New York Journal of Pharmacy, Volume 1…
“ The apothecary, instead of sending him the prescription for correction, as he ought to have done, put it up and sent it with the fearful monition that the dose would prove fatal—and so it did—to the prescriber himself, who took the dose his patient dared not touch. He died in five minutes, a victim to a printer’s error, to his own self confidence, to want of etiquette in the apothecary, and last, not least, to an ill-contrived system of weights.This brings us to the practical question, What is to be done? All agree that there ought to be a reform. ”
