Thomas Elias (6627)

Admission Details for Patient: Thomas Elias (6627)

Gender: Male Age: 22
Marital Status: Single Religion: Methodist
Occupation: Joiner
Address: Amlwch, Anglesey

Date of Admission: August 31, 1905
Date of Death: April 3, 1916
Cause of Death: Phthisis and pneumonia

Disease: Melancholia
Supposed Cause: (None stated)

Medical Certificate:
Vacant appearance, complains of intense headache and loss of sleep, speaks quite sensibly for the first few minutes and then his mind wanders. He certainly suffers from delusions, no other symptoms. He is more rational in the presence of strangers. Elizabeth Elias, his mother, states the above threatened her with violence about a fortnight ago, his memory is gradually getting worse and that he has a strong tendency to wander at large, he is under the impression that some members of his family have made an attempt to poison his tea. Dr. Thomas Jones, Bryn Hyfryd, Amlwch.

Approximate duration of present attack: 56 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Poor

Destructive Habit: No

Disposition: Steady

Education: Good can read and write

Physical/Mental State at Examination: Health good. According to his father, his condition has been gradually coming on for the last 2 months without any apparent cause, latterly they have failed to control him, the father knows of no family history of insanity.

Current Diagnosis: Schizophrenia (F20.3)

Case Notes

1905 Sept 6 - A tall young man with fair complexion. Good condition but is said to have lost much weight recently. Bluish grey irides, pupils active. Mentally suffering from Melancholia with delusions of suspicion. His condition is one bordering on Stuporose.

Answers very slowly.

Takes no interest in anything. Digestion very slow and bowels very constipated.

Memory apparently very poor and at times he seems very confused. Sept to Nov - No change.

Dec 18 - Escaped one day but was caught before he got far. Said he would never get cured here.

1906 Jan 16 - Very silent and depressed. Quite useless.

June to December - No change. 1907 Mar - The same.

July - Becoming rather thin but does not complain. No mental change.

1907 Oct to 1909 October - Notes indicate no further improvement.

1910 June - Still very quiet and depressed. General health fair. 1911 Jan - Some little improvement. Does a little work. Not so low.

Sept - A stationary chronic case in good bodily health and makes himself useful.

1912 Mar 27 - A chronic case, useful indoors. Mind much enfeebled.

1912 July 30 (copy report) - He is suffering from Melancholia, he is dull and dejected and takes little interest in himself or surroundings. He has during the past months shown some improvement and will now converse and answer questions fairly readily. Works a little and is well conducted.

In fair health.

Sept - Maintains some improvement.

1913 Oct 1 - Quiet, clean, tidy and well conducted.

1914 Jan 2 - Continues to be useless generally. Quiet and tidy. Good health. (Notes continued in Loose Leaf Case Book where patient is described as not very clean in habits and sometimes destructive).

Medications/Treatments: