G E (9413)

Admission Details for Patient: G E (9413)

Gender: Male Age: 22
Marital Status: Single Religion: United Methodist
Occupation: Discharged soldier
Address: Llanfairfechan (admitted from War Hospital Bangor), Carnarvonshire

Date of Admission: April 9, 1920
Date of Discharge: July 21, 1920
Discharge Category: Recovered

Disease: Insanity with epilepsy
Supposed Cause: (None stated)

Medical Certificate:
(a) An epileptic with maniacal attacks, during the attack he is violent with nervous twitchings. In the intervals he suffers from loss of memory, is wilful, restless and at times incoherent in his speech. (b) George Henry Sheldon, Ministry of Pensions Hospital, Bangor, Night Orderly, states: During the night of April 6th 1920 he got out of bed and came into the ward kitchen looking dazed, had nervous twitchings, was incoherent in his speech and when remonstrated with became violent and tried to escape from the Hospital. At 10.30 pm on April 8th 1920 he went to the lavatory. I followed him and stood by the door as he was there a long time. I opened the door and found him unconscious. I took him to bed with assistance. After a while he recovered consciousness but was incoherent in his speech. Violent and he struck the Ward Sister. Later on he told me he was going to poison himself. I searched the bed and found a razor secreted, whilst I was pulling the razor away he got hold of a leather strap and tried to strangle himself. Dr. Hugh Jones Roberts, Ministry of Pensions Hospital, Bangor.

Approximate duration of present attack: Not stated

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 2

Total Number of Admissions: 3

Relatives affected:

Epileptic: Yes

Suicidal: Yes (attempted

Dangerous: Yes

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Good health and condition.

Current Diagnosis: Unspecified organic disorder (F09)

Case Notes

1920 Apr 11 - A well built young man with right eye missing. Scar of old GSW over bridge of nose and right temple bone.

He has shown no signs of any fits since he has been here.

13 (copy) - He is suffering from Insanity with Epilepsy. Since admission he has had no epileptic seizures nor has he had any excitement. He is said to be suffering from Jacksonian Epilepsy and he has lost his right eye from a bullet wound in the War.

His memory is not quite clear about his recent attacks of excitement previous to admission. He has rather exalted ideas about himself and his capabilities.

Good health and condition.

18 - Has behaved himself exceedingly well and has shown no signs of any excitement after the first night.

25 - Still improving.

Has a slight purulent discharge from R eye.

May 2 - Improved.

June 5 - Has not yet shown any sign of insanity.

13 - No fits. Seems quite rational.

July 1 - Is awaiting removal.

Has been certified recovered.

Discharged Recovered 21st July 1920.

Medications/Treatments:

Additional Notes

Readmissions:

13th June 1924 (No. 10310) with confusional insanity.

The Medical Certificate reads: (a) Severe gunshot wound at temporal region involving loss of the eye and injury to brain, vacant glare in the other eye.

Marked surliness.

Refused to speak except after coaxing.

Stated his firm intention to injure himself and perhaps others.

(b) J E E, his wife, and living at the same address, stated that he had made up his mind to commit suicide and that he felt his brain unable to properly control him.

He also slept with an open knife under his pillow.

He was discharged recovered on 10th November 1924.

9th April 1926 (No.10635) with epileptic insanity. The Medical Certificate reads:

(a) Looks aggressively vacant. He said he had severe pain in the head and threatens to commit suicide. Has delusions of persecution. Hands twitching.

(b) JE E, wife, states that he threatens and chases her with a razor. He has also tried to strangle her and has bruised her chest.

He threatens and tries to strike his 20 mths child if it cries or disturbs him in any way.

He was discharged recovered on 26th August 1926.