Archive for June, 2005

New Lie Detector Unveiled

Wednesday, June 29th, 2005

Ok, this old news story isn’t about DUI, but it sure reminds me of the breathalyzer tests I’ve encountered in some of my cases:

There’s Still One Born Every Minute

RADNOR, Pa (UPI) – The police department here recently was told by a Bucks County judge that a Xerox machine cannot be used as a lie detector.

Detectives bent on obtaining a confession pretended an office copier was a lie detector after a suspect agreed to undergo a polygraph test.  Prior to interrogation, the sleuths placed a typewritten card in the machine reading: “He’s lying”.

The suspect was seated near the copier.  A metal colander was fastened to his head and wires ran from the colander to the Xerox machine.  Each time investigators received answers they did not fancy, they pushed the copy button.

Out came the message:  “He’s lying”.

Convinced that the machine was infallible, the suspect finally confessed.

Judge Ira Garb threw the case out of court.  “It’s the kind of comic relief we need around here once in awhile”, the judge laughed.

(Thanks to the father of George Bianchi.)

Nystagmus: “The Eye Test” (part 3)

Friday, June 24th, 2005

As indicated in previous posts, there are three parts of the nystagmus test.  But it is the angle of onset segment which is most critical – primarily because the “distinct” nystagmus and “smooth pursuit” in the other two tests are fairly subjective, while an angle has a certain mathematical nicety to it.

However, the officer’s ability to estimate this angle is critical.  The nystagmus test is premised upon a formula that requires the angle of onset to be subtracted from 50 to obtain a very rough estimation of blood-alcohol concentration (BAC).  An angle of 45 degrees from center, for example, may indicate a possible .05% blood-alcohol concentration; anything before that — for example, 43 degrees indicating .07% — results in a “failure”.  Clearly, if the officer is mistaken in his “guesstimate” by only 5 degrees, a true 47 degree (.03% BAC) ”pass” becomes an observed 42 degree (.08% BAC) “fail”.

So how does the officer measure the angle of onset with precision?

He doesn’t.  At best, he is giving a very rough estimate.  Recognizing the importance of the officer’s skill in estimating angles of onset, the National Highway Traffic Safety Administration recommends that officers use an angle-measuring template and practice with four or five subjects: “Check yourself monthly with the device to be sure that your accuracy has been sustained.”

The simple fact is that no officer actually does this; the last time he used a protractor to estimate angles was in the police academy.  The most common method actually used is to assume that the 45-degree angle from the eye intersects the held object at the suspect’s shoulder: if nystagmus is observed before the pencil or finger reaches a line projecting straight out from the edge of the shoulder, the suspect “fails”.  Very simple.  Of course, the fatal flaw to this method (other than now requiring two estimations) is that we all have different shoulder widths.

In an interesting crime lab study reported in 25 Journal of the Forensic Society 476, 12 police officers measured the angle of onset of nystagmus in 129 actual cases where DUI suspects had been arrested but had not yet been tested by blood, breath or urine.  The officers used a special protractor to help them accurately measure the anlge of onset.  Result?  Even with the aid of a protractor, they consistently over-estimated the angle at low BAC levels and underestimated it at high BACs.  The researchers from the police crime lab concluded that nystagmus cannot be used to accurately predict blood alcohol concentration.

Nystagmus: “The Eye Test” (part 2)

Monday, June 13th, 2005

I mentioned in the previous post that few officers understand the nystagmus test, administer it correctly, or score it objectively. Further problems with using the nystagmus test in DUI investigations have been summarized by a noted expert in the area, Dr. L. F. Dell’Osso, Professor of Neurology at Case Western Reserve University School of Medicine and Director of the Ocular Motor Neurophysiology Laboratory at the Veteran’s Administration Medical Center in Cleveland:

Using nystagmus as an indicator of alcohol intoxication is an unfortunate choice, since many normal individuals have physiologic end-point nystagmus…Without a neuro-opthalmologist or someone knowledgeable about sophisticated methods of eye movement recordings, it is difficult to determine whether the nystagmus is pathologic. It is unreasonable that such difficult judgments have been placed in the hands of minimally trained officers. Dell’Osso, “Nystagmus, Saccadic Intrusions, Oscillations and Oscillopsia”, 147 Current Neuro-Opthalmology 147.

See also an interesting article by Umeda and Sakata entitled “Alcohol and the Oculomotor System”, 87 Annals of Otology Rhinology 69, wherein scientists concluded that gaze nystagmus was one of the least sensitive eye measurements of alcohol intoxication. The nystagmus which officers are trained to believe indicates intoxication is naturally present in some individuals without the presence of alcohol. It can also be caused by many other factors, as the Supreme Court of Kansas has noted after a review of the scientific literature:

Nystagmus can be caused by problems in an individual’s inner ear…. Physiological problems such as certain kinds of diseases can result in gaze nystagmus….Furthermore, conditions such as hypertension, motion sickness, sunstroke, eyestrain, eye muscle fatigue, glaucoma, and changes in atmospheric pressure may result in nystagmus. The consumption of common substances such as caffeine, nicotine, or aspirin also lead to nystagmus almost identical to that caused by alcohol consumption. State v. Witte, 836 P.2d 1110.

Obviously, drinking coffee and smoking cigarettes are not unusual. And note that most DUI arrests occur late at night — just when eyestrain and eye muscle fatigue are most expected. More on nystagmus to come….

Nystagmus: “The Eye Test”

Saturday, June 11th, 2005

You may have heard of the “eye test” in DUI investigations.  This is the nystagmus field sobriety test or, more accurately (there are 47 different kinds of nystagmus),  the horizontal gaze nystagmus test.  It is one of the most commonly used field sobriety tests, as it is one of three which make up the federally-approved “standardized battery” of tests, or SFSTs.

The test is essentially a measurement of the movement of the eye.  Simply stated, “nystagmus” refers to a distinctive involuntary jerking of the eyes; horizontal gaze nystagmus is a pendular (back and forth) movement.  This type of nystagmus is commonly measured by the officer in three three different ways, each time using an object such as a pencil, penlight or finger placed a foot or so in front of the suspect’s nose and moving it slowly to the left and then to the right.

The first part of the test is to determine the angle of onset of nystagmus — that is, the angle at which the moving eye begins the jerking motion.  The suspect looks straight ahead and, without moving his head, moves his eyes slowly to the right or left.  The officer is supposedly able to detect when the nystagmus begins and is supposedly able to estimate the angle from straight ahead at the point where it begins.  If the onset is prior to 45 degrees, in theory, the blood alcohol level will be over .05%.

The second part of the test is to note whether the jerking becomes more ”distinct” when the eye is moved to the lateral extreme — that is, when there is no longer any white of the eye visible at the outside of the eye.

The third part is to determine whether there is a lack of smooth pursuit: rather than following a moving object smoothly from the beginning, the eye jumps or “tugs”.

Under federal standards, the officer is supposed to use an objective scoring criteria for each of the three tests, and the total score determines whether the supect passed or failed. 

In reality, few officers understand the test, administer it correctly, or use objective scoring.  Many simply report that they “detected the presence of nystagmus”, and subjectively count that as a failure.  It is, however, the characteristics of nystagmus, not the simple presence,  which is relevant to determining possible impairment.  And, unfortunately, many things cause nystagmus and some of us have it under normal conditions.

More on nystagmus next week….

Breathalyzer Manufacturers Won’t Tell How They Work

Thursday, June 9th, 2005

Let’s assume that you are being prosecuted and the key evidence against you comes from a machine.  The prosecutor wants to use the test results from that machine in trial to prove your guilt.  Your attorney asks for information about how the machine works, including the critical computer code, to determine if it is accurate and reliable.  The prosecutor refuses, saying the information is a protected trade secret.  Your attorney says you have a constitutionally protected right to a fair trial — including the right to inspect the evidence against you, the right to confront your “accuser”. 

Should your attorney be entitled to the information?  Consider a recent article in the Orlando Sentinel:

SANFORD — In the past five months, Seminole County judges have thrown out hundreds of breath-alcohol tests that show drivers were legally drunk.

The reason: The state won’t disclose how the test machines work — not because it doesn’t want to, but because it doesn’t have the information, and the manufacturer won’t give it up….

All four Seminole County criminal judges now use the same standard: If a DUI defendant asks for a key piece of information about how the machine works — its software source code — and the state can’t provide it, the breath test is rejected….

Seminole judges are all following the lead of Seminole County Judge Donald Marblestone, who in January ruled, though the information may be a trade secret and controlled by a private contractor, defendants are entitled to it.

“Florida cannot contract away the statutory rights of its citizens,” the judge wrote.

Judges in other counties have said the opposite. The state can’t turn over something it does not possess, and the manufacturer shouldn’t have to turn over trade secrets, they’ve said….

The demand for the machine’s source code has popped up in Orange County but with less-dramatic results. Some judges have ordered the state to turn it over, but others have not, said Michael Saunders, the county court bureau chief for State Attorney Lawson Lamar.

Trade secrets vs fair trial: If you were the judge, what would you do?

Be the First on Your Block….

Tuesday, June 7th, 2005

….to own an official breath alcohol testing instrument!

No, we’re not talking about one of those little portable jobs you can buy down at Sharper Image.  These are the real deals, the actual law enforcement devices used at police stations – legally admissible in court.

What?  You thought the manufacturers had agreements with police agencies not to sell these things to private citizens — particularly not to defense attorneys?  Well, yes, but then we live in the era of….eBay. 

There are a half-dozen or so makes and models commonly used across the country and periodically one comes up for auction.  Where do they come from?  Who knows.  But they’re not cheap:  they can cost $1500 or more, depending upon the model — compared to new prices of $5000 and up; an Intoximeter EC/IR (ElectroChemical/InfraRed) sold on eBay a couple of days ago for $2100.  Try entering “breathalyzer”, “intoximeter”, “intoxilyzer” and/or “datamaster” in eBay’s search box.

With an hour or two of self-study, you too can calibrate and operate one of these things — just like your local police….and hopefully with more accuracy.

Expecting a Different Result

Monday, June 6th, 2005

From WOWT-TV news in Omaha:

DUI Penalties Increase Repeat offenders targeted

Repeat drunken drivers will be subject to tougher penalties under a bill passed by Nebraska lawmakers.

The measure passed Friday will increase the maximum penalty for a second-offense DUI from 90 days in jail to up to five years in prison. The higher penalty will only apply if the repeat offender has a blood alcohol content at least twice the legal limit….

To put things in perspective, the same Class IIIA felony 5-year maximum is also imposed in Nebraska for intentional child abuse, sexual assault of a child under the age of 14, and homicide caused by willful reckless driving.

These folks are targeting the right drivers — high BAC recidivists — but with the wrong medicine. Just continually increasing the punishment has never worked with severe alcoholics and never will. (See my earlier post, “Punishment vs Treatment in DUI Cases”.) This latest wisdom from Nebraska’s politicians brings to mind an oft-repeated definition of insanity: Doing the same thing over and over and expecting a different result.

DUI and the Presumption of Guilt

Friday, June 3rd, 2005

In most countries of the world, an accusation by the State forces the accused to prove himself innocent. In the United States, however, the presumption of innocence has always been a fundamental part of our rights as a free people. This basic protection against the power of the government has been recognized as flowing from the 5th, 6th and 14th Amendments to our Constitution. As the United States Supreme Court has said, “The principle that there is a presumption of innocence in favor of the accused is the undoubted law, axiomatic and elementary, and its enforcement lies at the foundation of the administration of our criminal law.” Coffin v. U.S., 156 U.S. 432 (1895).

So what happened to this presumption of innocence in a drunk driving case? Is this yet another example of “The DUI exception to the Constitution”?

Let’s take a look at how our DUI laws have slowly eroded this fundamental right….

Let’s assume you’ve been arrested for drunk driving, and a breathalyzer gives a reading of .09% blood-alcohol concentration (BAC). You will probably be charged with two crimes: (1) driving under the influence of alcohol, and (2) driving with over .08% BAC.

Let’s look at the .08% charge first. The .08% offense depends entirely upon the results of the breath machine (often called a “Breathalyzer”, although there are many makes and models). These machines are notorously unreliable for any number of reasons. But a funny thing happens when your attorney tries to bring out those reasons for the jury. He tries to point out, for example, that the Breathalyzer computes the results by presuming that the defendant has a partition ratio of 2100:1 (the ratio of alcohol in the breath to the alcohol in the blood) — but that this is only an average: in fact, the defendant’s ratio is much lower, so the .09% reading should actually be .07%. However, the judge stops him: the law presumes that all men are average — even if they are not.

The Supreme Court of California has specifically ruled that such scientific truth is irrelevant. People v. Bransford, 884 P.2d 70 (1994). The Court justified its ruling in a rather frank — and amazing — justification:

It (.08%) will increase the likelihood of convicting such a driver, because the prosecution need not prove actual impairment…Adjudication of such criminal charges will also require fewer legal resources, because fewer legal issues will arise. And individuals prosecuted under such a statute will be less likely to contest the charges.

In other words, ignoring scientific facts makes it easier — and cheaper — to convict.

What about the officer who gave the breath test? Surely, we can question his experience and the way he administered the breath test. And this raises a prosecutrial favorite: the “Official Duty Presumption”. The California Evidence Code (sec. 664) puts it very simply: It is presumed that official duty has been regularly performed. Period. That’s it: Since it was the officer’s official duty to give the test, the law presumes he was qualified and did it correctly — and the burden is on the defendant to prove he didn’t.

Interesting twist on the presumption of innocence, huh? Well, so much for the .08% charge. At least the defendant is presumed innocent of the DUI charge, right?

Wrong. The laws of most states create a presumption of guilt: if the Breathalyzer reads .08% BAC or higher, the jury will be instructed that the defendant is legally presumed to be under the influence of alcohol. That’s right: the defendant is presumed guilty. As with the others, this is called a “rebuttable presumption” — that is, the defendant can try to rebut this presumption with other evidence. Put another way, he is presumed guilty and the burden is on him to prove his innocence. Just like in third world countries.

Ok, but the law says it’s illegal to have .08% BAC when driving — not when tested an hour later at the police station. If, for example, a person has a drink or two before driving, the alcohol will not be absorbed into the system for an hour or so: it will not be in his system while driving, but will be reaching peak BAC levels when tested an hour later at the station. So how does the prosecution prove what the BAC was at the time of driving?

Easy: the law presumes the BAC is the same. Let’s take a look at California’s fairly typical law:

In any prosecution…it is a rebuttable presumption that the person had 0.08 percent or more, by weight, of alcohol in his or her blood at the time of driving the vehicle if the person had 0.08 percent or more, by weight, of alcohol in his or her breath at the time of the performance of a chemical test within thre hours of the driving.

Well, now, that’s really amazing. The Legislature simply passed a law against scientific truth. We can absolutely say, with scientific certainty, that the BAC will NOT be the same three hours after the test — and yet the law says it is.

So much for the “presumption of innocence” in a DUI case….

When is a Refusal not a Refusal?

Wednesday, June 1st, 2005

When a DUI suspect is arrested, he is asked to submit to a blood, breath or urine test. If he refuses, his license will be suspended — for a considerably longer time than if a test had shown .08% or higher. In addition, many states impose an increased penalty in the criminal phase, usually a mandatory jail sentence; some states make refusal a crime independent of the underlying DUI.

Finally, the fact of refusing can be used as evidence of “consciousness of guilt” in trial — a practice which has been held by the U.S. Supreme Court not to be a violation of the Fifth Amendment right against self-incrimination. (See my earlier post, “Believing You Have Constitutional Rights in a DUI Case Can be Dangerous”.)

The reason for harsher treatment is, of course, to encourage suspects to provide evidence considerably more reliable than an officer’s opinion: it is the evidence that is desired, more than a desire to punish for not cooperating. It would follow, of course, that if a suspect changes his mind and agrees to provide a blood, breath or urine sample — what is referred to as “curing” the refusal — there would be no penalties.

Wrong — in most states. A summary of the situation was presented by a New Jersey appellate court where the defendant had initially refused to take a breath test until he could speak with his attorney:

We have been referred to various out-of-state decisions in the briefs of counsel. The majority rule in those cases which have an implied consent statute like ours….is that the initial refusal is final and hence that there is no right to “cure” an initial refusal… The cases expressing the majority view essentially turn on the question of the unreasonableness of having police officers turn aside from other duties to administer a test after the driver has initially refused. The cases allowing a “cure” generally do so on the basis that a change of mind after a relatively short delay does not prejudice the presentation of the state’s evidence nor defeat the purpose of the implied consent statute. State v. Corrado, 446 A.2d 1229.

The New Jersey court decided to follow the majority approach. A Florida appellate court, however, chose the opposite view:

The subsequent consent to take the test cures the first refusal when the request to take the first test is made within a reasonable time after the the prior first refusal…. By approving a flexible rule we believe that this important evidence will be more frequently available and therefore the prophylactic purpose of the implied consent law will be achieved. Larmer v. State, 522 So.2d 941.

The disagreement, of course, reflects two very different underlying philosophies: Which is more important — obtaining key evidence or punishing non-cooperation? The minority recognizes that actual evidence of blood-alcohol concentration is crucial; the majority prefers to focus on deterring future suspects from refusing. Which is the “correct” view?

As usual, California has adopted its own unique approach: If a suspect refuses, he can be physically restrained and a blood sample forcefully taken from him — and he will be charged with a refusal as well.

phentermine health viagra cialis levitra href page phentermine cod mastercard depression phentermine phentermine no prescription fed-ex day cheap phentermine no prescription mastercard accepted best cheap viagra viagra what food will work like viagra cialis viagra levitra which is best generic viagra money order does viagra works after casteration dose of valium ambien mail order drug stores adipex compared to phentermine diazepam overdose valium overdose ambien central apnea ambien expert sleep tolerability drug interaction ativan ambien taking phentermine with trazodone phentermine wikipedia the cialis overnight us pharmacy hard soft viagra cheap generic 50 mg viagra does cialis work on women viagra discount retail viagra x meltabs generic viagra herbal ambien online prescriptions for cialis ambien in drug test risperdal valium viagra pphn viagra treat childhood pulmonary hypertension is cialis or levitra better suggested dose in cialis bogus phentermine websites interaction paxil and valium hard on from viagra cialis user comments ambien cr and liquor tramadol picture mexican prescription drugs names ultram tramadol cheap needed no phentermine prescription buy viagra powered by phpbb buy cialis mail online phentermine 30 mg civ a 167 tramadol 120 cod buy cheap ambien no rx natural viagra vitamin world asking doctor about viagra finance america phentermine diet pill available cheap cod phentermine tramadol perscriptions compare levitra cialis versus viagra c o d tramadol ship everywhere genic viagra free viagra viagra valium night sweats 47 ultram home gym phentermine 67 ucl order viagra disolving tramadol diet diet phentermine pill pill ambien lexapro buy cialis domain online tripod com dental health care phentermine diet pill tramadol buy on line buying viagra in amsterdam 1000 tramadol viagra cialis vs order cialis pills no membership discount valium infromation about tramadol tramadol canada disney wich ambien myonlinemeds biz nexium renova vaniqa viagra viagara and cialis free viagra samples canada connecticut generic caverta viagra phentermine script online risk of mixing tramadol and viagra order ambien from canada order ambien with a prescription death by ambien cardizem cd foradil phentermine evista patent how long viagra free trail viagra difference between valium and clonopin viagra damage after 4 hours compare xanax to valium gambling tramadol phentermine carisoprodol casino safety of buying viagra on line adipex phentermine didrex yellow phentermine no prescription buy viagra aids male fertility order phentermine 37.5 without prescription free shipping on tramadol orders tramadol buy ambien without prescription tramadol halflife tramadol withdrawal phentermine discount no prescription phentramine phentermine sold in canada avodart cialis clomid diflucan dostinex glucophage discount generic viagra panama maoi phentermine buy phentermine pills without doctor phentermine cheap without prescription ditropan viagra fake phentermine save generics edinburgh pages search viagra report ambien memory loss phentermine hcl 37.5 mg valium brand of diazepam order phentermine online no prescription viagra levitra cialis apcalis regalis zenegra online store viagra valium 5pm online pill viagra viagra health risks tramadol ultram opiate drug testing canada cialis from erectile viagra cialis compare levitra performance viagra diet free phentermine pill generic online phentermine pharmacy online cialis complaints cialis viagra compared viagra dosge viagra without a perscription mixing ambien and xanax safe buy viagra phentermine weight loss prescription 120 cheap pharmacy tramadol edinburgh viagra tid search charles linskaill dogs and ambien cheap cheap deal pill viagra viagra can you take ibuprofen with tramadol valium offshore cialis ads information meridia phentermine xenical phentermine 37.5mg x 90 tabs what is phentermine hcl does ambien increase testosterone guaranteed overnight phentermine online pharmacy prescription viagra online rx phentermine ambien generic drug delivery tramadol ambien cr withdrawls dog valium buy valium no prescription generic cialis picture cialis cialis genuinerx net viagra viagra find sites computer shop viagra search mdma and valium ambien causes night eating buy viagra online pharmacy tramadol and methadose generic viagra mastercard cheap tramadol free fedex shipping cialis denavir yasmin retin-a ambien faq buy phentermine without presription paxil phentermine free sample viagra vs cialis mixing anax and valium sale viagra buy cheap viagra uk tramadol vs percocet buy phentermine buy viagra best price sildenafil ambien affecting lymph system msds on tramadol 2737 aid prevacid viagra zyrtec ambien on line fed ex body does in long stay valium is levitra safer than viagra generic brands viagra online is viagra safe for women phentermine tijuana dog veterinary calm valium canada tramadol ambien withdrawal symptoms generic viagra soft tab difference viagra levitra cialis online phentermine 37.5mg prices vet valium 99 phentermine phentermine no doctor ambien cr pack price mixing vicodin viagra discount generic viagra discount generic viagra pfizer sildenafil viagra jurong raided ambien and blood in urine tramadol international pharmacy express delivery ambien and celexa phentermine ingredient cheap phentermine cheap phentermine phentermine picture cymbalta phentermine false positive drug tests ambien do not take cialis generic cialis levitea viagra sampler packages purchase 100mg tramadol online phentermine prescription free american express looking thim phentermine phentermine rx e-check no rx valium or diazapam phentermine online consultation 93 buying discount phentermine without prescription viagra medication prescription levitra cialis prop ladyman viagra opus effects generic side viagra cheap citrate generic sildenafil viagra buy phentermine on line cheap viagra in a can advantage with viagra benefits of valium viagra versus levitra phentermine story cheapest generic viagra and cialis pills hsn tramadol no prescription discounted phentermine harmful effects of phentermine for adipex darvocet and tramadol adderall valium together phentermine generic india viagra common animo acid supplement cialis and suboxone tramadol dosage for dog buy phentermine overnight saturday delivery cialis no pre scription tramadol click here viagra nitroglycerine cialis ingredient hair loss ambien cialis the new viagra phentermine to buy online recommended doasage cialis viagra may help reduce add yahoo generic viagra generic cialis pills soft tab cialis 50mg tramadol pill crushing cialis tablets overnight ambien delivery ambien sleep medication buy 90 phentermine sale new zealand the cheapest phentermine without prescription viagra cialis canadian pharmacy cialis 20 mg discoun cialis eye problems questions about viagra ambien and vicodin combination viagra drink valium mixed with alcohol over the counter off valium 1cialis compare levitra viagra order phentermine online buy phentermine where viagra a cialis and clarithromycin tramadol and keppra sonata ambien and lunesta nexium cialis caverta cialis viagra tadalis phentermine and prozac together comparison ambien cr with others tramadol concentrate viagra college roomate stories no erection viagra buying deal pill viagra overseas tramadol best price ambien experiences phentermine $129 nascar driver s viagra appeared herbal natural viagra viagra on line purchase black hole phentermine purchase phentermine phentermine very cheap giving ambien to addicts ambien cause depression valium withdrawl seizures purchase cheap cialis online life cialis phone acetaminophen hcl par tramadol cheap phentermine free sh cialis sale usa football viagra cheap viagra canada phentermines grapefruit juice and viagra buy xanax valium tramadol for pigs dog tramadol dosage viagra after a big meal does tramadol work for pe canada generic viagra valium cause weight loss cialis lawyers cialis overnight viagra spinal cord research 37.5 discount phentermine generic viagra buy form mexican pharmacies ambien overnight generic viagra valium description phentermine 15mg overnight soma phentermine overnight pharmacy free viagra si dose valium ambien cr coupons phone order ambien oklahoma dia de cumplea os del viagra phenterfein vs phentermine delivery online prescription saturday tramadol cialis headaches ambien and cost valium longterm use cialis testimony medication phentermine f phentermine adipex phentermine phentermine and celexa side effects valium valium used for back pain 37.5mg phentermine no doctor free ambien online buy generic ambien catalog phentermine no prescription phentermine no prescription tn cymbalta with ambien cialis advertisements inexpensive phentermine phentermines sales cheap discount tramadol free shipping vaginal viagra side effects ambien dwu attorney orange county ca ambien insomnia bipolar ambien over night viagra hydrochloride phentermine tramadol addiction story ambien drug reaction viagra or levitra free trial viagra viagra insurance 2005 cost of ambien cr generic ambien when is zora ambien buy valium online secure site ambien and eating popsicles in bed viagra propecia online gt half life tramadol about ultram tramadol pill price tramadol comparison cialis levitra viagra is phentermine a drug pill cialis drug description tadalafil healthscout mixing amphetamine and viagra viagra 2 order viagra online a href phentermine no prescription phentramine phentremine buy cheap online phentermine online purchase phentermine adipex valium and fear images buy ambien line viagra best prices fda approved customhrt closed where to order phentermine headaches or heartburn taking cialis ambien and memory loss phentermine no prescription ship fast no prescription 4 blue 30mg phentermine phentermine 2037.5 doctor online phentermine dogs tramadol cialis cheapest lowest price purchase ambien online no prescription actress in viagra commercial alcohol recovery specialists tramadol seizure vicodin and tramadol diethylpropion phentermine and phenmetrazine cialis tadalafil canadian phentermine the uk ambien use in the elderly ambien symptoms buy phentermine blue can ambien cause priapism ambien trips phentermine 6 pm order lose weight pill diet phentermine harts valium counterfeit viagra identify four package valium fda low valium band buy phentermine phentermine diet phentermine adipex consultation online pharmacy phentermine phentermine purchase site generic online pharmacy viagra what is phentermine made of drug information keyword p tramadol tramadol valium together cialis where hgh viagra side affects ambien cr cheap free price viagra viagra and gastroparesis cheap phentermine online no prescription phentermine italy best generic viagra drugstore india viagra soft tab generic tramadol hcl 200mg chemical formula for valium viagra uk online tramadol best buy comparing cialis and levitra tramadol picture of herbal cialis alternative phentermine reviews 2007 cialis get viagra diet pill addiction phentermine viagra nz dogs taking valium viagra alterna over sea generic viagra viagra istambul 5htp phentermine zanax vs valium find sites computer shop viagra href canada cialis levitra phentermine with hoodia long-term ambien use order phizer viagra discover viagra phentermine diet pill overview paula zahn and ambien buy valium without prescription ambien detox viagra pill splitting tramadol online om between cialis difference viagra cheap fioricet soma tramadol viagra cheap 30mg yellow phentermines no membership taking ativan and ambien sildenafil viagra 2007 cialis levitra or viagra cialis certified online pharmacy viagra cilias comparison order tramadol nasacort aq tramadol nexium group health health viagra woman viagra best prices fda approved online my ebay bidding buy tramadol ambien and elderly and bad rxn phentermine side affect phentermine prices pharmacy online india phentermine viagra for online purchase phentermine price comparison tramadol and marjauna pharmacy silagra brand name viagra cumwithuscom viagra alternatives ambien ativan drug interactions buy cialis soft tabs second best to viagra online valium prescription phentermine no dr viagra and women buy phentermine blue pill 37.5 mg viagra for plants phentermine delivered cod no prescription cheap phentermine cheap phentermine free shipping order phentermine from pharmacy free consultation tramadol next day delivery cheapest phentermine with no prior script foods to avoid while taking phentermine buy valium in tijuana viagra find sites computer shop ambien for menopausal insomnia ptnrs searchfor viagra 2 comparison levitra viagra half life of valium bootleg pharmacy india phentermine pill month valium invented phentermine phentermine side effects cheap phentermine no prescription 2007 cialis cost low phentermine prescribe ambien narcolepsy dream all night meridia xenical adipex phentermine lowest price ambien where can i buy phentermine online weight loss adipex phentermine viagra penis pump viagra money order purchase free ambien cod online adipex p phentermine vs soma tramadol fioricet viagra free sites find search pages is viagra addictive bipolar phentermine us licensed pharmacies no script phentermine adipex p phentermine ecureme com find viagra free sites news computer cheap phentermine nextday delivery valium for kids out of control price on phentermine real phentermine phentermine no persription needed phentermine hci ingredients free 3 viagra fre 3 delivary vicodin viagra cialis cheapest shops selling phentermine giveupalready com canadian cialis pharmacy viagra levitra cialis nose tramadol legal status cheap viagra uks ed treatment for use with viagra generic cialis pills and generic viagra generic viagra viagrageneric greenstone tramadol cheap viagra cialis generic pharmacy cialis viagra classification generic viagra contains sildenafil citrate phentermine 30 mg civ purchase tramadol in wv without prescription diet pills phentermine no prescription pain relief tramadol viagra articles amp stories free sample offer for cialis deer viagra tramadol hydrochloride side effects viagra and celias pictures pills phentermine buy online viagra viagra phentermine the same as amphetamine tramadol ssri interactions dr perez pa phentermine phentermine information mexican name disebsin secure sites for phentermine without prescription cialis symptoms phentermine cod mexico pharmacy phentermine viagra erection after ejaculation 4.01 n online phentermine purchase cheapest line viagra cheap phentermines compare cialis viagra levitra phentermine discreet phentermine picture pill tramadol recreational use buying phentermine without perscription other uses of phentermine 37.5 achat valium wilmington finance phentermine diet pill buy prescription cialis online permanent ambien overdose innovative remedies phentermine charles linskaill find search viagra viagra cialis levitra reviews buy href tramadol cialis causes high blood pressure herbal viagra cartridges phentermine medical insert cialis package insert valium and prozac cialis spoof video tramadol dogs pain tramadol viagra where to get phentermine online phentermine online medical 37.5mg phentermine no perscription buy phentermine online with no presciption viagra nascar phentermine in arkansas generic money order viagra viagra free sample buying cheap discount sale viagra viagra elvis and viva viagra cod phentermine no rx generic viagra overnight effects hcl side tramadol beneficios funcionales viagra vs viagra phentermine diet pills lawsuits tramadol and lamictal zolpidem ambien uninorm ambien sleep walk drive sex canada pharmacies name brand phentermine ambien tablets cialis purchase