Thomas Roberts (9375)

Admission Details for Patient: T R (9375)

Gender: Male Age: 28
Marital Status: Single Religion: Wesleyan Methodist
Occupation: Quarryman and ex-Soldier
Address: Colwyn Bay, Carnarvonshire

Date of Admission: February 3, 1920
Date of Death: November 21, 1930
Cause of Death:

Disease: (Dementia - 1921)
Supposed Cause: War stress

Medical Certificate:
I have been seeing this man for some months, he does nothing as work and at times is very excitable and abusive to other people, his parents are afraid of him. He says to me he has plenty of money in a bag somewhere. He sleeps but little at night and is seen wandering about late at night. The parishioners are afraid of him. His mother, Mrs R, says he sleeps but little. Wanders about at night and sometimes very excitable. He roams about at night. He was a prisoner of war in Germany and it is presumed that this mentally unbalanced him. I am thoroughly satisfied and so are his family that he ought to be under restraint. The people of the parish are afraid of him.

Approximate duration of present attack: Over 2 months

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: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition: Changeable

Education:

Physical/Mental State at Examination: Fair health and condition. Patient has been a prisoner of war in Germany. He is stated to have been "queer" when out in France in 1916. Stress of war is given as a cause for his attack. On admission he looks dazed. Memory defective and he states that he hears voices.

Current Diagnosis: Schizophrenia (F20.0)

Case Notes

1920 Feb 6 (copy) - Very rambling in conversation and his memory is defective.

He has hallucinations of hearing and states that whenever he hears voices he cannot help laughing.

He does not appear to realise his position at all and has been found talking to himself.

15, 22 - No change.

Mar 1 to Oct 1 - No change

1921 Jan 21 - Suffering from Dementia. Memory very defective. Has hallucinations of hearing and shouts at imaginary voices. Very impulsive at times and will strike out at others without any provocation.

States that he feels very miserable but is frequently laughing and talking to himself.

July to Oct - No change.

1922 Jan - Suffering from Dementia. Dull and indifferent. Periodical bouts of excitement.

Apr to Oct - No change

1923 Jan to 1924 July - No further change.

Oct - Dementia progressive.

1925 Jan - No further mental or physical change.

May - Demented, very apathetic and indifferent. Leads a vegetative existence.

(Notes thereafter continue much the same with Dementia gradually progressing).

Cause of death is not recorded.

Medications/Treatments: Peroxide baths (for treatment of whitlow). Morphia

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