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MYSTERIOUS DEATH AT HOOLE.…

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MYSTERIOUS DEATH AT HOOLE. I FATAL STRYCHNINE POISONING. I EXTRAORDINARY CASE. I The West Cheshire Coroner (Mr. J. C. Bate) was occupied for several, hours on Monday at tiio Urban Counel officios. Hoole, in conducting art adjourned inquiry into tho mysterious cir- cumstances surrounding tho sudden death on Saturday, tho 10th Fob.. of Bertha Mabel Farmerey, aged 32 years, the wife of William Art.hur Farm ere v. of tho Beoe Hive Hotel Hoole. Tho procoed'lng.s had bean twice adjourned to allow of a postmortem examiua- t'on of I;h-, body and an analysis of tb3 contents of tho >tomac<h to made. Mr. E. S. Giles, solicitor, was in Attendance on behalf of Mr. Farmerey, tho husband of the deceased; Mr. R. T. Moigan represented "he in forested parties," whoso name's he- did not mention, while the police were rep refuted by Supt. Hicks and Detective Hoole. Before opening the proceedings the Coroner satd they would ie obiiged to wait until the medical men cone, mod in the case had had a conference. lie dd !lot. Wi3b to proceed until he was ablo to see them, as he did not know wha.t their evidence would be. The Coroner then teft the room for a few moments, and returning in company with tho medical gentlemen, he immediately proceeded to address the jury THE CORONER'S STATEMENT. Dest-anng the eircuakstances of the case, he asked the JUry to 4:vf-- tlwlr attention to a;- k e d the jur?' to  care f ul attent i on to the cv, ideuoo that would l>o called, becauao it wou?d bo !argely W a professional nature, and might be a little difficult to understand. On the 23rd of January- iee-eased went to see Dr. Butt at his surgery on account of some akin irri tation, a.nd ag-an visited him on the 31st. On the latter day. after h-e-r visit to the surgotv. Dr Butt went M tito See Hire and saw her. She was then suffering from a. skin irritation, and up to the bm» of her death the doctor did not for a moment consider that- her aihnenc would terminate fatally. On the 31st ult. he prescribed medicine for her, and this medicine contained nothing which could in any way lefer to iter death. On IhH 2nd February ho wa-, again summoned, when Joceased made 110 complaint of feeling in any way different from usual, although the day previously she had been suffer- ing from a chill. He then prescribed a change of medioiie, and deceased was supplied with three bottles of fUafr medicine—the firsr. about the 2nd of February, tho second on the 6th, and the ti urd bottle on ciio evening before she died. All that illedicmo ivaa supplied according to one prescription. Dr. Butt continued to see deceased up to the Friday (the 9th), and she wa.s thcon recovering from the irritation. He advhod her to keep in bed and take, a rest, but he hod no apprehension of any serious result of what she was suffering from. When Mr. Formeroy werrt. to bed about 11 50 on Friday night his wife compiaitied of being rery hot. and said "1 feel my bead beating." AI)oui 3.20 in the morning she awoke her husbmd and sa d, "r HAVE A TERRIBLE PAIN in my stomach." Mr. Farmerey asked if Ic should fetch tho doctor, and she æ.p!i"d. "o; give me a drop of gill and peppermint." He did so, and sfho wont qtrofc. but kept twitching and asked for drinks. At 5.20 he got up a.nd at- tended to IÚJ business, Vtheti his wile asked bim for a drop of brandy. This he administered, but as alio went lie sent for Dr. Butt shortly after six o'clock. According to the hus- band's statement. after deceased was attended by Dr. Butt he upstairs to shut tho bed- room door, which had been left open. 'T did not like the look of my wife," he said, ,'and called Dr. Butt up again, and he said. 'She is dead.' Dr, Butt Wi)uki t!l the jury that his impr?a' on oc foro d<'ath was tha.! dcc'M.-pd was irapreasion before ck.th was tb.t deceased was a.pp?T<?n?y sufformg fiom gkyûhnine poisoning, and ho sent for Dr. Hamilton. When Dr. Ham- ilton cam-? they both examined the patient, and after caref ul examination {taking into view the groat improbability of strychnine having been fcaJcori bv tho deceased) they oam.o to the con- clusion that, she was suffering from some ner- vous epilepsy. Tho doctors then went down- stairs. Dr. Hamilton leaving, and Dr. Butt le- maining downstairs tcT write a prescription. He bad finished writing this when Mr. Farmerey wont upstairs to his wife's room and oa'ied Dr. I Butt up. The cloetor went upstairs and found Mra Farmerey was dead. These were shortly the facts that had been given. As to tho medi- cine supphed, ho (the coroner) would point out that tiho prescription given oil Feb. 2 by Dr. Butt contained, «.uiong other things, tincture of mix vomica. This was an extract from the vomica nut, and oonfcairsed a certain percentage of stry chrvine. The. tinduro of mix vomica. kept by aliemists was -t standard preparation, sind contained one-eighth of :t dram of strychnin.e in dram of Uhe tincture. This medicine was supplied in six-ounce bottles, and was labelled "To bo taken one tablespoonful three times a day. I'hs would mean that caoh dose wou?d day." T-it! wotild Lti.oLn t.w.?t ?--voh dos-o v?ot,ld mal dose. From thra tho jury would see there was no quantity of strychnine in the medicine proscribed that would account in any way for a person's death. The first bottle, as stated, was supplied on 2nd February, containing about twclro doses, which would last tiU about the 6th. On the 6th the bottio was taken to tho climi Ist (Mr. Garten to be refilled. The medi- cine had thus apparently been taken in the way prescribed. On the following da.y the bottle was relumed for the addition of some other ingredi- e,,r t tIl) chent?i,? ?llt l ?, ent; the chem sfc weighing the contents and putting in the additional ingredient and re- turning the modici-iic. The bottle then con- tained tHO. doses, and tiho chemist considered then* were sufficient ciaees to last thrco days afterwards. The patient would therefore be ex- pected to finish the !)ottte some time on tihe Saturday night- Mr. Farmerey told tibcm, how- ever. that on uhe Friday at noon be saw the bottle, and so far w he could judge there were two doses loft. His wife told him she wanted more medicine, and another bottle was got from the chemist. He (the coroner) was sorrv to say they had no evidence as to how deceased took fchu medicine, or when s he took it, there being no one m the bou-to who appeared to have seen her take it. On the Saturday morning the bottle containing the last medicine was found, and ono dose had beon taken from it. The second bottio was also found, and that was empty. He did not know that that, oircumstanoe bore very materially on the Mse. but at the same time there was the fact that she had taken tho second bottio and orao c/o.go out of the third bottle in much quicker time than she ought to have taken i., t. Ttiat might probably be accounted for by the varying capacities of tho tablespoon. Some tablespoons were larger than others, and (Je- o,Aa,s,c.,l J d not u.ae a medicine glass. When thoso facta were reported to him he thought theie wa.3 no other course but to order a post- mortem. This bad been made by Drs. Butt and Hamiiton. The stomach wa-i mmt to the county JMiailyst, who found it contained from l-7th to I-loth of a grain of stryciuutie. It would be for the jury to consider from the evidence whether that quantity, and the probability of a further quantity having been absorbed into the system (tor it was (he quantity abcorbed into the system bh&t killed, and not that which lay in the stomach), wais sufficient to catiise death. If they found death was due to strychnine poisoning, they might be ablo also to say if there was any evidence to &hoew how the etryohnine got into the wornau's system. THE HUSBAND'S EVIDENCE. I r, 'micnce was then called'. Wm. Arthur Farmerey. tlie husband of the deceased, sa.id his wife had been under the care of Dr. Butt abotit a fortnight before her cleatih. There waa nothing to cause him any anxiety as to her condirion before the Friday. His wife had oomplamed of a ooid shiver, and seemed to bo going into hysterics. Deceased asked him to send for Dr. Butt, and tho latter prescribed for her. On the Friday (the day before the death of hie wife) he wont for a third bottle of mediaime for his wifo. He had previously seen the first bottle which had contained medicine in the kibchcn. On Friday Mrs. Farmerey had been up and bathed the boy, and witness did not. think anything wad seriously wrong with her. iWltea lie went to lied shortly before 12 o'clock his wifa complained of a throbbing head. Wit- ness advised her to go to sleep, but about 3-20 a.m. his wife woke liqui and complained of pains in bar head Mid stomach. At her request wit- ness got her some gin a.nd peppermint. His wife's condition did not improve, and about fivo o'clock she complained of being thirsty. Ho srfjnt for Dr. Butt, who on arrival .aid something .serioiu was tho matter, and aisked that Dr. Hamilton liould be called in This was done, and about seven o'clock, when boèh doctors came downstairs Dr. Butt said in reply to wit- ness that deceased seemed to be in hysterical convulsions. While Dr. Butt was writing another prescription witness went upstairs to his witVs room, and noticing she was in a æ.1ou8 condition, ho immediately called Dr. Butt up stairs, but his wife was dead. Witness did not isee his wife take any of the medicine, and he thought she had taken the dD,-Ai when alone. The Coroner: Have you noticed her to take any medicine which was not proscribed by the doctor? Witness She has always been in good health. a.nd I never took any notiice of what she took. So far as you know she has not taken any- thing except this medicine?—No. Slue had no other bottles of medicine in the room on Friday evening?—No; on'y what have I been taken away. By Supt. Ilicks: One night when his wife awoke him h{',r boay was LLS cold as could be from her feet to her hips. She had complained of her stomach a groat doal longer than a fortnight. Mr. Giles, having Informed ihe coroner that Ir. Farmerey. for whom Ivo appealed, was veiv anx:om that dtere should be a full and careful inquiry into the c?rcun?tanoes of his wife 3 death, which were vcty painful to inm. then put a fevv questions to witii'-ss. I Mr Gi'es: Your wife has been fa.iily healthy during all your married life?— Y es It has been a happy married life?—Yos. There have been two children, one of whom survives P'-Yes. i ti,- out You hyo oC0n in tho habit of going out drivin" with yom wife and child?—Yes. Up to the time she consulted Dr. Butt latterly had you any idea she had a const-itutonal ail- ment?—No, but I did not think she had Itad proper heaith for a considerable tin?' Dr. Butt was attending her for a month before C'hrstma?. During tho time she was under Dr. Butt's care hod you inquired what the character of the medicine was that ho was preserib:n.g for her?—No; I asked him wha.t was the matter with Iter when we sent for him tho last time, and Ike simply told. me she was suffering from irritation of tho skin- R-c-plying to further questions, wittif,.ii said that during her last illness he prepared lÚ" wife's food, the doctor giving certain directions as to lr diet- Mr. Giles: On the Friday night she com- plained some trirnc before 12 o'clock. Did vott notice at that time any twitchings?— No. Or Whjll 800 awoke you at half-past three?— No. she complained of pains in her head and stomach. Do you remember her saying anything to you then about the length of her life?—She told me several times that s lie did not think she would live long. On the Saturday morning, about half-past three, she said "I do not think I am going to live, Will"?—Yes. Continuing, witn-z- sa"d during Dr. Bult's visits he told him all lie know of his wifes con- d) t.ion. montioivng her complaint about tho pains in her head and stomaoh. By the Foreman Witness did not think his wife kept any homeopathic medicines in the 1 house. He received no warning as to the- way in which h!A wife should take her medicines, and he did not. know that she received any wa.ruing'l Ernost Shumebc?ham, a du!yq?a!ificd chemist, and manager of Mr. Thcm-M Carter s branch dispensary at Fio?ker?brook, gave detailed evi- ckwa as to thc prescript ions he dispensed on Dr. Butt's orders for Mrs. Farmerey. lie per- sonally dispensed all the medicine. The medi- one supplied on the 51st January cotitatti-ed one half ounce of opsont gaits, carbonate of mag- nesia two drams, and peppermint water added to I six ounces. There was also an ointment for out- ward application. On tho 2nd Feb. Mr. Far- moiey brought another prescription, which con- tained three drams of carbonate of potass, tinc- ture of nux vomica one dram, spirits of chloro- form one dram. W itness described other medi- cines and o iumcnts ho dispensed for deceased- One bottle had added to the ingicdients already named some solution of arsenic, and another had sal volatile in it. The last-named was or- dered by Dr. Butt by telephone to be added, to the mixture. Tito doctor then siatd Mrs. fat- merey was complaining of pains in the stomach, and he asked witness if there was ANYTHING IN THE PRESCRIPTION likely to cause them. Witness read the pre- scription over to the doctor, and he said it was I all rip-h.t. All the doses were directed to be taken in dotes of one tablespoonful three timed a day in water. All the medicines had been dis- pensed correctly. There were 1 of a grain of strychnine in all the medicine that he supplied. The Coroner: No more?—Witness: No. Con- tinuing, he .said that when a bottle that had previously contained medic me wad returned for a further supply it was the regular custom to always thoroughly wash it before refilling. By Mr. Morgan: Even if the bottle had not i been washed there would not have been sum- cient nux vomica left in it to injure the patient. All the labels on the bottles contained a warn- ing not to exceed the dose prescribed by the doctor, also to use proper measures. When poison was used in prescriptions, the poison was always put into the bottle last. Mr. Joseph Carter Bell, the county analyst, deposed to analysing the stomach and its cou- j tent?. lie found about 1-lOth of a grain of strychnine altogether. At the same time he received a six-ounce bottle containing the medi- j cine decea?d had been supplied with, and he found i& contained ?t? of a grain of strychnine. This would be in accordance with the prescription. He was supplied with the brandy, gin and peppermint that were found in the sick room, but neither contained strychnine. The strych- nine found in the stomach would not have caused death, but that whioh had been aboorbed into the system. The Coroner asked what in witness' opinion was the minimum dose that would cause death. Witness replied that it. varied very much, from one half to two grains. The tincture of nux vomica was a standard preparation, con- taining about 4th of a grain of strychnine to the dram. There were twelve doses in each of the bottles, and each d«se in witness' opinion would I contain about l-96th of a grain of strychnine, The whole bottle would contain about gtli of a grain of strychnine. By Mr. Giles: If deceased had begun one bottle on Wednesday and finished it on Friday, and taken one do-e out of the third bottle, she would have taken th and l-96th of a' grain of stryohnine. He could not tell how it came about that he actually found in his analysis more ¡ strychnine in the stomach than was actually contained in all the medicine that was supplied from Wednesday. If deceased had not shaken the bottle she would have taken a larger dose of strychnine with her last dose than at all other times. By the Foreman: Witness had no idea of tho quantity that had been absorbed into the system. Dr. Francis John Butt said he treated deceased for a skin complaint on 21st January. On the 1st February he found deoeased suffering from a chili, and prescribed for her, the medicine to be taken three times a day. The mixture contained one dram of nux vomica. On the first bottle being consumed a second was ordered. This treatment was continued from the 1;t February till the 7th. On the morning of the 7th the hue- band asked witne if hio wife had compiamed  of p&irw in the stomach, and witness answered in the negatve. Believing the medicine might have something to do with it, witness slightly altered the prescription. On Friday morning, the 9th, witness again attended Mrs. Farmerey? but there was nothing unusual in her appear- ance. He did not see her again until the Satur- day morning (the morning of her death), when he was summoned to the house about 6.15 a.m. An examination shewed that in witness' opinion the patient was suffering from spasmodic con- ditions of the muscles. Witness had A PASSING SUSPICION that deceased might be suffering from strych- nine poisoning, and with the husband's consent he called in Dr. Hamilton. In a case of stryoh- nine poisoning t4i4ere were usually intervals of complete relaxation, but this symptom was not present in deceased's case. The spasms con- tinued almost incessantly, but after a time wit- ness oatno to the conclusion that his patient was suffering from a nervous fit from which she would recover. After conferring with Dr. Hamilton witness left the room and went dowii- stairs to write a prescription. While in the act of doing this he was called by Mr. Farmerey to' the sick room, and on re-entering he found Mrs. Farmerey dead. Dr. Hamilton was again summoned, and both of them agreed that they could not give a certificate of death. Later he and Dr. Hamilton conducted a post-mortem ex- amination, which shewed that all the organs of the body were healthy. The appearance of the blood in the heart, liver and other organs was consistent with death from asphyxia. The Coroner: Do canvttlslont, or fits produce the V1.me effect ? Witness replied that it depended whether the person died with a spasm or from exhaustion. He should say in this case that the patient evidently died in a spasm. The glottis .shut out all air and prodnoed that condition in which the organs were found. On account. of his sus- picions witness took possession of all medicine in the room. and it had been forwarded to the analyst. When he found the woman dead he changed all his previous opi nions. The Coroner: What is your opinion as to the cause of death? W itness: Mv opinion is that Mrs. Farmerev DIED FROM STRYCHNINE POISONING. Continuing, witness said the docc, of strych- nine he prescribed in the medicine was one-third of the maximum dose usually prescribed by modical men. Each of the three bottles prescribed would contain about of a grain of strychnine, so that the whole quantity deceased took, viz., two bottles and one dao>!), wonki be only a shade over a quarter of a grain. Medical opinion o??er a qtiartlr of a gr..I: shewed that strychnine was very quickly elim- inated, and in witness' opinion the quantity found in tho stomach must have been taken, presumably, within twelve hours of death. The quantity found residue in the stomach had noth- ing to do with the cause of death. Strychnine killed when it got into the blood and attacked the nervous system. The Coroner: In your opinion the quantity found in the stomach could not have been ob- tained from the prescription given by you if it had been properly dispensed?—No. If death was due to strychnine poisoning it was not from the strychnine obtained in the medicine as ordered by witness. Examined by Mr. Giles, witness said his wisest cour-x; was to send for Dr. Hamilton. There was nothing at hand that could have been administered as; an antidote. He still main- tained that he had acted in the wisest possible way. Strychnine poisoning was fairly rapid. Deceased was a healthy woman, and there was nothing to account for death except the strych- nine poisoning. He aoked the woman three time-, whether alio was in any pain, and she said i to. Dr. Alexander George Hamilton gave evidence in confirmation of the above statements. After briefly examining the woman he came to the oon- clusion thai. was suffering from a hysterical fit, having in view the fact that she had suffered from hysterical convulsions before. He was very much surprised when he was re-called and found the woman dead. Very few medical men came in contact with a death from strychnine poisoning, and their opinion on the subject was all gained from books. He COULD NOT ACCOUNT for the quantity of strychnine in the stomach. Asked hit. opinion as to the cause of death, wit- ness replied My opinion is she died of stryoh- nine poisoning." The Coroner: Can you acoount for the quan- tity in the stomach?-No. Do you say it could not; bo acoounfed for by the medicine she took?—I do. Do you agree with Dr. Dutt a3 to the quick eiiminaÚun YeB. LIVERPOOL OPINIONS. Dr. Buchanan, residing at 6, Rodney-street, Liverpool, lecturer on Forensic Medicine at the Liverpool University was next called, and asked if he could form any opinion from the symptoms described by the previous witnesses. Witness replied that 00 far as the evidence went the symptoms described were compatible with those of poisoning by strychnine. He could not say whether, if deceased took the amount of strychnine contained in the two bottles at one doso that would be sufficient to cause death. He could not say that it would not have caused death, becauso it depended a great deal upon the idiosyncrasy of the person. It, might take a very much less dose to poison one person than another. He should say that ac- cording to the reoords it was not sufficient to cause death. If the death occurred through strychnine poisoning, he was of opinion that it had not come out of the medicine if it was properly made up. A person suffering from stryohnine poisoning would either recover rapidly or die. If he did not die his recovery would be complete. This shewed that elimina- tion went on rapidly. He should think the strychnine which caused the woman's death must have been taken a short time before she died. The Coroner: Can you put any limit on the tirno! Witness: I cannot. Continuing, witness said it was quite possible that any doctor might have been mistaken with regard to the symptoms. He had never seen a person dio of strychnine poisoning. He con- firmed the opinion of Dr. Butt and Dr. Hamilton that deceased died of strychnine poisoning. At present there was no evidence to account for the presence of strychnine in the stomach. Dr. Butt (re-called) said he wished to explain that when he received the message, he had no knowledge of what the woman was suffering from, and consequently he had no antidote with him. On further examination of the patient he came to a conclusion which turned out afterwards to be wrong. He still thought he did the best under the eircumstanoea by calling in Dr. Hamilton. The woman was only taking a medicinal doso, and not .such a one as would cause the symptoms from which she died, Witness added that Mr. Farmerey had shewn tho greatest solicitude towards his wife, and every attention was paid to her by him. They appeared to live very happily. This completed the evidenoe. The Coroner, in summing up, pointed out it was clear from the medical evidence that there could be only one cauoe of death—stryohnine poisoning. In cases of this kind, although the evidence was of a somewhat technical nature, the jury were bound to accept the evdenoe given, unl ess there was good reason to believe otherwise. What- ever conclusion the jury came to, they were bound to say deoeased died from strychnine poisoning. It S9emed impossible to ascertain how the stryohnine came to be in the stomach after death. According to the prescription given by Dr. Butt, it appeared that if deceased had taken in one doae the whole quantity of medicine supplied to her between 1st February and the date of her death it would not have been sufficient to cause death. It was perfectly im- possible that the whole amount prescribed could have been taken in those circumstances. They had NO SUSPICION OF FOUL PLAY, and if they found that deoeased died of strych- nine poisoning he thought they were bound to come to the conclusion there was no evidence to shew how she contracted the poisoning. The jury, having considered their verdict in private, came unanimously to the conclusion that death was caused by strychnine poisoning, but that there was no eyidenoo to shew how the poisoning was contracted. — I

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