Desmond Desmond Green (893)

Admission Details for Patient: D O'S G (893)

Gender: Male Age: 25
Marital Status: Single Religion: Church of England
Occupation: None
Address: Dyffryn, Merionethshire

Date of Admission: March 17, 1920
Date of Death: February 26, 1922
Cause of Death:

Disease: Dementia Praecox (II. 7)
Supposed Cause: (None stated)

Medical Certificate:
(a) Patient sits perfectly still with an expression of vacant apathy. Volunteers neither statement nor movement. Saliva trickles from his mouth periodically. He is deaf but can read and questions are answered, after a pause sometimes of 3 minutes, in a childish way. He eructated gas from his stomach and passed flatus while talking. Example of answering question: Q - Have you pain? A - I have only mother to look after me. The direction of his eyes never alters except when spoken to. (b) Mrs L H S, the patient's Guardian, staying with him at Preswylfa, Dyffryn: Passes urine and faeces into clothing unless taken to lavatory. Has only once volunteered a remark in 3 yrs. Has had more than one fit. On one occasion took off all his clothes and ran into a wood. Dr. J. R. Heath, Barmouth. 16th Mar 1920.

(a) Patient seems very dull and apathetic, very slow in answering questions, speech staccato and abrupt, does not read. Although deaf from infancy that condition does not seem to have any connection with his mental condition. (b) Mrs L H S, with whom he has stayed for the last 3 yrs, states that at that period his condition of mind was brighter, he could then read, write letters and could hold a conversation and walk but about 3 mths ago his walk became worse, mind duller and speech very slow, eating badly and began to show signs of dirty personal habits etc. John Pugh Jones, MRCS, LRCP, Barmouth. 16th Mar 1920.

Approximate duration of present attack: Continuous

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: First cousin

Epileptic: Yes

Suicidal: No

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:



Physical/Mental State at Examination: Fair health and condition. The attack has been coming on gradually with adolescence.

Current Diagnosis: Schizophrenia (F20.2)

Case Notes

1920 Mar 21 - Very vacant look his head being in same position without moving for hours at a stretch.

Refuses to speak to anyone and it is impossible to get anything out of him.

Very weak and thin.

22 (copy) - Suffering from Imbecility and Epilepsy. Since admission has had no epileptic seizures. Very self absorbed and declines to answer any questions. Holds himself very rigidly and it is difficult to get him to do anything he is asked.

Does not seem to realise his surroundings in any way.

Fair health and condition.

28 - No change. Sits immobile for hours. Never speaks.

Apr 6, 13 - No change. 17 (copy) Suffering from feeblemindedness and epilepsy.

Has had no epileptic seizures since admission.

Sits or stands rigidly in the same position all day.

So far clean and tidy in his habits.

Apr 25 to Oct 1 - No further change.

Dec 16 - A typical Dementia Praecox case.

At times he is a perfect example of Flexibilitas Cerea.

Is profoundly indifferent to his surroundings, drivels, stares and is very vacant.

NOT epileptic.

1921 - A first rate example of Catalepsy.

Feb 22 (copy) - Suffering from feeble mindedness and is becoming quite demented.

Apr - Very apathetic and emotional.

June - Has now been transferred to Pauper Class.

July - No change.

Oct - Flexibilitas Cerea becoming more marked though it cannot be called a typical case of the condition.

1922 Jan - Found to be suffering from TB of lungs, more especially the left apex. Heart also affected.

Now confined to bed.

Feb (copy) - Suffering from Dementia.

Never speaks.

Cataleptic symptoms.

Poor health and condition and is suffering from tubercular disease of his lungs and in bed in Isolation Ward.

Feb 24 - For the past week he has been suffering from an attack of Dysentery, the stools containing a large amount of blood and slime and temperature 104. Temp. Now down and the blood has disappeared from the stools.

26 - Yesterday appeared to be recovering but this morning he collapsed, his heart being in a bad state.

He rallied for a short while but gradually sank again and died this afternoon.


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