Evan Edwards (4169)

Admission Details for Patient: Evan Edwards (4169)

Gender: Male Age: 28
Marital Status: Single Religion: Calvinist Methodist
Occupation: Farm labourer
Address: Penmachno (admitted from workhouse), Carnarvonshire

Date of Admission: March 13, 1890
Date of Discharge: June 22, 1891
Discharge Category: Recovered

Disease: Acute Mania
Supposed Cause: Heredity

Medical Certificate:
1. Talking incessantly and in a manner quite unintelligible. 2. Gwen Hughes of Bryniau Defaid, Ysbytty, informs me that he was wandering about the country at night. Mr. Wm. Jones of the Workhouse, Llanrwst, informs me that he is talking and screaming night and day and that he attempts to escape. March 13th 1890. Owen Evans, MRCS England etc., Llanrwst.

Approximate duration of present attack: Not stated

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Mother and two sisters (Mary and Ellen)

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: No

Food Refusal: No

Sleep Habit: Badly

Destructive Habit: No

Disposition: -

Education: -

Physical/Mental State at Examination: Health moderate. Patient is a farm servant and became suddenly insane 3 weeks ago after a drinking bout in the village. A week ago was taken to the Workhouse. Fairly quiet and manageable but rambles about talking incessantly. His mother died here and he has two sisters at present inmates.

Current Diagnosis: Manic Episode (F30)

Case Notes

1890 Mar 16 - Patient is of medium height. Ruddy complexion and squints. Thin but apparently in fair health but is too restive to allow of satisfactory examination. Is quite incoherent and unintelligible. Disposition apparently merry and harmless. Sleepless by night. Appetite good.

25 - Rambles about talking incoherently and incessantly. Does not know where he is and cannot be induced to do anything. Apr 15 - Quieter and not so restless as he has been. Does a little ward work sometimes. Still incoherent.

His Insanity resembles in many ways that of his sisters, one of whom is now here the other at Abergavenny. 30 - No change. July 1 - This patient is as bad as ever he has been since admission. Very noisy and unruly. Quite incoherent and unintelligible and dirty and untidy in his habits and person.

His two sisters resemble him very much and such doubtless is nature's method of terminating a very bad stock. Does nothing but ramble about airing court.

In good health. Oct 7 - Condition variable. Now quiet, again noisy and excited. Useless. 1891 Apr 15 - Patient is only just recovering from an attack of Acute Pneumonia which has confined him to bed for the last fortnight.

For some weeks prior to the attack had shown decided evidence of a change for the better. Quiet and more rational and had also been working out steadily and putting on flesh. He is now quite rational in every way. June 22 - Since last entry has done as well as could be desired and has today been sent home. Rational in every way and in excellent health.

Discharged June 22nd 1890.

Medications/Treatments:

Additional Notes

Sister Mary (admission no. 4163) was admitted on 5th March 1890 and again in 1893, 1896 and 1901.

Diagnosed with Schizophrenia, she died in the Asylum in 1919.

Sister Ellen was transferred from Denbigh to Abergavenny Asylum in 1887 and no outcome is recorded for her.