Admission Details for Patient: John Jones (4175)
Name Mismatch: 4175 , 2456, 2465, 2485, 6487
Gender: Male Age: 26
Marital Status: Single Religion: Calvinist Methodist
Address: Trefdraeth, Anglesey
Date of Admission: April 1, 1890
Date of Death: May 22, 1893
Cause of Death: Phthisis
Disease: Mania with Imbecility
Supposed Cause: Not known
1. Incoherent at times. Wants to be in battle so as to be allowed to kill someone and get blood, becomes suddenly restless and threatening, wants to get knives or any dangerous instrument so as to get Blood, is suspicious that his father and brother are against him, inclined and wants to be rid of his father. 2. His brother states that he asked him to charge the gun that he might shoot his father. Father states that he has told him that he wants to get him and his brother out of the way. March 31st 1890. John William Rowlands, LRCPh, LRCS & LFPh and S Glasgow, Bodorgan.
Approximate duration of present attack: Not known
Number of Previous Attacks: 0
Number of Previous Admissions: 0
Number of Subsequent Admissions: 0
Total Number of Admissions: 1
Relatives affected: distant relative - John Lloyd
Clean Habit: Yes
Food Refusal: No
Sleep Habit: Badly
Destructive Habit: No
Disposition: Sober and well conducted
Physical/Mental State at Examination: Health good. Patient is a farm labourer and until 12 months ago worked at home with his father. He then went to America from whence he returned on Wednesday last. It was then noticed that he was very strange in his mind. Has become gradually worse. He is a very distant relative of John Lloyd who died here about a fortnight ago.
Current Diagnosis: Schizophrenia (F20.1)
1890 Apr 5 - Patient's general appearance etc are indicative of Imbecility. Tall and stout. A single Hare Lip (operated on) with a complete fissure of hard and soft palate. Organs sound.
Mentally he appears to be quite wanting in purpose and can give no clear account of his trip to America - what he did there and how he came back. Appears to have got into a Workhouse but is not sure. He also imagines that his father and neighbours are in league against him; but he denies having threatened or used violence to them. (A death certificate has been pasted over the notes at this point.) (Undated notes) - Cannot be trusted in Airing Court as he gets over the wall and fights with the Attendants. Will not work.
A very difficult fellow to know what to do with.
- Is if anything more troublesome, silly and imbecile in manner and conversation and talks and laughs to himself. Always requesting his discharge but cannot say what he would do beyond "work".
Will do nothing here. Is suffering from Dyshidrosis which renders him a great nuisance.
- Noisy but not violent and does not seem to be viciously disposed.
Silly and incoherent.
Might possibly do at home but would be quite unfit to look after himself.
Cannot be trusted in airing court as he at once gets over the walls - In accordance with Lunacy Act 1890 Special Report and Certificate has today been sent to. Cm L.
- This case continues much the same as reported above. At times mischievous and excited in conduct and cannot be induced to employ himself in the simplest ward work and still shows a constant disposition to make his escape.
Simple and childish in his ideas. Bodily health good. 1891 Sept 10 - Nothing new to record. A man who might be usefully employed but that he would run away at once.
Notes from April to October 1892 indicate no change.
1893 Apr 3 - Has lately shown signs of failing health and is suffering from Phthisis.
Mentally the same. It would be well to send him home to die there.