THE DISPENSING OF PRESCRIPTIONS.

THE DISPENSING OF PRESCRIPTIONS.

770 - possess are quite sufficient if they are properly used. An Islington paper, the Daily Gazette, of To the Editor of THE LANCET. March 24th, reco...

174KB Sizes 2 Downloads 29 Views

770 -

possess are quite sufficient if they are properly used. An Islington paper, the Daily Gazette, of To the Editor of THE LANCET. March 24th, records a successful prosecution for the SIR,—In your admirable leading article on Insanity sale of a certain compound drug which was not comand the Criminal Law in THE LANCET of April 7th, you posed of the ingredients in accordance with the " state that a committee of the Medico-Psychological demands of the purchaser, inasmuch as the said Association, which considered this question exhaus- compound contained potassium bromide to the extent tively in 1896, failed to find, within the period covered of 20’3 per cent. in excess of the amount prescribed, to the extent of 28’6 by its inquiry, any instance of miscarriage of and spir. ammon.ofaromat. the amount prescribed. justice." As I opened the discussion on this subject per cent. in excess When in the Isle of Wight in the year 1913, a sample in 1894 at the annual meeting of the British Medical Association at Bristol, at which for the first time prescription was made up by six panel chemists, the in the annals of the B.M.A. ba,rristers and lawyers sample being taken with a view to ascertaining how they would be made up, particularly as regards were invited to attend and join in the debate, and as the said committee was appointed on a resolution quantities of materials composing the mixture. The proposed by myself and seconded by the late Dr. prescription was a very simple one, containing nothing but potassium iodide, glycerine, and water. The Charles Mercier, may I be allowed to interpose ? The report you mention was strongly opposed by a iodide cost then about 13s. 6d. a pound, and the Is. 3d. a pound. The results of the minority, and the result of this opposition was, that a glycerine about that the drugs were genuine, but that resolution was carried by a large majority-that the analyses showed the varied very considerably. on be laid the table. this So that was quantities supplied report report never accepted by the Medico-Psychological AssociaShort in Short in tion. My one great objection to the M’Naughton Sample. pot. iod. glycerine (per cent.). (per cent.). ruling-apart from its unscientific determination-is that the evidence which experts are allowed by some 3.75 10.96 (a) was 9.25 judges to give in the criminal court is not sufficient G.03 (b) was to enable the jury to bring in a verdict of "Gnilty, 27.3 (c) was 16.5 but insane." Yet in many cases a written opinion 12.93 (d) was 11.75 the same or some other expert, who is not cross6-0 2.7 (e) was examined after an examination of the condemned 3.5 per cent. in excess of pot. iod. and was (f) prisoner, is sufficient to save him or her from the 29-5 per cent. in excess in glycerine. scaffold. Justice which is now done the prisoner in Such results the need of making frequent show the condemned cell was withheld from him in the criminal court. This is, to my mind, palpably wrong investigation into the accuracy of the dispensing of drugs by chemists. and should in some way be righted. I am. Sir, -vours faithfullv. The question of diminished responsibility is a very important one and this question would be easy of J. P. WALKER, solution if we had-like other of County Medical Officer, Isle of Ely. the crime of murder. I am, Sir, yours faithfully, LIONEL A. WEATHERLY. 1923. L’AFFAIRE SPAHLINGER. ’VEATHERLY, M.D. April 6th,

INSANITY AND THE

already

CRIMINAL LAW.

............

............

............

by

............

............

countries—degrees

To the Editor of THE LANCET. SIR,—Having read in your columns the opinions SYPHILIS OF THE MEDIASTINUM. of several of my colleagues concerning Mr. Henry Spahlinger’s antituberculous vaccines and sera, I To the Editor of THE LANCET. beg to inform you that I have applied this method SiR,—Whilst duly appreciating Dr. F. G. Chandler’s since 1915 to more than 250 patients. My reasons for friendly criticism of my case, I feel bound to confess not having published sooner the remarkable results that some of the points he has raised as being typical obtained are as follows. of mediastinal sarcoma are not in keeping with the These specific remedies are extremely delicate and teaching of medical writers. More especially do I refer difficult to produce. They necessitate the simulto the statement that in mediastinal sarcoma there is taneous manufacture of a series of partial products " no displacement of viscera." Practically all the of which the combination produces the necessary authorities to whom I have gone for reference state polyvalence in order to obtain a cure for tuberculosis. that displacement is an early symptom and may The supply of these sera and vaccines has often, assume very large proportions. With regard to the partially or totally, failed by reasons of the war and title of my paper, I should have used the terms " A Case financial difficulties. Had the public been aware of of Aneurysm ofthe Aortic Arch in a Girl," had I not the favourable results obtained by the treatment, the been impressed by the unlikelihood of such a condition visits and demand for the remedv would have rendered in a young female. As it was, X ray examination Mr. Spahlinger’s work more difficult and delayed the almost suggested the presence of an aneurysmal manufacture. The antitoxic action of the sera and dilatation. I also regret that a post-mortem examina- their polyvalence not only arrest tuberculosis in its tion could not be obtained. acute forms, but also render possible the application of I am, Sir, yours faithfully, this treatment with success in the most advanced HAROLD F. RENTON. phases of the disease, and in cases in which any Doncaster, March 26th, 1923. therapeutic intervention by methods previously known would haveappeared hopeless. The curative effect of the vaccines, even of partial vaccines, in THE DISPENSING OF PRESCRIPTIONS. chronic forms of tuberculosis has shown itself extremely To the Editor of THE LANCET. reliable. Since, for want of funds, the sera and vaccines can the been in of interested subject SiR,—I have no longer be prepared, and, owing to general indifferaccuracy in dispensing referred to in letters recently there is a prospect of closing the laboratory appearing in THE LANCET and wish to add my testi- ence, continued activity of which involves the recovery (the the mony in support of the opinions expressed by writers as to the necessity of this matter receiving and lives of a multitude of sufferers) I consider it now to be my duty to make known the results obtained by more general attention under the Food and Drugs Acts. One of your correspondents rightly says this method. I am, Sir, yours faithfully, " how many mistakes may be made through faulty " to a of similar for set and DR. TH. STEPHANI. drugs ? regulations pleads those which control the dairy. I think the powers we Montana, Switzerland, April 6th, 1923.