William Williams (2457)

Admission Details for Patient: William Williams (2457)

Gender: Male Age: 72
Marital Status: Single Religion: Church of England
Occupation: Corn Miller
Address: Brynygro, Carnarvonshire

Date of Admission: May 27, 1875
Date of Discharge: August 27, 1875
Discharge Category: Recovered

Disease: Mania
Supposed Cause: Sunstroke

Medical Certificate:
His despondent state. His inability to give any account of his present abode or employment. His vacant looking stare and irrational talk. His employer Owen Jones states that he was threatened with violence by him yesterday. He put stones with corn to grind in the mill. John Williams, Penygroes, MRCS Eng.

Approximate duration of present attack: 3 days

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 0

Total Number of Admissions: 2

Relatives affected:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: Probably (attempted)

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: yes, destroyed the greenhouse

Disposition: Religious, quiet and musical

Education: Fair

Physical/Mental State at Examination: In fair health. Short and spare. Lymphatic temperament. Fairly nourished. Senile decay advanced. Eats food well. Tongue clean. Bowels open. No dyspepsia. Heart sounds normal. Respiratory murmur very loud over whole chest, very resonant, emphysematous. Varicose veins on both legs, especially on left. Has a left inguinal hernia. On admission he had an empty expression of countenance and when asked a question mumbled some incoherent reply. Memory apparently destroyed. Thought that he knew me and that he had seen me before. The night before his apprehension was found by the police officer wandering on the railway with the apparent intention of committing suicide. If he had not been removed a train which passed soon afterwards would probably have killed him. Notwithstanding that he has been frequently here before he does not appear to know any of his old companions. Green irides. Pupils equal. Placed in Ward No 9. Wears a truss, having a left inguinal hernia.

Current Diagnosis: Severe Depressive Episode (F32.2)

Case Notes

1875 May 28 - Slept very fairly, quiet and calm.

Has eaten well.

Denies strongly that he put stones in the mill, that Mr Owen his master put them there himself.

May 29 - Seems quiet and contented.

Speaks very little.

Mind seemingly vacant with now and then a sudden burst of excitement.

This morning he suddenly asked who I was and what I meant by keeping him here.

Requires no night draughts.

June 3 - Quieter and more rational.

Sleeps and eats well.

Says that he has come here in order to get well.

June 10 - Is at work daily in the fields and quite free from excitement.

June 17 - Quiet and industrious.

No delusions.

Quite rational although somewhat imbecile.

June 24 - There is no evidence of insanity present and he states himself that he always gets well here in a week's time.

Probably nothing more at present than senile imbecility.

In good bodily health.

Aug 16 - There is no difference in his condition since last report.

Exhibits no indications of insanity at present.

Calm and quiet and free from all excitement.

Says himself that if he had been kept quiet at home for about three days that he would have been all right.

Will be discharged next committee.

Medications/Treatments:

Additional Notes

The only previous admission noted was in May 1862 but the notes suggest there were several.