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Drug Abuse

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The register of lunatics is written up by the Hospital Assistant Ramchandar Ganpat Rao. It is written at the time that the patient is received in the Asylum. All the information regarding the facts and hiqory of the case previous to admission and also date of admission are filled up by him at the time of the patient's admission. All the entries prior to the date of admission are copied from the papers received with the patient. It is a purely clerical piece of work, and would not (the Superintendent says) be checked in any way. The entry of "alleged cause" is always made at that time; and the present Superintendent says he has never had occasion to alter the cause subsequently io the patient's admission. If two causes were mentioned in the papers the general rule is to enter only one, the Hospital Assistant says; but occasionally the second cause is entered within brackets. If the papers showed "probably ganja,' only the word " Ganja" would be entered in the register.

In the case of Sidram bin Rama (No. 142) the papers show cause unknown,' but the Hospital Assistant says he entered • ganja' because the use of ganja as well as liquor was suggested in the papers under the entry about 'character.'

In the case of Nanachandra Dudhan (No. 154), the papers show probably ganja smoking' in the cause entry; and the register shows ganja.'

In the case of Rama Pillai Shindu (No. 159), the entry under cause in the papers (in Marathi) is "he was ill, and having become exposed to the sun became insane." In the register it is ganja.' In the case book Dr. McCalman (then Superintendent) had entered ganja and drink' in his OWit handy, riting. The Hospital Assistant says that this was done at the time of admission as the brother, who accompanied the patient, said he had taken the drugs. Dr. McCalman was the Civil Surgeon who had the man under examination also as this was a Ratnagiri case.

It may be useful to record that in the case of Ramchandra Krishnashet (No. 140), there is no entry in the papers as to cause, but there is an entry under character that the man is " addicied to the tve of liquor and ganja." The Hospital Assist. ant says he entered spirits (and ganja)' as the cause, "because the entry of cause had been made in the wrong place, and people who knew the man said he took liquor and ganja."

This register prepared as above is, the Hospital Assistant says, the only source from which the entries as to cause in statement VII of the annual returns are taken.

The case book is also written up at the same time ; ard all the entries (except those from Form A) contained in the papers received with the Magistrate's order are made at that time as a rule, wholly by the Hospital Assistant in the casebook the same day or the morning after (if the man is received in the afternoon). Only in cases where the Hospital Assistant has doubt are any blanks left for the Superintendent to fill up. In the case of Rama Pillai Shindu referred to above, Dr. McCalman saw the patient's brother. The Hospital Assistant says he had copied all the entries except the two as to 'Cause' and 'Form of insanity.' These are found alone to be in Dr. McCaltnan's handwriting. The Hospital Assistant does not think that he read the vernacular papers to Dr. McCalman, but told him that the brother said the man had used ganja and drink ; and Dr. McCalman asked the brother and then made the entry. The Hospital Assistant says he did not draw Dr. McCalman's attention to the vernacular entry of cause, because he himself thought it a less reasonable explanation of the irsanity than ,ganja and liquor' ; and also because he did not know whether Dr. McCalman might not have seen the entry when the man was under observation in the Civil Hospital.

If the cause is given clearly in the Magistrate's papers (eg.,‘ganja'), the Hospital Assistant says he would never keep the friends for the Superintendent to see. He would send them away. Neither would he keep them if the cause were shown as ganja and drink,' nor ganja with any other cause.

The total admissions for 1892 were—


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