William Davies (6529)

Admission Details for Patient: William Davies (6529)

Gender: Male Age: 28
Marital Status: Single Religion: Church of England
Occupation: General labourer
Address: LLandudno, Carnarvonshire

Date of Admission: March 6, 1905
Date of Death: April 5, 1922
Cause of Death: Acute generalised Tuberculosis. Hip joint disease

Disease: Mania with Epilepsy
Supposed Cause: Epilepsy and intemperate habits

Medical Certificate:
Had hallucinations of hearing; said he could hear drain pipes rushing beneath the floor in various parts of the room; that he hears a person singing; has hallucinations of sight, said he could see several faces looking down on him from the ceiling. Thomas Davies, his father, states he has had many epileptic fits with excitement and violence, wanting to rush out of the house and when restrained, struggling violently. Dr. T. L. Kenrick Davies, Glan Menai, Llandudno.

Approximate duration of present attack: 6 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: Yes

Suicidal: No

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: Intemperate

Education: -

Physical/Mental State at Examination: Health good. This patient was admitted in June 1904 and discharged in September 1904, and for a month after his release he kept completely well but eventually has become addicted to drink and of irregular habits. He has however until about a week ago been engaged as labourer, but has suffered from epileptic fits from time to time and became more uncontrollable.

Current Diagnosis: Organic delusional disorder (F06.2)

Case Notes

1905 Mar 13 - This patient is in very much the same condition as when admitted in June 1904. He is in good health and is suffering from Mania with Epilepsy.

His present condition is one of excitement with delusions as to persecution by his friends. He says he has been drugged. There is also some degree of mental confusion and enfeeblement.

He eats and sleeps well and so far his conduct is fairly good. Mar 17 - No fits. Much better and well behaved.

May 29 - Has had a series of fits and become very confused. Is commencing medicinal treatment.

Oct 10 - Much better and working regularly in the kitchen.

1906 Feb - Has been out on trial but returned in a state of mania before the two months expired. June - Rather improved. Sept - Much better again. Strong and healthy. Dec - The same.

1907 Mar - No further change. July - Very well and useful at present.

Fits very infrequent. Oct - Healthy and useful.

1908 Jan - Since last report he has been home on trial but has been brought back owing to intemperance and epilepsy. May - Useful and healthy. Fits infrequent.

Sept - The same. 1909 Jan - No change. June - Has had a bout of excitement and became violent.

Much better at present. Oct - Very variable, useful at times, not to be trusted.

1910 June - Has occasional outbursts of excitement and confusion.

Nov - Quiet and useful at present.

1911 Mar - Unchanged. Sept - Has an occasional fit. Very impulsive at times, general health good. 1912 Mar - Still has violent outbursts at times.

Sept - Quiet and well conducted at present, not to be trusted, fits not frequent.

Oct 8 - Today he has been very threatening and violent, making complaints about everyone, took six men including Head Attendant to put him to bed. Accused Charge Attendant of grasping him by the throat, there were no marks of violence on his neck and he has been able to take his food, other Attdts. proved statement untrue.

1914 Jan 2 - Has been rather well behaved since last report, although he generally finds some cause for complaint. Good health. (Notes were continued in the Loose Leaf Case Book).

Medications/Treatments: Treatment for fits.

Additional Notes

Previous admission:

30th June 1904 (No. 6380) when diagnosed with Mania with Epilepsy. The Medical Certificate reads: (a) Has delusions, said persons were trying to kill him and put him in a coffin, that somebody tried to poison him by putting a powder into his drink. Had hallucinations of sight and hearing. Said he saw a cigarette up in "the corner of the room near the ceiling" and heard a machine working in the room above.

(b) Thomas Owen, Inspector of Police, Llandudno Station, informed me that William Davies has been today maniacal during which attack he kept shouting murder and required six men to restrain him. That he has threatened to kill people.

William Davies was discharged recovered on 27th September 1904.