Admission Details for Patient: Thomas William Thomas (6514)
Gender: Male Age: 21
Marital Status: Single Religion: Baptist
Address: Beaumaris, Anglesey
Date of Admission: February 22, 1905
Date of Death: October 18, 1918
Cause of Death: Phthisis pulm.
Disease: Imbecile and Epilepsy
Supposed Cause: Heredity/epilepsy
He is incoherent in his conversation, he thinks he is going to heaven when he is going to Denbigh. He stops and worries people in the streets.
By his father: "says when crossed he gets very violent, he interferres with customers in the house, he cannot get him to bed.
Dr. E. R. Thomas, LRCS LRCP Beaumaris.
Approximate duration of present attack: 9 years
Number of Previous Attacks: 1
Number of Previous Admissions: 0
Number of Subsequent Admissions: 0
Total Number of Admissions: 1
Relatives affected: An aunt
Number of Previous Attacks: 1
Clean Habit: -
Food Refusal: Yes when crossed
Sleep Habit: -
Destructive Habit: -
Education: Cannot read or write
Physical/Mental State at Examination: Health good. An epileptic since the age of 13, before that he was an imbecile and has had no education, suffers from nocturnal epilepsy, of late he has become violent when aroused. His father's sister has had epilepsy.
Current Diagnosis: Epilepsy
Additional Diagnosis: 661
1905 Mar 1 - A young man of dark hair and complexion. Dully heavy imbecile type, broad flat vault to the cranium, arched palate. Bodily organs healthy. Mentally he is an imbecile with epilepsy.
Very little education, simple childish ways but subject to outbursts of passion upon the slightest annoyance. The fits occur only in the night and he has had two since admission.
Occasionally refuses his food.
Memory very poor.
Mar 27 - Is now taking Antipyrin and Bromides and has had no fit since this treatment was commenced.
He gets excited at times and is rather obstinate as regards food and medicine. Apr 9 - Rather quarrelsome, fits much better with the medicine. Good bodily health.
1906 Jan to 1909 June - No change.
1909 Oct - Has had a maniacal attack. 1910 Feb, June, Nov - Quiet.
1911 Mar - Fits not frequent. Becoming more demented. Sept - More demented and untidy. Fits not frequent. General health moderate.
1912 Mar - No improvement.
Sept 27 - More demented.
1913 Oct - Very demented, quiet and childish in his ways, he very rarely gets a fit now. Fair health.
1914 Jan - Dementia deepening gradually. Quiet and well behaved. Keeps in good health.
(Notes continued in the Loose Leaf Case Book indicate little change).
1917 Jan - Suffering from Dementia with Epilepsy.
He is unable to take part in any rational conversation.
He is very dazed and confused and his habits of late have become untidy and dirty.
He has frequent epileptic seizures at night.
1918 Jan - Quite demented.
Suffering from diarrhoea. Sept - Confined to bed again with symptoms of Ph.
Oct - Ph. is making rapid strides and he cannot live long. Oct 18 - Died.
Medications/Treatments: Antipyrin and Bromides