    four victims at the scene: Melisa Miller, the occupant of the SUV; Ronald Creech,
    the operator of the first motorcycle; James Bradberry (“James”), the driver of the
    second motorcycle; and Melissa Bradberry (“Melissa”), James’s passenger. When
    Burman arrived on the scene, James was being treated, and a tourniquet had been
    placed on his leg because it had been severed just below the knee. According to
    Burman, Melissa was unconscious, had difficulty breathing, and was gravely
    injured. She was transported from the scene by helicopter.
    Trooper Burman testified that he spoke with other individuals who were riding
    in a group of four motorcycles together, with two motorcycles in front and two riding
    behind. Burman testified that the motorcyclists reported they had been driving about
    3
    fifty or fifty-five miles per hour. Burman testified that he asked a local reporter at
    the scene to take photographs, and Burman also took some photographs as well.
    State’s Exhibits 8 through 37 were admitted, which Trooper Burman
    recognized as photographs of the scene that night and the next day. Burman
    estimated that the point of impact was about ten inches into the lane in which the
    motorcycles were travelling. Burman testified that Exhibit 8 depicted the area of
    impact, and it showed blood spatter, body tissue, and gouge marks where vehicles
    collided and gouged out some of the asphalt. Burman testified that Exhibit 9 showed
    marks in the northbound lane made by the SUV, and that the SUV was traveling
    southbound. Burman testified that the damage to the SUV was to the front left wheel,
    grille, and front bumper and there was “less damage to the side of the vehicle[,]” and
    that State’s Exhibit 25 depicted damage to the driver’s side headlight assembly and
    front fender. According to Burman, the damage to the SUV’s windshield was “likely
    Mr. Bradberry’s left arm [that] was almost completely severed off.” Burman also
    testified that the driver’s side airbag of the SUV was deployed, which suggested
    frontal impact and not side impact. Burman believed that dents to the SUV hood
    were from the left handlebar of the motorcycle. The Trooper testified that Melissa
    ended up about fifty feet away from James.
    4
    Trooper Burman testified that during his investigation on the night of the
    crash, he received Miller’s purse and that he and Trooper Lenderman searched its
    contents before taking it to the sheriff’s office. Burman identified State’s Exhibit 66
    as an envelope that he packaged that contained evidence acquired from Miller’s
    purse and Exhibit 67 was the contents. Burman identified State’s Exhibits 38, 39,
    and 40 as photos of a pill bottle in Miller’s purse—a prescription bottle of
    hydrocodone-acetaminophen. Burman also identified Exhibit 41 as a photo of four
    Soma or carisoprodol pills taken from Miller’s purse that were not in a prescription
    bottle although the pills were prescription medication. Burman also testified that
    Trooper Lenderman obtained a “consensual blood sample” from Miller at the
    hospital. According to Burman, analysis of the blood sample by the Houston crime
    lab detected no alcohol, and the DPS crime lab in Austin did a narcotics analysis on
    the blood sample.
    Burman testified that he spoke with Miller at the hospital where “she still
    seemed to be impaired[]” and lacked the “normal use of normal mental and physical
    faculties . . . from the introduction of narcotics or alcohol in the person’s system.”
    He observed Miller’s movements were slow and deliberate, her eyes appeared glassy
    and bloodshot, her speech was slurred, her coordination was “off[,]” and she seemed
    emotionless despite the traumatic situation. Burman agreed that in his driver
    5
    examination report, he wrote that Miller “[a]ppeared to be under the influence of
    medication.” Trooper Burman agreed that he arrested Miller the night of the accident
    for intoxication manslaughter, intoxication assault, and possession of Soma without
    a prescription. State’s Exhibits 73 and 74 were admitted into evidence and published
    to the jury, and Burman testified that he recognized these as videos taken from the
    patrol vehicle’s cameras that night as he was at the scene and interacting with Miller.
    Testimony of Kaylie Allbright
    Allbright testified that, while driving one night in June 2016, she observed a
    vehicle pull onto the highway swerving to the right and left, and the vehicle
    contacted at least one motorcycle:
    She was swerving. The vehicle was swerving on the road and hit
    -- well went over the yellow and the white lines -- the yellow line being
    in the middle and the white line being on the outside -- and hit a couple
    of motorcycles.
    ...
    The vehicle was going onto the other side of the yellow line and
    almost into the ditch, back and forth . . . [and] [s]werving across the
    white line to my right almost into the ditch as well.
    ...
    I could see her swerving, or the vehicle swerving, and it [] went
    over the yellow line to my left and hit some motorcycles.
    ...
    The vehicle that hit the motorcycles kept going . . . . It didn’t stop
    right when the motorcycle was hit. It went farther on down before it
    was stopped.
    6
    Allbright recalled that at one point, both tires on the driver’s side of the vehicle “were
    completely over the yellow line[.]”
    Testimony of Ronald Creech
    Ronald Creech testified that he rode motorcycles with James and Melissa,
    who were “like family[,]” and that he was riding his motorcycle with them on the
    day of the accident. According to Ronald, the motorcycles were traveling at the
    speed limit, about fifty or fifty-five miles per hour, on a two-lane road. Ronald
    testified that
    . . . We were riding in formation down the road, and I was in
    front, as I normally was on the center line side. They were directly
    behind me. I saw someone veering toward the centerline, and I thought
    someone was just crowding me off the centerline because a lot of times
    cars will do that. I eased over a little bit. The vehicle kept coming over
    across the centerline and basically hit me head on, on my left handlebar.
    Ronald testified that he saw James lying on the side of the road “like a pile of
    laundry[]” and his leg was across the road. Ronald testified that Melissa, who had
    been riding on the back of James’s motorcycle directly behind Ronald, had been
    thrown far enough into the tall grass that it took them fifteen or twenty minutes to
    find her. Ronald testified that after James and Melissa were taken to the hospital, he
    went to see them but when he arrived, he was told James had died.
    7
    Testimony of Andrew Crane
    On June 25, 2016, Andrew Crane testified that he was riding his motorcycle
    northward with James, Melissa, Ronald, Robert Heifner, and Robert’s wife, when a
    crash occurred. According to Andrew, an SUV came across the lane and Andrew
    heard a crash. Andrew testified that James was lying on the side of the road, and the
    SUV was “down the road[]” and had one of the front tires “just about ripped off of
    it.” Andrew did not see the vehicle hit a motorcycle, but he heard the crash. When
    Andrew turned around, he saw James lying in the road looking “like a pile of
    clothes” and his left leg was missing. According to Andrew, Melissa was initially
    “nowhere to be seen[]” but she was later found in a ditch, “bones sticking out of her
    arm[,]” her “pinkie was about torn off[,]” her right leg from the knee down was “just
    destroyed pretty much[,]” and she was initially unresponsive. Andrew identified
    Miller as the driver of the SUV that night.
    Testimony of Deborah Heifner
    Deborah Heifner testified that she and her former husband Robert Heifner
    were riding motorcycles with Creech, Nancy Smith, and James and Melissa on the
    night of June 25, 2016. At one point she felt the motorcycle swerve and she heard a
    loud noise. When she and Robert pulled over and got off the motorcycle, she saw
    James lying in the road, she began to render first aid, including placing a tourniquet
    8
    on James’s left leg and a belt on his left arm and tried to keep him from moving in
    case there was a spinal injury. Deborah described what she saw: “[James’s] left leg
    was pretty much gone. At about the knee, it was pretty much gone. The left arm was
    completely busted open around the elbow. He was bleeding profusely.” Deborah
    identified Miller as a person she saw at the site of the crash, and she recognized
    Miller from a restaurant where she had seen Miller working.
    Testimony of Robert Heifner
    Robert Heifner testified that he rode motorcycles with James and Melissa, and
    he had known them for about four months before June 25, 2016. According to
    Robert, while riding that night, he saw an oncoming car veer over toward them, and
    he and James both swerved. According to Robert, he saw the impact to James, and
    James hit the bumper on the driver’s side of the car. Robert further testified that he
    went to the driver of the car, who was standing outside her vehicle, to make sure she
    was okay. Robert identified Miller as the driver of the car that night, and he described
    her as “[i]ntoxicated.” According to Robert, when he asked her how she was doing,
    she replied “[t]hey ran me off the road and kept going.” Robert recalled that Miller’s
    vehicle was severely damaged.
    9
    Testimony of Doug Crocker
    Doug Crocker testified that he was driving “a car length or two” behind the
    motorcycles and he saw the crash as it happened. Crocker testified that he observed
    a van come about halfway into his lane and hit the handlebars of one of the
    motorcycles and then it “plowed the other one head on.” According to Crocker, he
    saw a man lying on the ground with one of his legs gone. Crocker agreed that when
    the vehicle hit the motorcycles, it was in his lane of traffic when he was following
    the motorcycles. Crocker recalled that he got out of his car and approached the man
    lying on the road whose leg was missing. According to Crocker, he and another
    person on the scene found the man’s wife in a ditch about fifty yards away, and one
    of her legs was gone and both her elbows were broken.
    Crocker identified Miller as the driver of the vehicle that caused the crash, and
    he testified that he spoke with her that night to see if she was okay, she told him that
    her wrist hurt, she kept repeating she was reaching for her phone, and her words
    were slow.
    Testimony of Peggy Samuels
    Peggy Samuels testified that she and her husband were riding their ATV near
    FM 356 and they heard an “awful noise[]” that they knew it was an accident.
    According to Samuels, they went to the scene, and her husband, who is a police
    10
    officer, went to help. Samuels remained on the ATV, and she observed a very
    distraught woman, on a cell phone, who seemed to be speaking with her mother and
    repeating “mother” several times. Samuels asked the woman if she was okay, and
    the woman told her she had just been in an accident. According to Samuels, the
    woman said, “I was driving, and they just swerved in my lane, came in my lane.”
    Samuels testified that the woman placed her purse on the ATV even though Samuels
    asked her not to, and then the woman headed back toward the accident. Samuels
    used her cell phone as a flashlight to look in the woman’s purse, where she found
    two hot dogs and several bottles of prescriptions. Samuels testified that she called
    her husband over, who took the woman’s purse back to the accident scene. Samuels
    identified Miller as the woman who left a purse on the ATV that night.
    Testimony of Detective Dakota Hernandez
    Detective Dakota Hernandez testified that she was currently with the San
    Jacinto County Sheriff’s Office, but she was previously with the Onalaska Police
    Department. According to Hernandez, she was dispatched to the scene of a crash in
    Polk County. When she arrived at the scene, there was a man lying on the ground
    whom Hernandez described as having broken bones, bleeding heavily, missing a leg,
    and having “a broken body.” Hernandez learned that a woman (Melissa Bradberry)
    had also been injured in the accident, but she was “a bit further away” from where
    11
    the man who was injured in the accident. Hernandez recalled that the woman who
    was injured appeared “lifeless[]” and there was “gurgling in her voice.” Hernandez
    identified Miller as the driver of the vehicle at the scene.
    Testimony of Lieutenant Mark Jones
    Lieutenant Mark Jones with the Polk County Sheriff’s Office testified that he
    is a certified fingerprint examiner, which gives him the ability to take known
    fingerprints and compare them to a known source. Jones testified that he was asked
    to take known prints of Miller, and he identified State’s Exhibit 70 as fingerprints
    he personally obtained from Miller. According to Jones, he compared the known
    prints to those on judgments obtained from the clerk’s office, and State’s Exhibits
    47 and 48 appeared to be photocopies of the original judgments he examined. Based
    on his comparison, Jones testified that the known prints he took of Miller were the
    same as the prints on the two judgments.
    Testimony of Trooper William Lenderman
    Trooper William Lenderman with DPS testified that he was trained in
    standardized field sobriety testing. He agreed that he was dispatched to the scene of
    a “[v]ehicle versus motorcycle crash[]” that occurred just after 9 p.m. in Polk County
    on June 25, 2016. According to Lenderman, upon arriving at the scene, Trooper
    Burman asked him to check out the driver of the vehicle for possible intoxication,
    12
    and he identified Miller as the driver of the vehicle. Lenderman testified that at the
    scene, Miller “seemed kind of lost[]” but she did not have any visible injuries, and
    he asked her if she had taken any drugs or drunk any alcohol. According to
    Lenderman, Miller at first denied taking any medication, but later told him she had
    taken two pills that were either a painkiller or muscle relaxer. Lenderman conducted
    standard field sobriety testing, but only one portion was completed because Miller
    reported to him that she had some physical limitations. Lenderman explained that
    standardized field sobriety testing has three parts, including horizontal gaze
    nystagmus (“HGN”), walk and turn, and one-leg stand test, but that he only
    administered the HGN because Miller had back problems and did not believe she
    could walk a straight line. Lenderman recalled that he observed “six out of six
    clues[]” on Miller’s HGN test. Lenderman also agreed that the test is not one hundred
    percent accurate, but he felt he had received one hundred percent accurate results in
    this instance.
    Lenderman identified State’s Exhibits 73 and 74 as recordings taken of his
    conversations and interactions with Miller the night of the accident, which were
    admitted and published to the jury. According to Lenderman, he had to start the test
    over several times because when he instructed Miller to follow the movement
    visually of his pen, Miller would quit following the stimulus. Lenderman testified
    13
    that Miller told him she had taken two pills that day, and Exhibit 73 shows Miller
    tell Lenderman that she took two Norco pills earlier in the day and later tell him she
    took three pain pills that day. Exhibit 73 also shows Miller tell Lenderman that the
    pills in her purse were Somas that she had had “forever.”
    According to Lenderman, he requested a blood sample from Miller, and she
    agreed. Lenderman agreed that he arrested Miller and read the standard warnings to
    her explaining her rights. Lenderman also testified that “a few pills” were found
    inside Miller’s purse, including 350-milligram carisoprodol, known as Soma, and
    that Miller had mentioned to him she had a prescription for pain medication.
    Lenderman identified State’s Exhibits 66 and 67 as the carisoprodol pills that were
    in Miller’s possession. According to Lenderman, Miller had called the pills “Soma”
    when talking about them, and he did not find a prescription for them. Lenderman
    identified State’s Exhibit 75 as the blood draw kit used on Miller at the hospital the
    night of the accident, and he agreed he was present for the blood draw.
    Trooper Lenderman testified that State’s Exhibit 47 was a judgment for
    Melisa Ann Miller dated 2009 for the offense of driving while intoxicated and that
    State’s Exhibit 48 was a judgment for Melisa Ann Miller dated 2011 for the offense
    of driving while intoxicated, second offense, and that the documents reflected that
    Miller had pleaded guilty to both offenses. Lenderman agreed that a vehicle that
    14
    veers across the center lane into oncoming traffic and strikes another vehicle is a
    deadly weapon and that Miller’s vehicle was a deadly weapon in this case. Based on
    his observations and the standardized field sobriety testing, Lenderman believed that
    Miller had “lost the normal use of her mental and physical faculties due to the
    introduction of medication into her body[,]” which contributed to the accident.
    Lenderman agreed that Miller had told him she had worked ten hours earlier in the
    day, she was tired, she thought the motorcycles came into her lane, and she had been
    reaching for the phone she had dropped in her car.
    Testimony of Dana Baxter
    Dana Baxter testified that she is a forensic scientist with DPS and works in
    the toxicology section of the Austin crime lab. She also testified that she is trained
    on the effects of drugs on a person’s body. Baxter recalled testing a blood specimen
    from Miller in 2016. Baxter recognized State’s Exhibit 75 as a sample received in
    June 2016 that was marked with her initials. Baxter also recognized State’s Exhibit
    51 as the report of her findings she prepared after testing the sample. According to
    Baxter, the sample she tested detected carisoprodol at 4.6 milligrams per liter,
    hydrocodone at .06 milligrams per liter, and meprobamate at 20 milligrams per liter.
    She further testified that her testing detected amphetamine and methamphetamine.
    15
    Baxter testified that carisoprodol, sold under the brand name of Soma, is a
    muscle relaxer. Baxter further testified that when the body breaks down
    carisoprodol, the breakdown produces meprobamate, an active metabolite that
    affects the body. According to Baxter, carisoprodol is a central nervous system
    (“CNS”) depressant, like alcohol, and side effects include sleepiness, mental
    confusion, slowed reaction times, and balancing or vision problems. Baxter testified
    that meprobamate is also a CNS depressant that results in sleepiness, anxiety, mental
    confusion, and balance problems. Baxter further testified that hydrocodone is also a
    CNS depressant and a painkiller, similar in its effects as carisoprodol or
    meprobamate, and can cause drowsiness, mental confusion, and slowed reaction
    times. Baxter described amphetamine and methamphetamine as CNS stimulants that
    can lead to fast speech or agitation, but that on the “down[]side,” these drugs can act
    like CNS depressants and create problems with alertness. According to Baxter,
    carisoprodol, meprobamate, and hydrocodone taken together have additive effects.
    Baxter testified that the levels of carisoprodol she detected were within but
    “at the upper end of the therapeutic range[]” for this drug, the levels of meprobamate
    were in the middle of the therapeutic range, and the concentration of carisoprodol
    and meprobamate were at a level where there could be impaired driving. Based on
    her test findings, Baxter testified that she would not feel comfortable riding in a car
    16
    with someone who had this combination and amount of drugs in their system
    because the levels detected are hazardous for driving and increase the likelihood of
    poor judgment. Baxter agreed that there is no “per se limit” for intoxication for
    carisoprodol, meprobamate, and hydrocodone as there is for alcohol intoxication and
    the standard for intoxication for drugs other than alcohol is “loss of your mental and
    physical faculties.”
    Testimony of Megan Barton
    Megan Barton testified that she is a technical leader for the toxicology section
    of DPS in Austin and she works with Dana Baxter. According to Barton, the testing
    of Miller’s blood sample for amphetamines and methamphetamines was performed
    by Samuel Salinas, who left the DPS lab to work for a lab in another state, but Barton
    had reviewed Salinas’s work on this sample, and she agreed with his procedures and
    results. Barton testified that the results of testing Miller’s blood sample were
    amphetamine at less than .05 milligrams per liter and methamphetamine at .10
    milligrams per liter. According to Barton, amphetamines and methamphetamines are
    “considered the same[,]”amphetamine is a metabolite of methamphetamine, and the
    drugs make a person feel more excited, more energetic, or “better about
    themselves[.]” Barton testified that a level of methamphetamine above .2 is
    considered abuse when prescribed for ADD, ADHD, or narcolepsy.
    17
    Testimony of Molly Horn
    Molly Horn, a paramedic, testified that she responded to an accident on FM
    356 in June 2016. Horn recalled that she was in the second ambulance to arrive at
    the scene and when she arrived, the first ambulance was taking care of a male patient,
    and a female patient was lying in the ditch on the side of the road. According to
    Horn, the woman had pretty severe injuries and her leg was almost completely
    amputated, she had been placed on a backboard, and a tourniquet was placed on her
    leg. Horn further testified that the woman was not breathing effectively and had
    injuries to her arms and hands, and Horn believed the woman might die within
    minutes. Horn testified that the woman was sedated, a breathing tube was inserted,
    and a flight crew took the woman onto a helicopter. According to Horn, the woman
    was identified as Melissa Bradberry. Horn identified State’s Exhibit 5 as the EMS
    report she wrote after the accident. In Horn’s opinion, the injuries to Melissa
    constituted serious bodily injury.
    Testimony of Dr. Tommy Brown
    Dr. Brown testified that he is a forensic pathologist, a person who performs
    autopsies to determine cause and manner of death, and he was asked to do an autopsy
    of James Bradberry in June 2016. Dr. Brown testified that, in his external
    examination, he noted that James had “severe trauma to the chest and the abdomen
    18
    and pelvis and the lower left extremity.” He also noted three abrasions along the
    right lower chest, a crushed left pelvis, the part of the left femur had been shoved
    into the lower abdominal cavity, a crushed and fractured ball joint where the femur
    joins the hip, an abrasion on his left hip and left inguinal area, a severe large
    laceration extending from his left hip to just above the knee, a compound fracture of
    the femur, destruction of the soft tissue in the leg, fractured tibia, a below-the-knee
    amputation of the left leg and foot, abrasions to his right knee and left shoulder, and
    a large fracture to the distal femur and proximal forearm. In his internal examination
    he noted a fractured sternum and blood in the chest cavity.
    Dr. Brown recognized State’s Exhibit 64 as the autopsy report and copy of the
    toxicology results that he prepared on James Bradberry, and the autopsy report was
    published to the jury. Brown agreed that State’s Exhibits 52, 54, 55, 58, 60, 62, and
    63 accurately depicted the condition of James’s body at the time of the autopsy. Dr.
    Brown testified that Exhibit 54 showed severe injuries to James’s left hip and leg,
    including the below-the-knee amputation; Exhibit 55 showed a large laceration from
    the left hip to left knee, soft tissue damage, and a compound fracture of the femur;
    Exhibit 58 showed extensive injury below the knee of the left lower leg, including
    amputation; Exhibit 60 showed fractures to the left elbow, a large laceration on the
    left arm, and soft tissue damage; Exhibit 62 showed rib fractures; and Exhibit 63
    19
    showed separation between the T9 and T10 vertebrae and a spinal fracture. Dr.
    Brown agreed that his review of the records reflected that an “improvised”
    tourniquet was applied to James at the scene of the accident, and another tourniquet
    was placed and secured by the Life Flight crew.
    In Dr. Brown’s opinion, the cause of James’s death was “[b]lunt force trauma
    of the thorax, or the chest, and pelvis and the left lower extremity with traumatic
    amputation of the left lower leg.” Dr. Brown determined that the manner of death
    was a motor vehicle-motorcycle accident. On cross-examination, Dr. Brown agreed
    that for these injuries to have been sustained, the driver that hit James’s motorcycle
    did not have to be intoxicated, and the doctor could not say whether intoxication
    played a role in the injuries. Dr. Brown testified that James appeared to have been
    “a very healthy individual[]” and he found no medical issues or concerns that would
    have shortened James’s life.
    Testimony of Melissa Bradberry
    Melissa testified that she and James had been married seventeen years, and
    they had two teenaged children. Melissa testified that she and James were in a
    motorcycle accident on June 25, 2016. Melissa did not remember the accident itself,
    but she remembered being in a hospital room hooked up to a monitor and with her
    arms bandaged.
    20
    According to Melissa, when she first left the hospital, she went to a
    rehabilitation facility for just under a month to get her to a point where she did not
    require nursing care and to provide physical therapy. Once she was home, she had
    to use a wheelchair and her mother moved in to help. Melissa testified she had two
    more hospital visits for infections and reconstruction of her residual limb. Melissa
    explained that she went home in August 2016 and she was fitted for a prosthetic leg
    in about October 2016. She continued to have pain, including phantom pain. Melissa
    testified that she lost her left pinkie finger and required occupational therapy for her
    hand. Melissa recalled that she had two surgeries.
    Melissa testified that she is a claims specialist for the Social Security
    Administration, and she returned to work in November 2016, but she had problems
    with memory and word usage, and it became harder for her to keep up with her work.
    At the time of trial, Melissa was on extended leave and had filed for disability, and
    she continued to have visits with doctors. Melissa could not attend James’s funeral
    because she was in the hospital.
    The defense did not call any witnesses.
    Admission of Evidence
    Appellant’s first issue argues that the trial court erred by admitting autopsy
    photos because the photos had “little probative value[]” because “it was uncontested
    21
    that James Bradberry died as a result of injuries sustained during a vehicle
    collision[]” and “there is no question regarding the extent of the injuries Melissa
    Bradberry suffered as a result of the accident.” Therefore, autopsy photos were
    unnecessary for the jury to determine the cause of death, and the prejudicial value of
    such photos outweighed their probative value. Appellant argues that the trial court
    failed to conduct a required balancing test and erred in admitting State’s Exhibits 52,
    54, 55, 58, 60, 62, 63, 64, and 65. 1 According to Appellant, the autopsy photos
    “served no purpose other than inflaming the minds of the jurors as to the guilt or
    innocence of the Appellant.”
    According to the State, the photos were highly probative because “they
    demonstrated the nature and extent of the injuries James Bradberry sustained,
    provided evidence of the cause and manner of his death, and were necessary to the
    State in developing its case.”
    Applicable Law
    We review a trial court’s ruling on the admission or exclusion of evidence
    under an abuse of discretion standard. Torres v. State, 
    71 S.W.3d 758
    , 760 (Tex.
    1  Although Appellant objects to the admission of Exhibits 64 and 65 as
    autopsy photos, these exhibits in the appellate record are not autopsy photos. Exhibit
    64 is the autopsy report for James, and Exhibit 65 is a candid snapshot of James and
    Melissa before the accident.
    22
    Crim. App. 2002). We will not reverse a trial court’s ruling absent a clear abuse of
    discretion. Wyatt v. State, 
    23 S.W.3d 18
    , 26 (Tex. Crim. App. 2000). There is no
    abuse of discretion as long as the court’s ruling is within the zone of reasonable
    disagreement. De La Paz v. State, 279 SW.3d 336, 343-44 (Tex. Crim. App. 2009).
    Moreover, error in the admission or exclusion of evidence will not support reversal
    unless the error affected a substantial right of the complaining party. Tex. R. Evid.
    103(a); Tex. R. App. P. 44.2(b). “A substantial right is affected when the error had
    a substantial and injurious effect or influence in determining the jury’s verdict.” King
    v. State, 
    953 S.W.2d 266
    , 271 (Tex. Crim. App. 1997). If the record as a whole
    provides fair assurance that the error in evidentiary rulings did not influence the jury,
    or influenced the jury only slightly, reversal is neither required nor appropriate.
    Schutz v. State, 
    63 S.W.3d 442
    , 444 (Tex. Crim. App. 2001).
    “Rule 403 favors the admission of relevant evidence and carries a presumption
    that relevant evidence will be more probative than prejudicial.” Jones v. State, 
    944 S.W.2d 642
    , 652 (Tex. Crim. App. 1996). “Once a Rule 403 objection as to prejudice
    versus probative value is invoked, the trial judge has no discretion as to whether or
    not to engage in the balancing test required by that rule.” Williams v. State, 
    958 S.W.2d 186
    , 195 (Tex. Crim. App. 1997). “However, a trial judge is not required to
    sua sponte place any findings he makes or conclusions he draws when engaging in
    23
    this test into the record[.]”
    Id. “Rather, a
    judge is presumed to engage in the required
    balancing test once Rule 403 is invoked[.]”
    Id. A court
    may consider many factors in determining whether the probative
    value of photographs is substantially outweighed by the danger of unfair prejudice.
    Hayes v. State, 
    85 S.W.3d 809
    , 815-16 (Tex. Crim. App. 2002). These factors
    include the number of exhibits offered, their gruesomeness, their detail, their size,
    whether they are in color or in black and white, whether they are close-up and
    whether the body depicted is clothed. See
    id. (citing Wyatt,
    23 S.W.3d at 29). A
    court, however, should not be limited to this list.
    Id. The availability
    of other means
    of proof and the circumstances unique to each individual case may also be noted.
    Id. “A trial
    court does not err merely because it admits into evidence photographs
    which are gruesome.” Sonnier v. State, 
    913 S.W.2d 511
    , 519 (Tex. Crim. App.
    1995). If there is error in the admission of evidence, we must determine whether the
    error was harmless under Rule 44.2(b). See Prible v. State, 
    175 S.W.3d 724
    , 736-37
    (Tex. Crim. App. 2005) (concluding that although admission of autopsy photos was
    error under Rule 403, the State’s use of these autopsy photographs did not affect
    appellant’s substantial rights); 
    Hayes, 85 S.W.3d at 816
    (citing Tex. R. App. P. 44.2;
    Tex. R. Evid. 103(a)).
    24
    Analysis
    The State offered twelve autopsy photographs, Exhibits 52 through 63. The
    defense objected to the photographs as “graphic in nature and so dramatic and
    emotion-inducing” that the prejudicial effect of the photos would outweigh any
    probative value. According to the defense, the testimony of the medical examiner
    alone would be sufficient to explain the cause of death.
    The trial court considered each exhibit individually outside the presence of
    the jury, including hearing from Dr. Brown what each exhibit purported to show,
    and after ruling on the objections on each exhibit, the trial court admitted seven—
    Exhibits 52, 54, 55, 58, 60, 62, and 63. The record before us does not affirmatively
    show that the trial court refused to conduct a Rule 403 balancing test. Rather, the
    trial court overruled the Rule 403 objections. We presume the trial court engaged in
    a balancing test before the court ruled on the objection. See 
    Williams, 958 S.W.2d at 195
    . Furthermore, Rule 403 favors the admission of relevant evidence, and relevant
    evidence carries a presumption that it is more probative than prejudicial. See
    id. at 196.
    Miller has failed to overcome the presumption that the evidence was more
    probative than prejudicial. See
    id. at 195-96.
    “We will not overturn a case on a non-constitutional error if, after examining
    the record as a whole, we have a fair assurance that it did not influence the jury[] or
    25
    influenced them only slightly.” 
    Hayes, 85 S.W.3d at 816
    (citing 
    Schutz, 63 S.W.3d at 444
    ). In addition to the objected-to autopsy photos, the record includes testimony
    by Dr. Brown about the nature and extent of James’s injuries, the autopsy report, and
    testimony of other witnesses at the scene who observed that James had lost a leg in
    the accident. In addition, Appellant’s brief concedes that “[t]here was no question
    that Melisa Ann Miller struck a motorcycle carrying James and Melissa Bradberry
    and that James Bradberry died as a result of the injuries he sustained [and] that
    Melissa Bradberry suffered serious bodily injuries as a result of the accident.”
    Considering the weight of other evidence, we conclude that Miller has not
    established that the admission of the autopsy unduly influenced the jury in its
    decision, that the admission of the photos affected a substantial right, or that any
    reversible harm resulted. See Tex. R. Evid. 44.2; 
    Prible, 175 S.W.3d at 736-37
    ;
    
    Hayes, 85 S.W.3d at 816
    . We overrule Appellant’s first issue.
    Sufficiency of the Evidence
    Appellant’s second issue argues that the evidence was legally insufficient to
    sustain the jury’s verdict. Appellant challenges the sufficiency of the evidence that
    she was intoxicated at the time of the accident based on the testimony of Trooper
    Lenderman and Dana Baxter. According to Appellant, the only testimony by
    Lenderman that supported an inference of intoxication was that she performed
    26
    poorly on the HGN test, which she alleged was performed “in less than ideal
    conditions[].” Appellant also argues that Baxter testified that the blood levels of
    carisoprodol and meprobamate were within the therapeutic range.
    Applicable Law
    We understand Appellant’s brief to challenge only whether there was legally
    sufficient evidence that she was intoxicated and had lost the normal use of her mental
    or physical faculties. Intoxication is an element of felony murder, where the
    underlying felony is a felony DWI, and it is an element of intoxication assault. See
    Tex. Penal Code Ann. §§ 19.02(b)(3), 49.07(a)(1).
    The State must prove each essential element of an offense beyond a reasonable
    doubt. Jackson v. Virginia, 
    443 U.S. 307
    , 318-19 (1979). When reviewing the
    sufficiency of the evidence, we consider all of the admitted evidence in the light
    most favorable to the verdict to determine whether, based on that evidence and the
    reasonable inferences from it, a jury was rationally justified in finding the defendant
    guilty beyond a reasonable doubt.
    Id. Applying the
    Jackson standard, evidence is
    insufficient in four circumstances: (1) the record contains no evidence probative of
    an element of the offense; (2) the record contains a mere “modicum” of evidence
    probative of an element of the offense; (3) the evidence conclusively establishes a
    reasonable doubt; and (4) the acts alleged do not constitute the criminal offense
    27
    charged. See Brister v. State, 
    414 S.W.3d 336
    , 342 (Tex. App.—Beaumont 2013),
    aff’d, 
    449 S.W.3d 490
    (Tex. Crim. App. 2014) (citing 
    Jackson, 443 U.S. at 314
    , 318
    n.11; Laster v. State, 
    275 S.W.3d 512
    , 518 (Tex. Crim. App. 2009); Williams v. State,
    
    235 S.W.3d 742
    , 750 (Tex. Crim. App. 2007)). The evidence is not legally sufficient
    if it is based on only speculation. See Hooper v. State, 
    214 S.W.3d 9
    , 16 (Tex. Crim.
    App. 2007).
    The jury is the sole judge of the witnesses’ credibility and the weight to be
    given to their testimony. See 
    Jackson, 443 U.S. at 319
    . Juries can draw any
    reasonable inference from the facts so long as each inference is supported by the
    evidence. See id.; 
    Hooper, 214 S.W.3d at 16-17
    . When the record supports
    conflicting, reasonable inferences, we presume that the jury resolved the conflicts in
    favor of the verdict. 
    Jackson, 443 U.S. at 326
    .
    Legally sufficient evidence need not exclude every conceivable alternative to
    the defendant’s guilt. Johnson v. State, 
    560 S.W.3d 224
    , 226 (Tex. Crim. App. 2018)
    (citing Ramsey v. State, 
    473 S.W.3d 805
    , 811 (Tex. Crim. App. 2015)). The law
    requires no particular type of evidence: direct and circumstantial evidence are
    equally probative, and “‘circumstantial evidence alone can be sufficient to establish
    guilt.’” Id.; 
    Hooper, 214 S.W.3d at 13
    .
    28
    Analysis
    Trooper Burman testified that he found a prescription bottle of hydrocodone-
    acetaminophen and four carisoprodol pills in Miller’s purse. He also testified that
    Miller seemed to be impaired, had slow and deliberate movements, her eyes were
    glassy and bloodshot, her speech was slurred, and her coordination was “off[.]” In
    his driver examination report, he wrote that Miller appeared to be under the influence
    of medication. Trooper Lenderman testified that Miller admitted to him that she had
    taken two painkiller pills that day and that when he administered the HGN test,
    Miller exhibited six out of six clues. Baxter testified that her analysis of Miller’s
    blood sample detected carisoprodol, hydrocodone, meprobamate—CNS depressants
    that have additive effects and can cause drowsiness, mental confusion, and slowed
    reaction times. Baxter also testified that her analysis detected amphetamine and
    methamphetamine. Robert Heifner, one of the motorcyclists riding with James and
    Melissa, testified that Miller appeared intoxicated when he saw her at the scene.
    Doug Crocker, a passing motorist who stopped at the accident, testified that he spoke
    with Miller at the scene and her speech was slow. Peggy Samuels, who heard the
    crash and went to the scene with her husband, testified that Miller left her purse on
    Samuels’s ATV and there were prescription bottles in the purse. Exhibit 73 depicts
    Miller telling Trooper Lenderman that she took three pain pills that day.
    29
    Deferring to the jury’s determination of the credibility and weight of
    testimony, we cannot say there is no evidence or only mere speculation that Miller
    was intoxicated at the time of the accident. See 
    Hooper, 214 S.W.3d at 16
    ; 
    Brister, 414 S.W.3d at 342
    . To the degree the record supports conflicting inferences, we
    presume the jury resolved them in favor of the verdict. See 
    Jackson, 443 U.S. at 326
    .
    We conclude there is legally sufficient evidence to support the jury’s verdict, and
    we overrule Appellant’s second issue.
    Having overruled Appellant’s issues, we affirm the trial court’s judgments.
    AFFIRMED.
    _________________________
    LEANNE JOHNSON
    Justice
    Submitted on February 25, 2020
    Opinion Delivered April 29, 2020
    Do Not Publish
    Before McKeithen, C.J., Kreger and Johnson, JJ.
    30