Hugh Williams (6574)

Admission Details for Patient: Hugh Williams (6574)

Gender: Male Age: 67
Marital Status: Married Religion: Wesleyan Methodist
Occupation: Grocer
Address: Carnarvon, Carnarvonshire

Date of Admission: May 9, 1905
Date of Death: May 27, 1905
Cause of Death: Acute Mania - 6 weeks/ Angina Pectoris - 3 hours

Disease: Subacute Mania
Supposed Cause: Religious Revival/previous attack

Medical Certificate:
He says he has power over God, and commands him to kill anyone he wishes, he has a soap from Christ to wash himself with and which will keep him alive for ever. Says there are devils in his bowels. Has had millions of money given to him, has had the keys of all places given him by God. Mary Jane Jones, niece of patient and living at the same address, says he often threatens to kill her and strike her dead, he told her he had felt Christ lying by his side in bed, feeling his pressure and warmth. Dr. Frank Martin Thomas, 85 Pool Street, Carnarvon.

Approximate duration of present attack: 28 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: No

Dangerous: Yes

Clean Habit: Yes

Food Refusal: Yes

Sleep Habit: Poor

Destructive Habit: -

Disposition: Steady - a teetotaller

Education: -

Physical/Mental State at Examination: Health moderate. This man has been very well mentally since his discharge in 1895, until January last, when he became absorbed in the Religious Revival Movement. In the last 4 weeks he has become quite uncontrollable, he has no domestic or financial worries and has always been a strict teetotaller. His bodily health has been poor all the past winter.

Current Diagnosis: Acute transient psychosis (F23.1)

Case Notes

1905 May 16 - An old man with white hair, bald on top, in moderate bodily condition, with varicose veins and eczema on his right leg, brown irides, pupils equal and mobile.

General organs fairly healthy but has some dilatation of the heart and is said to be asthmatical. Mentally suffering from subacute mania. Very much the same as when admitted in 1895. Excited and jolly, his conversation is very incoherent and disconnected. He cannot pay attention to any question. He is very restless and is given to continual rubbing of his fingers and face. One finger has become inflamed and has to be dressed daily and a patent glove applied to one hand. Has to be fed at every meal. Sleeps part of the night.

May 24 - Takes all his meals but has to be fed by an attendant. May 27 - At 11.30 am today he became very pale and pinched and his breathing very short, although he went on with his rambling conversation. He was put to bed, temperature 99.8.

Took some warm milk and stimulant.

Pulse very weak and soft. Gradually became worse and died at 2pm, symptoms all pointing to Angina Pectoris. He was as well as usual the day before and he took a good breakfast in the morning.

30 - His son has been over today but declines any PM examination.

Died May 27th 1905.

Medications/Treatments: Warm milk with stimulant. Patent glove to one hand.

Additional Notes

Previous Admission:

25th May 1895 (No. 4911) with Subacute Mania.

The Medical Certificate reads: Says I am a devil; trying to kill him with drugs; that I send people to hell; tried to strike me and his wife; violent and restless. Said that he made a coffin for the visiting Magistrate's brother which is a delusion.

Mary Williams, his wife, states that he says that she is going to hell and taking others with her; spits at her; often very violent with everybody around him; refuses food sometimes all day;

John H. Williams, the son, states that he attacked him violently when he entered the room. Discharged recovered on 22nd August 1895.