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	<title>Comments for Georgia DUI Blog</title>
	<link>http://gaduiblog.com</link>
	<description>A Guide for Everything Related to DUI in Georgia</description>
	<pubDate>Sun, 21 Mar 2010 08:26:17 +0000</pubDate>
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		<title>Comment on MADD SAYS .14 DOES NOT JUSTIFY DUI ARREST! by A Swig and A Miss : Delaware Liberal</title>
		<link>http://gaduiblog.com/2007/01/16/madd-says-14-does-not-justify-dui-arrest/#comment-53205</link>
		<author>A Swig and A Miss : Delaware Liberal</author>
		<pubDate>Sat, 02 Jan 2010 13:30:35 +0000</pubDate>
		<guid>http://gaduiblog.com/2007/01/16/madd-says-14-does-not-justify-dui-arrest/#comment-53205</guid>
		<description>[...] to one of the main reasons why we felt MADD&#8217;s demise in the Delmarva was justified &#8212; their pig-headed response to the drunk driving incident of Delaware State Representative John Atkins in Ocean City, Maryland [...]</description>
		<content:encoded><![CDATA[<p>[&#8230;] to one of the main reasons why we felt MADD&#8217;s demise in the Delmarva was justified &#8212; their pig-headed response to the drunk driving incident of Delaware State Representative John Atkins in Ocean City, Maryland [&#8230;]</p>
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		<title>Comment on Police explore the idea of forced blood draws. by GA DUI School</title>
		<link>http://gaduiblog.com/2009/09/13/police-explore-the-idea-of-forced-blood-draws/#comment-53161</link>
		<author>GA DUI School</author>
		<pubDate>Tue, 15 Dec 2009 17:26:49 +0000</pubDate>
		<guid>http://gaduiblog.com/2009/09/13/police-explore-the-idea-of-forced-blood-draws/#comment-53161</guid>
		<description>This is just plain a bad idea, forcing someone to give blood starts things down a very nasty looking path.  As much as I want everyone to be safe on the road there are many less evasive ways that work just fine.  Something like this would tie up the courts for years and cost the state millions.</description>
		<content:encoded><![CDATA[<p>This is just plain a bad idea, forcing someone to give blood starts things down a very nasty looking path.  As much as I want everyone to be safe on the road there are many less evasive ways that work just fine.  Something like this would tie up the courts for years and cost the state millions.</p>
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		<title>Comment on More Ignition Interlock laws come into effect by Brian E. Simoneau</title>
		<link>http://gaduiblog.com/2009/01/02/more-ignition-interlock-laws-come-into-effect/#comment-53135</link>
		<author>Brian E. Simoneau</author>
		<pubDate>Tue, 08 Dec 2009 23:24:30 +0000</pubDate>
		<guid>http://gaduiblog.com/2009/01/02/more-ignition-interlock-laws-come-into-effect/#comment-53135</guid>
		<description>It should be noted that the ignition interlock device is far from foolproof. Instead of using infrared spectrometry to measure a driver’s blood alcohol content, the interlock devices use a much less reliable fuel cell. The technology used in these devices results in false positive alcohol readings, which are often the product of contamination or malfunction.  False positive alcohol readings result in far more than the inconvenience of not being able to start your car. In Massachusetts, for example, ignition interlock violations result in automatic 10 year or lifetime license revocations. These are extremely harsh penalties which are imposed based on the results produced by unreliable devices. 

Attorney Brian E. Simoneau
&lt;a href="http://www.suspendedlicensehelp.com" rel="nofollow"&gt;Massachusetts Ignition Interlock Lawyer&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>It should be noted that the ignition interlock device is far from foolproof. Instead of using infrared spectrometry to measure a driver’s blood alcohol content, the interlock devices use a much less reliable fuel cell. The technology used in these devices results in false positive alcohol readings, which are often the product of contamination or malfunction.  False positive alcohol readings result in far more than the inconvenience of not being able to start your car. In Massachusetts, for example, ignition interlock violations result in automatic 10 year or lifetime license revocations. These are extremely harsh penalties which are imposed based on the results produced by unreliable devices. </p>
<p>Attorney Brian E. Simoneau<br />
<a href="http://www.suspendedlicensehelp.com" rel="nofollow">Massachusetts Ignition Interlock Lawyer</a></p>
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		<title>Comment on Ben Harbin - DUI by Serious House Cleaning Needed in Gerogia Assembly &#124; News She Can Use</title>
		<link>http://gaduiblog.com/2007/05/21/78/#comment-53124</link>
		<author>Serious House Cleaning Needed in Gerogia Assembly &#124; News She Can Use</author>
		<pubDate>Mon, 07 Dec 2009 15:03:54 +0000</pubDate>
		<guid>http://gaduiblog.com/2007/05/21/78/#comment-53124</guid>
		<description>[...] of the House Appropriations Committee, Ben Harbin: A couple years ago, he got boozed up and crashed his car into a utility pole. He was booked and charged with DUI. Oh yeah, and there was a woman in [...]</description>
		<content:encoded><![CDATA[<p>[&#8230;] of the House Appropriations Committee, Ben Harbin: A couple years ago, he got boozed up and crashed his car into a utility pole. He was booked and charged with DUI. Oh yeah, and there was a woman in [&#8230;]</p>
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		<title>Comment on Blood Alcohol Tests: The Hematocrit Conundrum by justin@themcshanefirm.com</title>
		<link>http://gaduiblog.com/2009/10/08/blood-alcohol-tests-the-hematocrit-conundrum/#comment-52887</link>
		<author>justin@themcshanefirm.com</author>
		<pubDate>Thu, 22 Oct 2009 15:30:17 +0000</pubDate>
		<guid>http://gaduiblog.com/2009/10/08/blood-alcohol-tests-the-hematocrit-conundrum/#comment-52887</guid>
		<description>Great post.  I would like to take it one step further.  These are, of course, things that you know as you and I have spoken about it many a time.  

But the other issue is the validation of the science and whether or not it meets a Frye/Daubert challenge.  Hospital blood is, of course, a colormetic spectrophometric enzyme reagent reaction test (the hospital blood plasma or blood serum test).

Preamble:  As long as you see this following chart in the insert , then the argument infra is sound

Ethyl Alcohol+ NAD+ ----&#62; Acetaldehyde+NADH+H+




PART ONE:  The answer is there is no answer…

First, there is absolutely no consensus in the scientific community as to the proper conversion factor.  There is no number.  Therefore, as there is no scientific agreement, then no number should be used by the Courts.  It is a basic Daubert/Frye matter.  The government as the proponent of the evidence has the burden to prove it is reliable and based on sound science.  The very fact that there are studies that go as low as 1.10 overstatement to as high was 1.59 make it so.  That is a 69% swing.  Come on.

The conversion factor depends on hematocrit  (packed cell volume) entirely (well almost entirely, but for the sake of brevity it is the most important part).  Serum or plasma (almost-one article had a statistical artifact) always over estimates BAC.  Plasma actually more so.  If I am forced to use a conversion factor AND THAT IS A BIG IF.  I go with Professor Rainey and 1.49 which is the highest peer reviewed article that I could find as the presumption of innocence demands that we give all benefit to the accused.  Also Dr. Citron has published a peer reviewed article on it.  





PART TWO:  The answer is the science, the defense is the truth.

Here is my logic proof…


1.	If you accept as true that these Hospitals perform tests on less than [whole] blood
2.	If you accept that these hospitals perform tests on blood plasma


Then, would not the following be true…

3.	Plasma blood and serum blood are more or less the same (or best case scenario for the defense the conversion is 1:1.04 serum:plasma) according to: 

Distribution of ethanol and water between plasma and whole blood; inter- and intra- individual variations after administration of ethanol by intravenous infusion
Jones, A.W., Hahn, R.G., Stalberg, H.P.(1990),Scandanavian Journal of Clinical and Laboratory Investigation, 50(7), Nov. 775-780.

Comparison of plasma, serum, and whole blood ethanol concentrations
Winek, C.L., Carfagna, M. (1987), Journal of Analytical Toxicology, 11(6), 267-8.

4.	If you accept Rainey’s assertion in Relation between Serum and Whole-Blood Ethanol Concentrations; Petrie M. Rainey: Clinical Chemistry, Vol. 39, No. 11, 1993. (pg 2288-2292)

        In that study (peer reviewed, scientifically reliable), Rainey studies the relationship between hospital (serum) blood test results and contemporaneous whole blood results. He finds that the median ratio for adjusting serum to whole blood is 1.15. The high of the range was 1.59.  1.49 for the central 99% (or 2 standard deviations) and 1.40 for the central 95%. Therefore, I like to use 1.49.
6.	The combination of 1:1.04 serum:plasma and then 1:1.49 whole blood:serum, then mathematically 1.5496 if you really want to stretch.

That is EXCLUDING the machine’s in-built range of analytical error, control run specific drift errors, pippetting errors, etc.  It also presumes no exogenous alcohol production and perfect collection, inversion, transportation, storage, preparation and analysis.  You cannot presume all of those things.  There is only one presumption and that is the presumption of innocence.

Just a lazy thought on a Thursday mid-morning.  Thanks for the post.  This blog is a wonderful resource.

Justin J. McShane, Esquire
http://www.paduiblog.com</description>
		<content:encoded><![CDATA[<p>Great post.  I would like to take it one step further.  These are, of course, things that you know as you and I have spoken about it many a time.  </p>
<p>But the other issue is the validation of the science and whether or not it meets a Frye/Daubert challenge.  Hospital blood is, of course, a colormetic spectrophometric enzyme reagent reaction test (the hospital blood plasma or blood serum test).</p>
<p>Preamble:  As long as you see this following chart in the insert , then the argument infra is sound</p>
<p>Ethyl Alcohol+ NAD+ &#8212;-&gt; Acetaldehyde+NADH+H+</p>
<p>PART ONE:  The answer is there is no answer…</p>
<p>First, there is absolutely no consensus in the scientific community as to the proper conversion factor.  There is no number.  Therefore, as there is no scientific agreement, then no number should be used by the Courts.  It is a basic Daubert/Frye matter.  The government as the proponent of the evidence has the burden to prove it is reliable and based on sound science.  The very fact that there are studies that go as low as 1.10 overstatement to as high was 1.59 make it so.  That is a 69% swing.  Come on.</p>
<p>The conversion factor depends on hematocrit  (packed cell volume) entirely (well almost entirely, but for the sake of brevity it is the most important part).  Serum or plasma (almost-one article had a statistical artifact) always over estimates BAC.  Plasma actually more so.  If I am forced to use a conversion factor AND THAT IS A BIG IF.  I go with Professor Rainey and 1.49 which is the highest peer reviewed article that I could find as the presumption of innocence demands that we give all benefit to the accused.  Also Dr. Citron has published a peer reviewed article on it.  </p>
<p>PART TWO:  The answer is the science, the defense is the truth.</p>
<p>Here is my logic proof…</p>
<p>1.	If you accept as true that these Hospitals perform tests on less than [whole] blood<br />
2.	If you accept that these hospitals perform tests on blood plasma</p>
<p>Then, would not the following be true…</p>
<p>3.	Plasma blood and serum blood are more or less the same (or best case scenario for the defense the conversion is 1:1.04 serum:plasma) according to: </p>
<p>Distribution of ethanol and water between plasma and whole blood; inter- and intra- individual variations after administration of ethanol by intravenous infusion<br />
Jones, A.W., Hahn, R.G., Stalberg, H.P.(1990),Scandanavian Journal of Clinical and Laboratory Investigation, 50(7), Nov. 775-780.</p>
<p>Comparison of plasma, serum, and whole blood ethanol concentrations<br />
Winek, C.L., Carfagna, M. (1987), Journal of Analytical Toxicology, 11(6), 267-8.</p>
<p>4.	If you accept Rainey’s assertion in Relation between Serum and Whole-Blood Ethanol Concentrations; Petrie M. Rainey: Clinical Chemistry, Vol. 39, No. 11, 1993. (pg 2288-2292)</p>
<p>        In that study (peer reviewed, scientifically reliable), Rainey studies the relationship between hospital (serum) blood test results and contemporaneous whole blood results. He finds that the median ratio for adjusting serum to whole blood is 1.15. The high of the range was 1.59.  1.49 for the central 99% (or 2 standard deviations) and 1.40 for the central 95%. Therefore, I like to use 1.49.<br />
6.	The combination of 1:1.04 serum:plasma and then 1:1.49 whole blood:serum, then mathematically 1.5496 if you really want to stretch.</p>
<p>That is EXCLUDING the machine’s in-built range of analytical error, control run specific drift errors, pippetting errors, etc.  It also presumes no exogenous alcohol production and perfect collection, inversion, transportation, storage, preparation and analysis.  You cannot presume all of those things.  There is only one presumption and that is the presumption of innocence.</p>
<p>Just a lazy thought on a Thursday mid-morning.  Thanks for the post.  This blog is a wonderful resource.</p>
<p>Justin J. McShane, Esquire<br />
<a href="http://www.paduiblog.com" rel="nofollow">http://www.paduiblog.com</a></p>
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		<title>Comment on Police explore the idea of forced blood draws. by Allen Trapp</title>
		<link>http://gaduiblog.com/2009/09/13/police-explore-the-idea-of-forced-blood-draws/#comment-52841</link>
		<author>Allen Trapp</author>
		<pubDate>Thu, 08 Oct 2009 14:38:42 +0000</pubDate>
		<guid>http://gaduiblog.com/2009/09/13/police-explore-the-idea-of-forced-blood-draws/#comment-52841</guid>
		<description>What is even more shocking is the case law from some states that allows the police to go to extremes to obtain a blood sample in even a "garden variety" DUI case.  The appeals court in Michigan, for example, has approved choking suspects, breaking arms, and causing concussions.  Suspending a driver's license for a year is just not enough for some people.</description>
		<content:encoded><![CDATA[<p>What is even more shocking is the case law from some states that allows the police to go to extremes to obtain a blood sample in even a &#8220;garden variety&#8221; DUI case.  The appeals court in Michigan, for example, has approved choking suspects, breaking arms, and causing concussions.  Suspending a driver&#8217;s license for a year is just not enough for some people.</p>
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		<title>Comment on Blood Alcohol Tests: Collecting the Blood by Blood Alcohol DUI Tests: Blood Alcohol Tests: Collecting the Blood &#124; Drunk Driving DUI Law</title>
		<link>http://gaduiblog.com/2009/03/23/blood-alcohol-tests-collecting-the-blood/#comment-52000</link>
		<author>Blood Alcohol DUI Tests: Blood Alcohol Tests: Collecting the Blood &#124; Drunk Driving DUI Law</author>
		<pubDate>Sat, 18 Apr 2009 23:37:49 +0000</pubDate>
		<guid>http://gaduiblog.com/2009/03/23/blood-alcohol-tests-collecting-the-blood/#comment-52000</guid>
		<description>[...] Most forensic laboratories purchase 10 milliliter gray top tubes containing 100 mg. sodium floride, a preservative, and 20 mg. potassium oxalate, an anti-coagulant.  Therefore, when 10 ml. of blood is drawn, the concentration of preservative is one percent.  A tube with an anti-coagulant should be inverted at least eight times (eight to ten is usually recommended).  If this is not done, the anti-coagulant will not properly mix, resulting in a low concentration, which in turn can lead to microclotting and an inaccurate result. Source [...]</description>
		<content:encoded><![CDATA[<p>[&#8230;] Most forensic laboratories purchase 10 milliliter gray top tubes containing 100 mg. sodium floride, a preservative, and 20 mg. potassium oxalate, an anti-coagulant.  Therefore, when 10 ml. of blood is drawn, the concentration of preservative is one percent.  A tube with an anti-coagulant should be inverted at least eight times (eight to ten is usually recommended).  If this is not done, the anti-coagulant will not properly mix, resulting in a low concentration, which in turn can lead to microclotting and an inaccurate result. Source [&#8230;]</p>
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		<title>Comment on Alcohol is not Always Ethanol by rmvlawyer.com</title>
		<link>http://gaduiblog.com/2009/03/11/alcohol-is-not-always-ethanol/#comment-51992</link>
		<author>rmvlawyer.com</author>
		<pubDate>Sun, 12 Apr 2009 14:41:01 +0000</pubDate>
		<guid>http://gaduiblog.com/2009/03/11/alcohol-is-not-always-ethanol/#comment-51992</guid>
		<description>Users of &lt;a href="http://www.rmvlawyer.com/mass-dui-ignition-inerlock-violations.asp" rel="nofollow"&gt;Ignition Interlock Devices&lt;/a&gt; should be aware that alcohol readings are not 
always caused by alcohol in the user's bloodstream, this is only one of three possible causes. Alcohol readings can also be caused by a malfunction of the interlock device or the device mistaking another substance for ethyl alcohol in the user's bloodstream. In my practice as a Massachusetts Interlock Device Defense Lawyer, I have personally seen common products such as hand sanitizer, 
power bars, chewing gum, windshield washer fluid, anti-freeze, baked goods, and flavored coffee all be mistaken by interlock devices as alcohol. Interlock users 
should be aware of the possibility of contamination by these and other sources. All interlock users should take steps to protect themselves from &lt;a href="http://www.rmvlawyer.com/mass-dui-lawyers-inerlock-defense.asp" rel="nofollow"&gt;false positive interlock readings&lt;/a&gt;. These steps include documenting any unusual occurrences with the IID, immediately reporting &lt;a href="http://www.rmvlawyer.com/mass-dui-interlock-device-problems.asp" rel="nofollow"&gt;false interlock device readings&lt;/a&gt;, and not ingesting anything except water before or during interlock usage. One of the best things you can do when you get a false positive reading is to immediately go to a police station or hospital to get a comparison blood alcohol test. Following these steps may prevent you from facing a license suspension as a result of an interlock violation.</description>
		<content:encoded><![CDATA[<p>Users of <a href="http://www.rmvlawyer.com/mass-dui-ignition-inerlock-violations.asp" rel="nofollow">Ignition Interlock Devices</a> should be aware that alcohol readings are not<br />
always caused by alcohol in the user&#8217;s bloodstream, this is only one of three possible causes. Alcohol readings can also be caused by a malfunction of the interlock device or the device mistaking another substance for ethyl alcohol in the user&#8217;s bloodstream. In my practice as a Massachusetts Interlock Device Defense Lawyer, I have personally seen common products such as hand sanitizer,<br />
power bars, chewing gum, windshield washer fluid, anti-freeze, baked goods, and flavored coffee all be mistaken by interlock devices as alcohol. Interlock users<br />
should be aware of the possibility of contamination by these and other sources. All interlock users should take steps to protect themselves from <a href="http://www.rmvlawyer.com/mass-dui-lawyers-inerlock-defense.asp" rel="nofollow">false positive interlock readings</a>. These steps include documenting any unusual occurrences with the IID, immediately reporting <a href="http://www.rmvlawyer.com/mass-dui-interlock-device-problems.asp" rel="nofollow">false interlock device readings</a>, and not ingesting anything except water before or during interlock usage. One of the best things you can do when you get a false positive reading is to immediately go to a police station or hospital to get a comparison blood alcohol test. Following these steps may prevent you from facing a license suspension as a result of an interlock violation.</p>
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		<title>Comment on Gastric Bypass Surgery by weightloss</title>
		<link>http://gaduiblog.com/2006/08/04/gastric-bypass-surgery/#comment-51863</link>
		<author>weightloss</author>
		<pubDate>Tue, 24 Feb 2009 20:00:13 +0000</pubDate>
		<guid>http://gaduiblog.com/2006/08/04/gastric-bypass-surgery/#comment-51863</guid>
		<description>&lt;p&gt;Gastric bypass surgery raising alcohol levels in the blood was talked about on the Oprah Winfrey show.  For those weight loss surgery patients out there that take a drink every now and then, it is important that you know about this.  It could save your life. &lt;/p&gt;
&lt;p&gt;- Chris&lt;br /&gt;
&#60;
</description>
		<content:encoded><![CDATA[<p>Gastric bypass surgery raising alcohol levels in the blood was talked about on the Oprah Winfrey show.  For those weight loss surgery patients out there that take a drink every now and then, it is important that you know about this.  It could save your life. </p>
<p>- Chris<br />
&lt;</p>
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		<title>Comment on Gastric Bypass Surgery by heartlandrose</title>
		<link>http://gaduiblog.com/2006/08/04/gastric-bypass-surgery/#comment-50733</link>
		<author>heartlandrose</author>
		<pubDate>Sun, 13 Apr 2008 20:51:20 +0000</pubDate>
		<guid>http://gaduiblog.com/2006/08/04/gastric-bypass-surgery/#comment-50733</guid>
		<description>Is this really due to what they cut away or is it possibly due to the overuse of antibiotics?  What if there is an infection at the time of the accident?  Isn't OWI due to intent?  What if you did not know this was going on in your body due to the dysbiosis in your colon?  My guess is there is some more health issues.  People do not understand that one person can metabolize way more than someone that is not aware that they may have a medical condition in there body that can possibly cause them to constantly carry a blood alcohol level even though they do not drink at all.  The court system does not care!!!  They just call you a lier.  They are putting away inocent people all the time.  This is what my son is in the middle of right now.  We need to get these people together and change some laws that these people get screened when they have accidents!</description>
		<content:encoded><![CDATA[<p>Is this really due to what they cut away or is it possibly due to the overuse of antibiotics?  What if there is an infection at the time of the accident?  Isn&#8217;t OWI due to intent?  What if you did not know this was going on in your body due to the dysbiosis in your colon?  My guess is there is some more health issues.  People do not understand that one person can metabolize way more than someone that is not aware that they may have a medical condition in there body that can possibly cause them to constantly carry a blood alcohol level even though they do not drink at all.  The court system does not care!!!  They just call you a lier.  They are putting away inocent people all the time.  This is what my son is in the middle of right now.  We need to get these people together and change some laws that these people get screened when they have accidents!</p>
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