Admission Details for Patient: R G D (9475)
Gender: Male Age: 31
Marital Status: Single Religion: Calvinist Methodist
Occupation: Butcher (slaughterer)
Address: Llanfairfechan (admitted from Infirmary), Carnarvonshire
Date of Admission: July 9, 1920
Date of Discharge: September 20, 1920
Discharge Category: Recovered
Disease: Recurrent mania
Supposed Cause: None stated
Medical Certificate:
(a) Extremely excited, shouting and cursing, quite incoherent and rambling, violent and completely out of control.
(b) Mrs M D, mother, 2 Northyn Terrace, Llwyngwril, says: Restless and troublesome, threatens to throw himself out of the window of his bedroom.
Dr. Corbet Wm Owen, Bangor. 9th July 1920.
Approximate duration of present attack: 5 days
Number of Previous Attacks: 3
Number of Previous Admissions: 3
Number of Subsequent Admissions: 9
Total Number of Admissions: 13
Relatives affected: Grandmother and uncle
Number of Previous Attacks: 3
Epileptic: No
Suicidal: Yes, threatened
Dangerous: Yes, very violent
Clean Habit:
Food Refusal:
Sleep Habit:
Destructive Habit:
Disposition:
Education:
Physical/Mental State at Examination: Moderate health and condition. (He had been admitted to the Workhouse the previous day, 8th July).
(A note in the Admissions Register reads that R G D was transferred to the Service Class and a similar note appears on his 9 subsequent admissions. The gap in admissions from 1912 to 1920 may therefore reflect the fact that he was on active service in France during that period.)
Current Diagnosis: Bipolar disorder (F31)
Case Notes
1920 July 12 - Muttering the whole time. He strikes out if interfered with. Quite uncontrollable.
12 (copy) - He is suffering from Recurrent Mania. On admission he was very excited and threatening throwing his arms about and talking very incoherently.
He attempted to strike one of the staff. Still very talkative but has regained some control of himself and his conversation is more rational.
20 - Slight improvement.
Aug 19 (copy) - He has improved very much and is well conducted and useful.
Should he continue to improve, I propose to recommend his discharge in September.
Bodily condition has improved. Sept 5 - There is a great deal of improvement. Well behaved useful and is in good health.
20 - Discharged.
*** A note in the Admissions Register reads that on October 7th 1920 the patient was transferred to the Service Class.
A similar note appears on subsequent admissions.
The gap in admissions from 1912 to 1920 may reflect the fact that he was away (in France?) on active service during that period.
Medications/Treatments:
Additional Notes
Previous admissions:
28th January 1905 (No. 6493) admitted aged 16 suffering from with Melancholia after attending religious revival meetings.
The Medical Certificate reads: Vacant look about the eyes, wants everyone to pray for him, hears voices.
Mrs. D , his mother, states that he shouts at people passing, through the window, telling them to take care of their souls, singing hymns and praying continually. Discharged recovered on 24th November 1905.
30 July 1908 (No. 7139) after a fellow farm worker had upset him by accusing him of having been in the Asylum.
He was diagnosed with Melancholia with some stupor. The Medical Certificate reads: I. Very incoherent and violent, shuts himself up in a room and does not want to see anybody. Imagines that his employer wants to replace him by a boy aged 11 years, wants to fight.
II. O P, Brynymor, Llwyngwril, noticed yesterday morning that he was very pugilistic and had trouble to keep him quiet owing to a friend having suggested that he had once been in an Asylum.
Had difficulty in getting him to bed, in the night became very restless and violent. Was kept in his bedroom with difficulty. He can only be influenced by his brother. Discharged recovered on 25 January 1909.
6th January 1912 (No. 7779) with Mania.
The Medical Certificate reads: I. He is very violent in his conduct.
Refuses to take his food.
Incoherent in his conversation. Quite incapable of looking after himself. II. W T D, Bronygog, Llwyngwril, brother, states that he has been very excitable during the last two days.
Refusing to take food and will not hold any rational conversation. States also that he has bn. Attempting to get hold of a knife but was overpowered by two men.
Discharged recovered on 29th October 1912.
Readmissions:
There were eight further admissions in 1921, 1922, 1926, 1928, 1929, 1932, 1933, 1934.
Each time the diagnosis was Mania and each time the patient was discharged recovered.
R G D was admitted to Denbigh for the thirteenth and last time on 12th Jan 1937 (No. 12811, C1215) and he remained in care until his death on 20th Oct 1944.
Cause of death is not recorded.
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