The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888Various
Science
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888
Various
Medicine -- Periodicals
The universal practice among apothecaries of refilling prescriptions
indefinitely, without the sanction of those who wrote them is frequently
the subject of adverse criticism by physicians. “But,” says the
pharmacist, “is not the prescription mine?” Probably the reply will be
affirmative, though this is a question not entirely settled in the minds
of those concerned. Granting, however, for the sake of the argument,
that the apothecary is the rightful owner of the prescription, he
triumphantly asks, “May not one do as he chooses with his own?” Not
always, by any means, unless he elects to use his property in a way
which will not imperil the welfare of others. The law puts many
restrictions on the natural rights of ownership, for the purpose of
shielding society from the ignorance, the malice, and the cupidity of
proprietors. In the matter of prescriptions there are no such
limitations; but in this, as in so many other affairs, we should be
controlled not merely by considerations concerning our legal rights. The
unwritten, but greater, law regards the question from a higher plane;
and from this point of view one sees that there are moral reasons which
should restrain the apothecary in these premises. Let us look at
prescription-refilling in its remote as well as its immediate bearings.
The physician writes his prescription for one occasion and for one only.
He designs it to fulfil the indications in a particular case at a given
visit. It is often in the highest degree improbable that the conditions
of the case will remain the same for a given length of time; and, when
they change materially, another prescription is needed to satisfy the
altered requirements. Of these things many patients and apparently, all
apothecaries are accustomed to take no note; and, therefore, the
prescription is refilled for the same person on many occasions, when
something very different ought to be furnished, the expected improvement
does not occur, and the physician is blamed for the failure. The
prescription, intended for the treatment of a certain condition afforded
relief and changed the state of affairs. Thereupon, further advice
should have been sought by the patient, his physical condition
investigated anew, and another recipe given by the physician, if he
deemed it desirable. To hold the doctor responsible for the ill effect
or lack of effect of his prescription in circumstances unlike those for
which it was designed is obviously unjust. Yet this is done habitually,
both in the case just supposed and in those other instances, quite as
common, in which the recipe is compounded, not for whom it was written,
but for some other person, who supposes (on what slender evidence it is
appalling to contemplate), that his ailment is identical with that of
the original patient. The refilling really amounts to the apothecary’s
abetting the patient in self-treatment. There is a trite remark to the
effect that he who undertakes to be his own lawyer is sure of a fool for
Public-domain text, read in full here on John Shaqi.
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