State v. Kane

586 S.W.2d 812, 1979 Mo. App. LEXIS 2951
CourtMissouri Court of Appeals
DecidedSeptember 4, 1979
DocketNo. 40234
StatusPublished
Cited by3 cases

This text of 586 S.W.2d 812 (State v. Kane) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Kane, 586 S.W.2d 812, 1979 Mo. App. LEXIS 2951 (Mo. Ct. App. 1979).

Opinion

STEWART, Judge.

Defendant, a medical doctor, was convicted by a jury of two counts of illegal preparation of a prescription for Schedule III Controlled Substance, benzphetamine, and sentenced to pay a fine of $1,000.00 on each count. He appeals from the judgment entered upon the jury verdict.

For reversal defendant contends that the court should have sustained his motion for directed verdict because the State did not plead or prove that defendant prepared the prescription with a lack of good faith or outside the course of his practice. He also contends that two pharmacologists, called by the State, were not qualified to give opinion evidence with respect to accepted medical procedures and methods. We affirm.

Count I of the indictment charges that:

“CLYDE E. KANE on the 11th day of October, one thousand nine hundred and seventy-six at the City of St. Louis aforesaid, did feloniously, unlawfully and willfully issue a prescription to OSCAR MONTGOMERY, for a Schedule III Controlled Substance, BENZPHETAMINE, under the authority of his profession as a licensed physician for the State of Missouri, without the benefit of conducting an investigation into the medical history of the said OSCAR MONTGOMERY or performing a medical examination of the said OSCAR MONTGOMERY to determine whether or not said prescription was necessary; and thereafter, the said OSCAR MONTGOMERY did present the prescription to a licensed pharmacist, who then and there did fill the prescription as prepared by the said CLYDE E. KANE; contrary to the form of the Statute in such case made and provided and against the peace and dignity of the State.”

Count II of the indictment is the same as Count I except that the charge refers to a prescription made to Gregory Hawkins.

. The facts viewed most favorably to the State warrant a finding that Detectives Oscar Montgomery and Gregory Hawkins went to the offices of defendant; they signed a register and awaited their turn to see Dr. Kane. Detective Montgomery at the time was suffering from high blood pressure. Detective Hawkins was taking medication for an allergy. After about two hours and forty-five minutes Detective Montgomery was called into Dr. Kane’s private office. He asked defendant for a prescription for Didrex, the trade name for benzphetamine, a Schedule III Controlled Substance. The defendant asked his name and address and wrote out the prescription for which he was paid $5.00 by Detective Montgomery. After Detective Montgomery left, Detective Hawkins went into the office and told defendant he wanted a prescription for Eskatrol. Defendant told him he was not doing Eskatrol that day but [814]*814would write him one for Didrex. Defendant wrote the prescription for which he was paid $5.00. The doctor’s regular charge at the time was $2.00 per visit. Neither Detectives Montgomery nor Hawkins had been seen by defendant before. The doctor took no medical history, did not make any type of physical examination of the detectives. Defendant did not ask the purpose of the prescriptions and the detectives did not give defendant any reason. The prescriptions were filled at a pharmacy.

Benzphetamine is a stimulant and would tend to increase the blood pressure. Persons who suffer high blood pressure should not generally receive this medication. As a bare minimum a physician should not prescribe benzphetamine without taking the patient’s blood pressure. The physician should also determine whether the patient has any allergies because some persons have allergic reactions to drugs such as benzphe-tamine.

Defendant’s first point relied on reads as follows:

“The Court erred in overruling the defendant’s Motion for a Directed Verdict at the close of all the evidence for the reason that the State did not plead or prove that the prescriptions were issued by the defendant with a lack of good faith or outside the scope of defendant’s professional practice as set out in Missouri Revised Statutes, §§ 195.070 and 195.-240.”

A determination of the issues raised under this point requires a review of the applicable statutory provisions.

The statute under which defendant was convicted, § 195.240, provides in part:

“The possession, sale, distribution, or transfer of any controlled substance listed in Schedules III, IV, or V, or any apparatus, device or instrument for the unauthorized use of such substances is unlawful, except in the usual course of business or practice, or in the performance of their official duties by the following persons:
“(1) Persons licensed under the provisions of chapters 330, 332, 334, 335, 338, and 340, RSMo;”

Defendant is a person licensed to practice under the provisions of Chapter 334.

Also applicable is § 195.070 — 1. providing:

“1. A physician, podiatrist or a dentist, in good faith and in the course of his professional practice only, may prescribe, administer, and dispense controlled substances or he may cause the same to be administered by a nurse or intern under, his direction and supervision.”

Determinative of defendant’s contentions on the present issues is § 195.180 that reads:

“In any complaint, information, or indictment, and in any action or proceeding brought for the enforcement of any provision of this law, it shall not be necessary to negative any exception, excuse, proviso, or exemption, contained in this law, and the burden of proof of any such exception, excuse, proviso or exemption, shall be upon the defendant. (R.S.1939 § 9849)”

The only issue raised as to the validity of the indictment is that it did not charge that defendant did not come within the exceptions or exemptions of the law. The only challenge to the proof was that the State failed to prove that defendant did not come within such exceptions or exemptions. The burden was upon the defendant to bring himself within any exceptions or exemptions to the law and it was not necessary that the State plead or prove that defendant did not come within any exception, excuse or exemption. § 195.180; State v. Page, 395 S.W.2d 146 (Mo.1965). The contentions of defendant in this regard are without merit.

It is obvious, however, that the indictment pleads facts which remove defendant from the protection of the exceptions and exemptions under the law. A doctor who prescribes a potentially dangerous drug without first making some attempt to determine the physical condition or health needs of the person for whom he writes the prescription is not acting in good faith and in the usual course of his practice. [815]*815There is no patient physician relationship. See White v. United States, 399 F.2d 813 (8th C.C.A.1968). The indictment here alleges that defendant, a doctor, prescribed a Schedule III Controlled Substance without first investigating the medical history, or performing a physical examination to determine the need for the prescription. In like manner the evidence was sufficient to warrant the jury in finding that the allegations of the indictment were established.

Defendant next complains that the court erred in admitting into evidence the opinion evidence of Drs. Robert M.

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Related

State v. Young
406 S.E.2d 758 (West Virginia Supreme Court, 1991)
State v. Underwood
715 S.W.2d 7 (Missouri Court of Appeals, 1986)
State v. Williamson
595 S.W.2d 4 (Missouri Court of Appeals, 1979)

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Bluebook (online)
586 S.W.2d 812, 1979 Mo. App. LEXIS 2951, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-kane-moctapp-1979.