about this ailment nor did he know of it or of the prescription given for 't. On Saturday, the 10th of October, Dr. Wheel-gave to the prisoner a prescription for Fowler's Solution of Arsenic. This was for her own use, asa tonic, and had been prescribed for her by Dr. Wheeler on three previous occasions. The prescription was for half-an-ounce of the solution and the dose prescribed was 4 or 5 drops after meals. This prescription Dr. Wheeler will tell you was given to her on the 10th of October, at her own request. She had, however, some short time previously lad a consultation with him, at which he suggested that she should take it again. "Arsenic is a deadly poison, but like other deadly poisons is used medicinally. It is taken solid in the form of arsenious acid or white arsenic and sometimes it is taken in solution. The most usual form of solution is Fowler's Solution of Arsenic, which contains one grain of white arsenic to each quarter of an ounce of solution.
'THE MEDICINAL DOSE OP WHITE ARSENIC is 1/60 to 1/12 of agrom to be taken not often-erthen three times a day. The medicinal dose of the solution is from 2 to.8 or from 2 to 10 minims containing the same amount of white arsenic, 1/60 to 1/12 of a grain. 'A single deadly dose for a man would be from two grains upwards. that is from 94 to 120 medicinal doses. Thus, from half-an-ounce of Fowler's Solution upwards would be a deadly dose. Such a dose would cause death in various periods varying according. to circumstances, but the average of which may be taken at about twenty-four hours. The usual symptoms would be depression, nausea and vomiting, intense pain in the region of the peer 4 purging, straining (called tenesmus), a sense of constriction in the throat, with a feeling of dryness and burning heat, accompanied by intense thirst. Any one of these symptoms alone might be caused by other means than arsenic. A small dose of arsenic would disappear after a lapse of some hours, but if the smaller doses were repeated before recovery 'THE PATIENT WOULD PRODADLY DIE, and in fact, repeated small doses of arsenic would have a fatal effect, if given with sufficient frequency. On Sunday, the 11th of October—that is the day after the day on which Dr. Wheeler gave to Mrs. Carew the prescription for Fowler's Solution—he saw Mr. Carew—probably at his house. Mr. Carew then complained of his liver, and Dr. Wheeler prescribed for him. This reser stion for Fowler's Solution given to its. w the previous day was sent by Mrs. Carew that evening to odel's Dis-pen sary, and the articles ordered were provided. On Tuesday, the 13th of tober, Dr. Baelz's prescription was filled at Schedel's Dispensary. On Thursday, the 15th of October, the prisoner wrote Dr. Wheeler asking him to see her {husband at the Club. It appears that it is Dr. Wheeler's practice not to keep chits asking for his attendance but to destroy them either when he receives them or has attended to them, and this letter with other similar letters that will be mentioned were dealt with in accord. ance with his usual practice. But, I believe, nothing turns upon the absence of these letters. Dr. Wheeler, in accordance with the request contained in the prisoner's letter, called on Mr. Carew at the Club and advised him to confine himself to a slop diet and to drink Vichy-water and milk, and nothing else, and in order that this direction might be carried out he advised him to go home and stay in the house for two or three days at the least. At this time he complained of being weak and out of sorts, and told the Doctor that his liver was bothering him, and the symptoms observed by the Doctor were in accordance with this. The doctor told him that he had been over-stimulating and, from the appearance he presented, warned him that if he did not take care ho would have jaundice. Mr. Carew, acting on the advice given him, went home that day, Thursday, the 15th, and.did not leave his house until he was carried from it on stretcher on the following Thursday, the 22nd, and taken to the Naval Hospital, where he died soon after his admission. On Friday, the 16th, the day after Mr. Carew went home, Dr. Wheeler visited him. He complained of disinclination to eat and nausea, and was very drowsy and sleepy. Dr. Wheeler took that to be a liver symptom, and either that day or next gave him some podophyllin drops. This drowsiness, it may be observed, continued more or less until about Tuesday morning. On this day, Friday, Dr. Baclz's prescription was again filled at Schedel's. On Saturday, the 17th, the deceased remained in about the same condition; the irritability of the stomach had increased, and ho was vomiting—a bilious-looking vomit. He was up and down during the day, som times in_bed and sometimes in the armchair. He talked of
Text read from the printed page and cleaned; old type leaves the occasional error.