Three years ago I was reading for an examination, and feeling " run down" I took 10 minims of strychnia solution (.) with the same quantity of dilute phosphoric acid well diluted twice a day. On the second day of taking it, towards the evening, I felt a tightness in the "facial muscles " and a peculiar metallic taste in the mouth. There was great uneasiness and restlessness, and I felt a desire to walk about and do something rather than sit still and read. I lay on the bed and the calf muscles began to stiffen and’ jerk. My toes drew up under my feet, and as I moved or turned my head flashes of light kept darting across my eyes.. I then knew something serious was developing, so I crawled off the bed and scrambled to a case in my room and got out (fortunately) the bromide of potassium and the chloral. I had no confidence or courage to weigh them, so I guessed the quantity-about 30 gr. bromide of potassium and 10 gr. chloral-put them in a tumbler with some water, and drank it off. My whole body was in a cold sweat, with anginous attacks in the precordial region, and a feeling of "going off." I did not call for medical aid, as I thought the symptoms declining. I felt better, but my lower limbs. were as cold as ice and the calf muscles kept tense and, jerking. There was no opisthotonos, only a slight stiffness at the back of the neck. Half an hour later, as I could judge, I took the same quantity of bromide of potassium and chloral, and a little time after I lost consciousness and fell into a " profound sleep," awaking in the morning with no unpleasant symptoms, no headache, &c., but a desire " to be on the move " and a slight feeling of stiffness in the jaw. These worked off during the day. 28 March 1896. "AN OVERDOSE OF STRYCHNINE." The Lancet, 147(3787):887.
DeJong, who trained in North Dakota and holds a doctorate in pathology from the University of California-Davis in addition to her medical degree, had built her career as a fill-in doctor in rural emergency rooms. Concerned about how many patients she was seeing who couldn’t get in regularly to see a primary care doctor, she signed up in 2012 with a telemedicine company called Consult-a-Doctor. The company would refer calls to her for consultations in states in which she was licensed to practice. On Feb. 9, 2012, she consulted by phone with a patient in the Boise area who had severe cold symptoms, aches and pains, and a slight fever. DeJong advised the patient to treat the symptoms but also offered to call in a prescription for an antibiotic to take if the patient’s fever rose or her symptoms worsened, a move the patient welcomed.