# Demographic info and clinical notes

On certificate of:
Drs. Hiram R. Burton and James M. Martin

History and clinical notes:
History:  Was brought to Farnhurst Station by father [name redacted] and delivered to attendants from DSH.  Patient was rational when admitted and said he did not know why he was brought here but supposed they thought him insane; he says he feels weak but he knows it is due to lack of nourishing food as he has not eaten a full meal for past 10 days.
Feb 25, 1913.  Is very noisy and has persecutory delusions, sometimes refuses food and has to be “tubed.”
Mar 26.  Has been “tubed” for past four days.
May 22.  Imagines officers are trying to kill him, does not eat regularly.
Sep 24.  No mental change, is losing flesh rapidly.
Dec 15.  Has a cough and expectorates freely, tubercular involvement of right apex of lung.
Apr 6, 1914.  Rapidly growing weaker, marked dyspnea upon slightest effort.
May 25, 1914.  Confined to bed, is very much emaciated and take little nourishment.
Jun 3, 1914.  Died.  Phthisis pulm., general paralysis of insane.

Final disposition:
Died of phthisis pulmonalis and general paralysis of the insane


On certificate of:
Drs. E.S. Anderson and George I. McKelway

History and clinical notes:
History:  Brought by officer, who could furnish no history; has a brother in this institution at present.  When admitted he had a laceration of scalp about 2 in. long which had not received any attention.
Mar 26, 1913.  Has been very quiet since admitted; eats and sleeps well.
May 22.  No mental change.
Sep 24.  No change since last report.
Mar 24, 1915.  Does not improve, is very morose.
[No further entries].

Additional notes:
1930 census -- he was still in the hospital; died 6/1/1932.


History and clinical notes:
History:  No history obtainable from officer, neither would the patient talk.
Mar 26.  Very silly.  Not inclined to obey usual rules.  Masturbator.
Apr 19.  Slightly more amenable, but at times very simple.
May 7.  Very lazy.  Habits not quite so pronounced.
Aug.  More ready to help about; and does not have “silly” attacks as frequently.
Oct.  More tidy and careful of her appearance.  Physical condition as usual good.
Jan, 1914.  No improvement.  Very cross and irritable.  Will not speak to anyone.  Very untidy about her personal appearance.
Jan, 1915.  No change in any respect.
Jan, 1916.  Has been in bed for some time.  Expectorates a great deal.  Both lungs involved.
Nov 1.  Has been in bed since last note.  Very much emaciated.
Nov 24.  Has steadily failed since last note and passed away at 6:30 this a.m.
Nov 24, 1916.  Died.  Phthisis pul.


History and clinical notes:
History:  Mental change was first noticed two years ago and since that time he has wandered about, standing about the streets all day and frequently all night; one week ago he threatened to kill his mother.
Mar 26, 1913.  Attempts to escape when doors are opened, is otherwise orderly and quiet.
May 22.  No change since last report.
Jul 5, 1913 [date must be incorrect?].  Removed against advice of Supt.  Paroled.
Oct 20, 1913.  Discharged improved.

Standard form attached:  June 25, 1913.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [wife].”

Additional notes:
Died 1/30/1940.  He and his wife are listed in city directories for Wilmington through 1932.  His occupation is listed as "watchman."


History and clinical notes:
History:  Son states that his mother has been feeble-minded for past 8 years.  During past year has been incoherent and has to be cared for as a child.  Lately has been dangerous to keep around the house on account of the fire, etc. etc.  Gradually growing more feeble.
Mar 1, 1913.  Has a slight stroke.  Muscles on right side of face – loss of power.
Mar 10.  Has now every appearance of being as well as upon admission.
Apr 19.  Continues as usual.
May 7.  No change, except slight loss of flesh.
Aug.  Grows continually weaker and more emaciated.
Sep 29, 1913.  Died.  6:40 p.m.  Cerebral apoplexy.


History and clinical notes:
History:  Patient cannot walk without assistance; some time ago had a stroke and since that time her mind has become enfeebled; feet and ankles are oedematous.
May 7, 1913.  Untidy and destructive at all times.  Stronger and little oedema.
Sep 30.  Seems stronger and is more quiet.  Destroys very little.
Jan 1, 1914.  Very feeble; sits in a chair all day.  Has to be cared for as a child.
Feb 10.  Patient quite weak this a.m..  At 4:30 Superintendent making his rounds noticed that she looked unusual – upon examination patient was found to be dead.  A few moments before she was sitting up in her chair having her hair combed.
Feb 10, 1914.  Died 4:30 p.m.  Cerebral apoplexy.

Additional notes:
Supt. Thinking she "looked unusual" -- she had just died.


History and clinical notes:
History:  Brought to hospital March 1st, 1913 but papers did not arrive until March 3rd 1913.  A former patient, when admitted he was very noisy and talked incessantly.  For previous history see book VI, page 359.
Mar 15, 1913.  Marked improvement and is working in dining room.
Sep 24.  No change since last report.
Mar 24, 1915.  Works in dining room, is well behaved most of the time, but occasionally is very cross and irritable.
Dec 12, 1915.  Condition unchanged, works in dining room.
Aug 26, 1916.  Eloped.
Aug 28, 1916.  Was returned to institution today.
Sep 16, 1917.  Is delusional – quiet and well behaved, is usefully employed in dining room.
Nov 1.  Has been very noisy and troublesome since last report; is growing very weak.  Slight temp, rapid pulse and slight cough.  Often refuses food and vomiting occurs after eating.  Has been transferred to TB building.
Nov 20.  Patient remains in bed.  Is gradually getting weaker.  Both lungs are tuberculous.  Coughs and expectorates a great deal.
Nov 29.  This morning relatives were notified by telegram that he was much weaker.  Continued to fail and died at 3:20 p.m.
Nov 29, 1917.  Died 3:20 p.m.  Pulmonary tuberculosis.


On certificate of:
Drs. Frank Roop Smith and P.W. Tomlinson

History and clinical notes:
History:  Officer who brought patient could furnish no history, but patient is evidently an advanced case of General Paralysis, in very poor physical health.
Mar 10, 1913.  Patient has been very feeble since his admission.  Has only taken liquid nourishment and it was only with difficulty this amount could be administered.  At 3 p. today patient suddenly relapsed into unconsciousness with Cheyne Stoke respirations well marked.  Remained unconscious and died at 4:30 p.m.
Mar 10, 1913.  Died.  Cerebral embolism.


On certificate of:
Drs. Walter K. Barrett and John G. Dawson

History and clinical notes:
History:  Patient had a similar attack 15 years ago but made a good recovery; during past few years the health of his daughter has been poor and necessitated several operations being performed; this has caused him a great amount of worry and loss of sleep; his bowels are constipated and he has a poor appetite; rational when admitted.
Mar 10, 1913.  Refuses food and water, says he cannot swallow, is very restless and shows marked exhaustion; has to be forcibly fed.
Mar 15.  Is confined to bed, is very weak and has on several occasions fallen and bruised himself.
Mar 18, 1913.  Has grown very weak and is in a comatose state.  Died.  Exhaustion from melancholia (acute).


History and clinical notes:
History:  Present trouble began 4 years ago; is very stupid and untidy; is very irritable and sometimes violent; mother says she will not wear shoes and will not allow them to wash her face or comb her hair.
Apr 19, 1913.  Still stupid and untidy – not violent.  Sores upon her heels upon admission, much better, but sluggish.  Tremors fairly constant.
May 7.  General condition better.  One heel still has open sore, but slowly healing.
Aug.  Good general condition.  Tremors only noticeable occasionally.
Oct.  Same.
Dec 6, 1914.  Condition unchanged, eats and sleeps well.
Jan 21, 1915.  Paroled.
Sep 23, 1915.  Discharged unimproved.


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp. for several months and has been very troublesome, noisy at night and talkative during the day – no other history obtainable.
Sep 24, 1913.  Is always cheerful and gives us no trouble.
Oct 5.  Confined to bed most of the time, some puffiness about face.
Nov 28.  Rapidly growing worse, in a stupor from which he can be aroused with difficulty.
Nov 30, 1913.  Died.  Nephritis (chronic).


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp., is noisy and delusional, imagines people are going to kill him, has a tremulous tongue and ataxic gait.
May 22, 1913.  No change since last report.
Sep 24.  Is delusional at all times.
Mar 24, 1915.  No mental or physical change, is delusional most of the time.
Dec 3.  Is very boisterous at times, but usually well behaved.
Oct 1, 1916.  Has some intestinal disturbance and was placed in bed.
Mar 28, 1917.  Is delusional (hypochondriacally), memory impaired, his physical condition is not improving; eats very little.
May 3, 1918.  Patient physically very weak.
Oct 1.  Patient died at 4:30 a.m. from chronic valvular heart disease.
Oct 1, 1918.  Died.  Chronic valvular heart disease.


On certificate of:
Drs. Paris T. Carlisle, Jr., and J.S. Prettyman, Jr.

History and clinical notes:
History:  Patient very much excited upon admission, but amenable.  Has not eaten for three days.  General physical condition good.
May 7, 1913.  Much quieter.  At times recognizes those around her.  Eats a little solid food.
May 15.  Patient has been very restless since admission.  Incoherent in her talk, muttering delirium.  Very difficult to get her to take nourishment.
May 28.  Has been steadily failing; has been kept alive by feeding frequently with Essence Beef.  Condition simulates Pachymeningitis.
Jun 2.  Has been unconscious for past 12 hours.  Husband was with her all day.  Died at 8 p.m.
Jun 2, 1913.  Died.  Exhaustion from acute mania.


On certificate of:
Drs. Joseph B. Waples and G. Frank Jones

History and clinical notes:
History:  Has had epilepsy for past 17 years, attacks growing in frequency, during attacks she is sometimes violent.
May 7, 1913.  Has been having attacks frequently, but none now for a week; seems brighter.
Jul.  Continues to improve.  Seizures very light.  No knowledge of them herself, either before or memory after of them.  Helps about ward and kitchen.
Oct, 1913.  Has had several more severe attacks during September, in one of which cut her scalp.  Helps only when with some one, about [illegible] to avoid accident.  Willing and good at her work.
Oct, 1915.  No change in patient’s mental condition.
Oct, 1916.  Patient works around the ward.  Many attacks of epileptic convulsions during last month.
Oct, 1918.  No change in patient’s condition.
Dec 7.  Patient has many attacks of epileptic convulsions.  Patient is in status since 10:40 a.m.
Dec 9, 1918.  Patient died at 10:40 a.m.  Status epilepticus.


On certificate of:
Drs. Irvine M. Flinn and C. Wilson Hughes

History and clinical notes:
History:  Officer could furnish no history but certificate states that patient attempted to set the house afire.  Is quite feeble and vision greatly impaired.
Oct, 1913.  Gradually failing; entirely helpless.
Jan 1, 1914.  Patient very feeble.  Has been in bed constantly since she came here.  Talks rationally at all times.
Jan 31.  Very feeble since yesterday and unconscious.  Has taken no nourishment since day before yesterday.
Feb 2, 1914.  Patient died at 3:30 a.m. today.  Cerebral apoplexy.


History and clinical notes:
History:  Has shown mental enfeeblement for past two months and is at times violent.
May 22, 1913.  Quiet since admission.
Sep 24.  Condition remains unchanged.
Feb 20, 1914.  Growing weaker, eats but little and is losing flesh.
Apr 12.  Walks with difficulty, hesitancy of speech more marked.
May 29.  Became very weak today and was placed in bed.
May 30, 1914.  Died.  General paralysis of the insane.


History and clinical notes:
History:  Has been acting strangely for past year, about one year ago was examined by G. Oran Ring (M.D.) of Philadelphia, who stated that his loss of vision was due to a tumor of brain pressing on sight center.  Is untidy and delusional, imagines someone is trying to kill his child.
Sep 24, 1913.  Very noisy and untidy, is confined to bed.
Nov 21.  Has been in bed continuously since last note.  Has been steadily growing more weak and feeble.  Bowels have been extremely loose.  Has taken only liquid nourishment for past two weeks.  This a.m. patient could not articulate and mouth markedly drawn to left side.
Nov 22.  Patient continued to fail and died at 10:50 a.m.
Nov 22, 1913.  Died.  Cerebral apoplexy.

Note: From on-line resources: the doctor from Philadelphia, Dr. G. Oran Ring, was a specialist in ophthalmology.  In 1900 he gave a paper at the American Medical Association meeting, section on ophthalmology in Atlantic City, NJ, “Paresis of external recti associated with irregular tabes,” the abstract of which can be found online.


On certificate of:
Drs. Elwood I. Rogers and P.W. Tomlinson

History and clinical notes:
History:  Has suffered with locomotor ataxia for past two years and during past 3 months his mind has grown feeble, is violent at times and yesterday he struck his wife.
May 5, 1913.  Has cystitis of urinary bladder with retention, temp 104°, had a pronounced chill today.
May 11.  Some improvement today, temp. normal, but has to be catheterized every 8 hours.
Sep 24.  Confined to bed, mental condition unchanged.
Mar 24, 1915.  No change since last report.
Dec 10.  Shows evidence of a slight cerebral hemorrhage, is listless, is aroused with difficulty and facial expression is markedly changed.
Dec 12.  Condition very much the same but growing weaker.
Dec 13, 1915.  2:10 a.m.  Died – cerebral apoplexy.


History and clinical notes:
History:  Brought by Dr. Money, but he could furnish no special history other than patient had been depressed for past four months, did not sleep or eat well and at times is delusional.
Sep 24, 1913.  Ration for short periods, is very untidy.
Nov 15.  Failing mentally and physically, is very unsteady on his feet.
Dec 8.  Losing flesh rapidly, marked hesitancy in speech and is confined to bed.
Jan 17, 1914.  Rapidly growing weaker and takes little nourishment.
Jan 19, 1914.  Died.  General paralysis of the insane.


History and clinical notes:
History:  Has always been healthy until 3 months ago, at that time she fell down stairs and received a few bruises on right arm but no fracture; since then she has been depressed and at times delusional.
Jul 7, 1913.  Delusional all the time; seems rather weak and poorly nourished.  Has a small nodule below left ear, probably scar from abscess?, which gives her some pain at times – malignant?
Oct, 1913.  Condition good – more rational.
Jan, 1915.  No change since she came here.  Very quiet and orderly.
Jan, 1916.  No change.
Nov, 1917.  Has lost flesh lately and is quite feeble.
Jan 1, 1918.  Has been in bed for past few days, is too weak and feeble to be up and about.
Jan 10.  Left eye quite swollen this a.m. and erysipelas has set in.
Jan 13.  Very feeble this a.m.  Entire face is swollen and is very low.  Erysipelas extending to neck.
Jan 14, 1918.  Patient continued to fail and died at 4 a.m.  Erysipelas of face.

Nov, 1917.  Has lost flesh lately and is quite feeble.
Jan 1, 1918.  Has been in bed for past few days, is too weak and feeble to be up and about.
Jan 10.  Left eye quite swollen this a.m. and erysipelas has set in.
Jan 13.  Very feeble this a.m.  Entire face is swollen and is very low.  Erysipelas extending to neck.
Jan 14, 1918.  Patient continued to fail and died at 4 a.m.  Erysipelas of face.


History and clinical notes:
History:  Brought by Sheriff who could furnish no history other than patient has been considered peculiar for past two years.  When brought to hospital he objected entering.
May 5, 1913.  Has been fairly quiet; once or twice was inclined to be irritable.  Ordered the attendants and other patients out of her room.  Said it belonged to her, etc.
May 5, 1913.  Was visited by her husband today who removed her against the advice of the Supt.  Paroled.
Jul 18, 1913.  Discharged unimproved.

Standard form attached:  May 5, 1913.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”

Additional notes:
No kids.  In 1920 census still living with husband.


On certificate of:
Drs. P.W. Tomlinson and Mitchell Greenwood

History and clinical notes:
History:  Officer who brings patient states that he has been an inmate of Ferris Industrial School since he was a small boy.  Has epilepsy, mostly nocturnal attacks.  The boys at the school have teased him so much that he has threatened them and the officers were afraid that he would do some damage.  Is a good worker on the farm and anywhere he is placed.
Sep 24, 1913.  Has occasional epileptic attacks, preceding which he is very cross and irritable.
Mar 24, 1915.  Has occasional epileptic seizures and during attacks is very cross and irritable.
Dec 12.  No change since last report.
Apr 25, 1916.  Has developed tonsillitis and is confined to bed.
Apr 30.  Throat condition cleared up, but is weak.
May 1.  Developed a pneumonia, involving right lung, severe cough, marked prostration, temp 104, stuporous state.
May 8.  Rapidly growing weaker, cannot take nourishment.
May 10, 1916.  Died.  Lobar pneumonia.


History and clinical notes:
History:  Patient has been insane for past three years.  Was at the Mount Hope Retreat at Baltimore for about 7 months; returned from there about 2 years ago.  No improvement.  Mother died of cancer some time ago and her other sisters were compelled to work and could not care for her.  Is very cross and irritable at times and somewhat hard to care for.  Wanders from home, etc.
Jul 7, 1913.  Has been listless and showed little interest in anything.  For past two weeks somewhat better and brighter.
Oct, 1913.  Continues uniformly brighter and normally interested in things.
Dec 1, 1917.  Has been failing in health for some time and has been kept in bed.
Mar 24.  Has been gradually growing weaker and died today.
Mar 24, 1917.  Died.  Pulmonary tuberculosis.


History and clinical notes:
History:  Was creating a disturbance on Front St. and was arrested, no other history except that he has been drinking to excess.
May 22, 1913.  Confined to bed on account of angioneurotic oedema affecting lower limbs.
Jun 10.  Marked mental and physical improvement.
Jun 16.  Paroled.
Jul 20.  Returned today, has been drinking.
Sep 12.  Very much improved, is working about grounds.
Oct 18, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.


On certificate of:
Drs. W. Victor Messick and Edward S. Dwight

History and clinical notes:
History:  On account of recent death of brother-in-law to whom he was very fond of, he suddenly became depressed and refused to eat, has not been sleeping and bowels have not moved for 10 days.
May 22, 1913.  Confined to bed on account of varicosities of both legs with oedema.
Aug 2.  In a comatose condition, pulse scarcely perceptible.
Aug 3, 1913.  Died.  Chronic valvular disease of the heart.  Chronic nephritis.

Final disposition:
Died of chronic valvular disease of the heart and chronic nephritis


History and clinical notes:
History:  No history other than patient has been drinking to excess.
May 22, 1913.  Some improvement but is still morose and irritable.
May 26.  Paroled.
Oct 20, 1913.  Discharged recovered.


On certificate of:
Drs. G. Burton Pearson and P.W. Tomlinson

History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp. for past 3 years and has been acting strangely during that time; for past 6 months he is much worse, being violent and disturbed.
Mar 24, 1915.  Is generally very quiet, eats and sleeps well, no mental change.
Dec 12.  No mental change; vision is failing.
Oct 3, 1916.  Condition about the same as when last reported, vision very much impaired.
Mar 22, 1917.  Is depressed, talks very little, is usually very quiet.
Jan 6, 1925.  Died.

Final disposition:
Died.  No entries from 1917 until pencilled in death notice.  5X8 card says he died 1/2/1925.


History and clinical notes:
History:  For past three months has complained of indigestion and loss of sleep, is delusional and says someone is using a Dictagraph and recording everything he says.
May 22, 1913.  Is very quiet but is still delusional.
Jun 5.  Very much improved and works about the ward.
Jun 16, 1913.  Paroled.
Oct 20, 1913.  Discharged recovered.


History and clinical notes:
History:  Patient has been a boiler inspector at the Round House of Edgemoor for past 13 years.  Officers state that the excessive heat to which he has been subjected has affected his mind.  Has acted peculiar for past year.  Has been a hard drinker for years.  The detail of history could not be given.
May 22, 1913.  Has a marked hesitancy of speech and has delusions of grandeur.
Jul 15.  Attempted to assault an attendant today.
Sep 24.  Threatened to “do” the Doctors at his first opportunity.
Mar 25, 1915.  No mental or physical change.
Jun 8.  Is losing flesh and constantly confined to bed, very noisy and untidy.
Oct 26.  Gradually growing weaker, has trophic sore on back and on abdomen from pressure of hands resting on abdomen; takes only liquid nourishment.
Dec 23.  Very weak today and refuses nourishment.
Jan 3, 1916.  Died.  General paralysis of the insane.


History and clinical notes:
History:  Poorly nourished.  Syphilitic?  [Illegible] treatment.
Jul 7, 1913.  General appearance improved, but very unruly and untidy.
Oct, 1913.  Gaining in flesh and external lesions all healed.
Jan, 1914.  No change.
Jan, 1915.  No change.
Jan, 1916.  No change.
Jan, 1917.  No change.
Jan, 1918.  Patient has more spells than formerly, physically getting weak.
Sep 1.  Patient had lobar pneumonia, condition very weak.
Sep 10.  Getting very weak; daily epileptic convulsions.
Sep 14, 1914.  Patient died at 5 p.m.  Status epilepticus.


History and clinical notes:
History:  First symptoms about 8 years ago, neglected her work, was melancholy and depressed.  For past year has become violent at times, wanders from home and lately has used very profane and vulgar language.  Has several times piled her clothes up in the yard and burned them.  Is steadily growing much worse.  Patient receives a widow’s pension.
Jul 7, 1913.  Has no ambition; very lazy.  Had at attack of indigestion with some cholecystitis about 10 days ago; seems well now.  Eats and sleeps well but very variable heart action.
Jul 22.  [Highly illegible paragraph – I did my best].  Patient has been brighter than --- admission until about 2 a.m. when she became suddenly nauseated and complained of severe pain in left hypocardium – later complained of pain referred to vulva-left groin.  Pelvic examination revealed nothing definite; --- some fibroid condition of ---wall of uterus.  Vomiting continued at intervals in spite of treatment.  About 10:45 she vomited easily large (2 qts.?) quantity of perfectly clear fluid after which --- she seemed to be relieved and her pulse became firmer (?) and temperature ---.  The general sweating and --- ---.  At 12:15 vomiting again and the vomitus --- with blood.  This continued at intervals until her death at 5:15 p.m.
Jan 22 (date wrong), 1913.  Died.  Valvular heart disease (dilatation).

Final disposition:
Died -- valvular heart disease (dilatation)


On certificate of:
Drs. Irvine M. Flinn and G. Burton Pearson

History and clinical notes:
History:  Officer could furnish no history, other than patient is violent at times.
Jul 28, 1913.  Is quiet at all times.
Mar 25, 1915.  Condition unchanged, excepting vision of both eyes affected.
Jun 1.  Very stupid lately – will not talk as much as formerly.
Jun 10.  This a.m. patient was noticed breathing very rapidly; on examination both lungs were almost solidified.  Was placed in bed, but became rapidly worse.  No treatment was of any avail.
Jun 12, 1915.  Patient continued to fail and died at 4 a.m.  Lobar pneumonia.


History and clinical notes:
History:  Patient has been acting strangely for past 3 mos. Is sometimes depressed and at other times noisy, made an attempt to set her clothes afire about 10 days ago.
Jul 7, 1913.  Will not talk at all.  Helps wash the dishes and the rest of the time sits absolutely still in one position.
Oct 25.  Improving.  Works about the ward; seems contented and cheerful.
Dec 12, 1914.  Is up and about ward, complains frequently of headache and constant backache.
May 12, 1915.  Confined to bed, slight fever, occasional chills, skin and kidneys inactive.
May 28.  Rapidly growing worse, urine scanty and rapidly losing flesh, takes but little nourishment.
May 31, 1915.  Died.  Chr. Parenchymatous nephritis.

Final disposition:
Died -- chronic parenchymatous nephritis


On certificate of:
Drs. Samuel C. Rumsford and Henry J. Stubbs

History and clinical notes:
History:  Was sentenced to Workhouse Sept 1911 for a term of 7 years for assault and battery.  Was apparently well mentally until 3 mos. ago when he became delusional and spoke constantly about Parcel Post.
Jul 28, 1913.  Is troublesome and violent at times.
Sep 22.  Condition remains unchanged, is troublesome at times and frequently demands his release.
Nov 26, 1913.  Authorities were notified that [patient] had apparently recovered and they consequently removed him this day.  Paroled.
Apr 2, 1914.  Was discharged today recovered.


History and clinical notes:
History:  First symptoms last March.  Became depressed, talked a great deal about religion, said she had committed many sins and other delusions characteristic of cases of melancholia.  Was taken to Mr. Walter’s Hosp. in Wilmington for six weeks, but no change.  Was returned to her home last week.  A few days ago jumped into a cistern, said that the Lord had ordered her to kill herself.  Has also held her arm over a lighted lamp until she was burnt.  Has rested fairly well at night and usually has taken sufficient nourishment.  Has not lost flesh.
Jun 20, 1913.  No improvement.  Very melancholy.  Has all delusions characteristic of melancholia.  Says God has told her to kill herself, etc. etc.
Jul 5, 1913.  Was visited by her husband today who removed her against advice of Supt.  Paroled.
Aug 5.  Was returned to Hospt. by husband, who states that they have had a hard time with her, threatened suicide and had to be watched closely.
Aug 23, 1913.  Patient has been quite depressed since her readmission; imagines that her relatives are locked up in this institution and that we are going to kill them.  Was visited by her husband today, who removed her against advice of Supt.  Stated that he was going to take her to Mt. Hope Retreat at Baltimore.  Paroled.
Apr 14, 1914.  Discharged unimproved.

Standard form attached:  July 5, 1913.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [none], Signed [husband’s mark].”

Standard form attached:  August 23, 1913.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband’s mark].”


History and clinical notes:
History:  Was “picked up” in RR yards near Wilmington, is unable to speak, no history obtainable.
Jul 28, 1913.  Condition unchanged, is quiet at all times and seldom speaks.
Sep 22.  No improvement since admission, walks up and down halls but seldom speaks.
Mar 25, 1915.  No mental changes, has a poor appetite and has lost flesh.
Oct 3, 1916.  Does not improve; is morose and very disagreeable at times.
Jan, 1917.  No change in patient’s mental condition.  Upon examination found phthisis pulm.  A few attacks of hemoptysis [coughing up blood].  Physically very weak.
Jan, 1918.  No change in mental condition, but physically worse; oftentimes hemoptysis.
Oct 4.  Patient has an attack of epidemic influenza.
Oct 12.  Recovered from influenza.
Oct 22.  Patient had a bad attack of hemoptysis.  Very weak.
Oct 30, 1918.  Patient died at 10:30 a.m.  Phthisis pulm.
Note: Buried at DSH Cemetery #292.

Additional notes:
Buried at DSH, Grave #292.  No further information found.


History and clinical notes:
History:  Was discharged Apr 1, 1909.  Recently she has been wandering about the country for past 3 weeks.  For previous history see Book V, page 188.
Jul, 1913.  Very incoherent and careless of personal appearance, but at times brighter and able to do some crocheting.  Takes little interest otherwise.
Oct 25, 1913.  Seems brighter and asks to go home.  Good general condition.
[No further entries].

Additional notes:
1920 & 1940 census -- still at DSH.  Died May 14, 1946 at Farnhurst.  Buried Red Clay Creek.


History and clinical notes:
History:  A former patient, for previous history see Book VI, page 477.
Aug 2, 1913.  Very very restless and incoherent for the first month after her admission and once or twice was inclined to violence, but these attacks were of short duration.
Aug 24, 1913.  Was visited by her husband today who removed her against the advice of the Supt.
Apr 14, 1914.  Discharged improved.

Standard form attached:  August 24, 1913.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”


On certificate of:
Drs. George I. McKelway and John W. James

History and clinical notes:
History:  Quiet when admitted and said the Lord directed her to come here.  Has had 7 children in rapid succession, is emaciated.
Oct, 1913.  Condition good.  At times noisy and profane.
Mar 20, 1915.  Paroled.
Oct 26, 1915.  Discharged improved.

Additional notes:
Had 7 kids in rapid succession.  In 1910 census had children ages 9, 6 & 6 (twin boys, Earl and Hurl/Hearl), a 4 year old and a 1 year old.  In 1920 was back in DSH and died there in 1943.  Buried elsewhere.  Had 8 children altogether.


History and clinical notes:
History:  Was “picked up” by police and is probably from New Jersey, although patient says he has no home and says he is en route to Washington, not being satisfied with the administration of affairs at Panama Canal.
Jul 28, 1913.  Is quiet and a good worker, occasionally expresses his delusions.
Sep 22.  Some improvement since last report.
Sep 29, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.


History and clinical notes:
History:  Patient has had one or two attacks of intense nervousness lasting several weeks; the last attack about 2 years ago was a severe one.  Present attack about 1 week ago, began to neglect her work.  For past three days has been much worse, talks incessantly and yesterday destroyed all her clothing.  Very restless, incoherent, and difficult to manage; has ate but little and has had but little sleep; is becoming weaker.
Jun 29, 1913.  Patient has been very violent since she came here; incoherent in her talk and excessively prattles.  Is steadily growing weaker.
Jul 5.  Much weaker, still restless, takes but little nourishment and then only in small quantities at frequent intervals.
Jul 9.  Has failed rapidly since last note, passed away quietly at 7 p.m.  
Jul 9, 1913.  Died.  Exhaustion from Acute Mania.

Additional notes:
Penciled note at bottom of page:  “Son Charles Abbott suicide.  Daughter Rosa Warrington DSH#5527.  Grandson Bernard Wallace DSH#5534.” L.G.M. 0/14/1960


On certificate of:
Drs. Irvine M. Flinn and J. Harvey Spruance

History and clinical notes:
History:  Seven years ago, patient’s husband was carried into the house dead and two hours after her child was born.  Short time after this first symptoms of insanity were noticed.  She was depressed for a long time.  Lately her talk is at times quite incoherent and especially during menstrual periods.  Has delusions of a persecutory nature.  Was taken to Mrs. Walter’s Hosp. last January and remained there until lately.  Has not improved, usually eats and sleeps well.
Jul 16, 1913.  No improvement.  Keeps by herself a great deal.  At times quite noisy.  Was removed from Ward B to Cottage a few days ago on account of her noise.  Was visited today by Mrs. Higgins, the lady who brought her here, who removed her against advice of Supt.
Oct 20, 1913.  Discharged improved.

Standard form attached:  Jul 16, 1913.  “I hereby remove my friend from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [none], Signed [friend].”

Additional notes:
Readmiteed 4/4/1919, died 2/24/1939 of broncho-pneumonia.


On certificate of:
Drs. J. Willard Crossan and Frank F. Pierson

History and clinical notes:
History:  Has been considered peculiar for years, has been melancholy and always avoided company; imagines he has many ailments and spends most of his money for patent medicines.  When admitted he had several ecchymoxic spots on left breast.
Jun 27, 1913.  Refuses food and says he wants beer, complains of his heart beating too rapid and dyspnoea.
Jun 28.  Was found dead in bed at 11:30 a.m., a report was made to coroner who ordered certificate of death issues.
Jun 28, 1913.  Died.  Valvular disease of the heart.


History and clinical notes:
History:  Was acting in a peculiar manner and was arrested; since then he has not spoken and stood in cell with his face toward the wall.
Jul 15, 1913.  Very much improved and says he was not drinking prior to this attack and attributed his trouble to the excessive heat.
Jul 17, 1913.  Paroled.
Oct 20, 1913.  Discharged recovered.


History and clinical notes:
History:  Imagines snakes in her stomach for use of snuff.
Aug, 1913.  Very loud.  Is inclined to be sullen.  Not willing to do anything.
Oct.  Quite noisy, but now glad to help around ward.  Not to be trusted at large.
Mar 12, 1914.  Is losing flesh, has a severe cough and involvement of right lung.
Nov 6.  Confined to bed and continues to cough and lose flesh.
Nov 11.  Has been sitting up for past few days.
Dec 3.  Developed a pulmonary hemorrhage today and died in 10 minutes.
Dec 3, 1914.  Died.  Pulm. hemorrhage and tuberculosis.

Final disposition:
Died of pulmonary hemorrhage and tuberculosis


History and clinical notes:
History:  Has been noisy and violent for past week and has had but little sleep; has a brother in DSH at present.
Aug, 1913.  Very hysterical and noisy.  Has not menstruated since admission.
Oct 25.  For past 6 weeks shows marked improvement.  Sensible and perfectly obedient; gaining rapidly in flesh and coloring.  Able to help about housework (sic).
Nov 29, 1914 [really 1913].  Has improved very much; was allowed to go home today.
Apr 14, 1914.  Discharged improved.


History and clinical notes:
History:  No history other than patient has not been well for past week and threatened to kill a member of his family.
Sep 22, 1913.  Is delusional, but quiet at all times.
Oct 5.  Marked improvement since last report.
Oct 27, 1913.  Paroled.
Apr 14, 1914.  Discharged improved.
Readmit #16,226.

Additional notes:
Returned at a later date, with a number using the new recording system


On certificate of:
Drs. Joseph P. Waples and G. Frank Jones

History and clinical notes:
History:  No history obtainable, was very noisy when admitted.
Oct 25, 1913.  Patient was anemic and suffered from autointoxication upon admission; has for the past 6 weeks been normal and seems perfectly reasonable and quiet at all times.
Nov 6.  Patient was allowed to return to her home today.
Apr 14, 1914.  Discharged improved


History and clinical notes:
History:  Brought to hospital July 27th, 1913 but papers did not arrive until today, July 28th, 1913.  Was delivered of a healthy child 8 days ago and became maniacal 3 days after delivery.  Temp. 103° F, tongue heavily coated, bowels constipated.
Jul 28, 1913.  Bowels moved, temp 101° F, very restless.
Jul 29.  Temp 103° F this p.m.  Very weak.  Muttering delirium.
Jul 30, 1913.  Patient continued to fail and died 12:40 a.m.  Puerperal mania.

Additional notes:
She was buried in Philadelphia.  Her baby, a son, did survive and grew up and married.


History and clinical notes:
History:  Brought by Dep. Sheriff.  No history obtainable.  Has been well behaved since admission and works about ward.
Jul 8, 1914.  Is generally well behaved but occasionally insists upon going home and becomes unruly.
Nov 1.  Is losing flesh, has a cough and involvement of right lung.  Albumin in urine.
Dec 10.  Transferred to TB.
Dec 11.  Very weak today, refuses nourishment and has marked dyspnoea.
Dec 12, 1914.  Died.  Phthisis pulmonary.


On certificate of:
Drs. Henry W. Briggs and George W.K. Forrest

History and clinical notes:
History:  Patient was brought to the institution yesterday from private sanatorium at Clifton Heights, where she has been confined for past 6 weeks.  First symptoms noticed about 3 years ago.  Has been a nurse for a great many years around Dover.  About three years ago, began to act strangely, although she kept up with her work.  About two months ago became much worse and a nurse was employed to take care of her.  She attempted suicide by trying to jump out of the window.  Mind is failing and her conversation at times is incoherent.  When admitted here there were quite a number of bruises about her limbs and arms.  Has lately lost considerable flesh.
Oct 25, 1913.  Patient somewhat less restless than she has been but mental condition about the same.  Has had a carbuncle on right side of loin.  Made good healing.  Urine analysis gives negative.  Some incontinence.
[No further entries].

Additional notes:
Was living with her sister's family before admission to hospital.  Could not trace further.


On certificate of:
Drs. Lewis W. Flinn and Silas C. Frederick

History and clinical notes:
History:  Patient was picked up in Wilmington.  Officers who bring patient know nothing of his history.  Patient states that he lives in Chester and came to Wilmington yesterday.
Sep 22, 1913.  No improvement since admission.
Mar 25, 1915.  No change and usually quiet but occasionally has trouble with his fellow patients.
Dec 12.  Some improvement since last report, is in good physical health.
Oct 3, 1916.  No change since last report.
[No further entries].

Final disposition:
Still in hospital.  Died at DSH 1/27/1936


History and clinical notes:
History:  Patient ceased menstruating about 6 months ago.  About 7 weeks ago had a profuse flow which ceased in 3 days.  Immediately after this became very nervous and restless, especially at night.  Wanted to go to church a great deal more than she formerly did.  Lately has been much worse, talkative and at times incoherent.  Says she ought to die and go to heaven.  Threatened suicide – was looking for [ill.] Green about the house and tried to get a butcher knife.  Said that God wanted her to kill herself.  Has not lost flesh but is gradually getting weaker.
Oct 25, 1913.  Patient has been very depressed; would not speak or answer but is now somewhat better and seems glad to see her family, although at times [ill]. to speak to them at all.  [Anemia better??] but color still very [typical??].
Oct 29, 1913.  Paroled.
Apr 14, 1914.  Discharged improved.

Standard form attached:  Oct 29, 1913.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband].”

Additional notes:
I wonder if she had a miscarriage, or induced an abortion?  From ancestry.com, she lived until 1950.  Her 3 kids all lived to adulthood, at least the 2 daughters had lots of children, not sure about the son.


History and clinical notes:
History:  Patient has been feeble mentally for past 10 years.  Is gradually growing worse.  Relatives could not keep her at home as she wandered away and at times has been playing with fire in the stove, etc.
Oct 25, 1913.  Very headstrong and at times violent if not allowed her own way; never ready to go to meals at proper time.  Physically good condition.
Jan 24, 1914.  Has had several epileptiform convulsions during the past few weeks.  Fell in a convulsion today and struck on her face.  Nose bled profusely and on examination a cut was found on front of nose below nasal bones clean through to nasal cavity – bleeding was with difficulty stopped.  Was very restless, so much so that she had to be tied in bed.
Jan 25.  Was no noisy last night that she was given a dose of Chloral.  Has been very stupid all day and quite weak.  Has refused all nourishment.
Jan 1, 1915.  Very little change since last note.  Occasionally has an epileptic convulsion and always falls on her face.
Jan 27.  While coming out of dining room today slipped and fell to floor.  Examination revealed an intra-capsular fracture of right hip – was placed in bed and made as easy as possible.
Feb 1.  Patient still in bed.  Beds sores appearing in several dependant parts, a very large one over sacrum that has started to slough.  Face and all parts of body edematous.
Feb 21.  Very weak this a.m.; refused nourishment.
Feb 22.  Patient continued to fail and died this 2 a.m.
Feb 22, 1915.  Died.  Chronic nephritis.


On certificate of:
Drs. Irvine M. Flinn and Meredith I. Samuel

History and clinical notes:
History:  Mother states that the first symptoms of insanity occurred about 2 years ago.  He was a plumber at the Pullman shops.   At first he began to neglect his work until he lost his position.  Was very nervous and restless.  Lately moans a great deal and walks the floor day and night.  Has several times threatened suicide; said he wanted to end it all.  Has been an inveterate cigar smoker and has also masturbated a great deal.  Has lost flesh and strength.
Sep 22, 1913.  Fretful most of the time and requires hypnotics to produce sleep, does not eat well.
Nov 12, 1915.  Confined to bed and is very untidy.
Aug 1, 1916.  Is up, but is very uncertain on his feet and frequently falls.
Oct 2.  Clothes were soiled and while attendants were removing his trousers he fell and produced a wound under right eye.
Jan, 1918.  No improvement; extremely [illegible].  Has been in bed for past month on account of his habits.
Apr 5, 1918.  This morning while being fed his breakfast and while eating fell over on his bed and expired immediately.
Apr 5, 1918.  Died.  Valvular disease of the heart.


History and clinical notes:
History:  Patient was discharged from this institution Dec 10, 1907.  Rec.  See Case Book 4, pg. 134 [actually says “Cake Book”!].  Patient has been in this institution 4 times previously.  Sheriff who brings patient knows nothing of his history, with the exception that he had threatened his wife and she was afraid of him.
Sep 22, 1913.  No improvement; is very talkative and sometimes abusive in his conversation.
Oct 5.  Marked improvement since last report; is well behaved and works about ward.
Nov 26, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.


History and clinical notes:
History:  Patient showed first symptoms of insanity about 5 years ago; lost his memory and neglected his work.  Disease has steadily progressed.  One year ago had a strike (sic) or paralysis and since that time has been ataxic in his gait and his speech is hesitating.  Wanders away from his home.  Lately has lost flesh and strength.
Sep 15, 1913.  Some physical, but no mental improvement.
Sep 18, 1913.  Removed against advice of Supt.  Paroled.
Oct 9, 1913.  Returned.
Oct 25.  Condition remains unchanged, is very noisy and untidy.
Dec 20.  Suffered a cerebral hemorrhage today involving right arm and leg.
Mar 16, 1914.  Has recovered partial use of leg – no mental changes.
Jun 25.  Is emaciating rapidly and can only take liquid nourishment.
Jul 29.  Failing rapidly.
Aug 5, 1914.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  Patient has always been a hard drinker.  About 1 year ago began to neglect his farm and carouse.  Acted peculiar.  No definite information could be elicited in regard to details.  Last week got into a row with Negroes who struck him on the head near occiput.  After this he could not talk distinctly and was unable to move his right leg.  This has gradually disappeared although he still draws his leg while walking.
Sep 23, 1913.  Marked improvement since admission, eats and sleeps well and is rational.
May 2, 1914.  Is well behaved and has improved mentally since last report.
Jun 27, 1914.  Paroled.
Oct 7, 1914.  Discharged improved.

Standard form attached:  June 27, 1914.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [wife].”

Additional notes:
Has a Pennsylvania death certificate saying he died in 1920 while working as a shipbuilder, when he fell off a boat at Hog Island.  Is buried in Middletown, DE.


On certificate of:
Drs. P.W. Tomlinson and Harrigan L. Miller

History and clinical notes:
History:  Officers who bring patient know nothing of her history.
Jan 1, 1914.  Is very feeble mentally.  Laughs a great deal at apparently nothing.  Is untidy about her person and habits.
Jan 1, 1915.  No change mentally during past year.
Mar 2.  This a.m. had a stroke of cerebral apoplexy, right side.
Mar 3.  Still remains unconscious.
Mar 4.  Is conscious this a.m.
Jun 1.  Is up and about and in the same condition as previous to “stroke.”
Jul 13.  This 4 a.m. night-watch went to her bed and found her dead.  Body was quite rigid.
Jul 13, 1915.  Died.  Cerebral apoplexy.


On certificate of:
Drs. Harvey B. Patton and P. W. Tomlinson

History and clinical notes:
History:  No history obtainable but patient says “something gave away in his head” and also that some woman was exerting hypnotic influence over him.
Sep 5, 1913.  Imagines the buildings are burning under him and is in a state of terror; sometimes refuses to eat.
Sep 22.  Some improvement, eats and sleeps well and is more rational.
Mar 25, 1915.  Condition about the same as when last reported.
Jan 12, 1916.  Very noisy and violent, also tears his clothes.
Oct 3, 1916.  No change since last report.
Mar 22, 1917.  Is delusional, memory impaired, destructive, is troublesome at times.


History and clinical notes:
History:  Was “picked up” in Wilmington, clothes tattered and torn and has all the ear marks of a “roadeater”.  When arrested he was following and acting suspiciously toward a young white girl.
Mar 25, 1915.  Does not have much to say; eats and sleeps well.
Jun 12.  Is losing flesh; has a severe cough with profuse expectorations; had suppurating adenitis.
Aug 29.  Rapidly growing worse; confined to bed and eats very little.
Sep 18.  Very weak today and cannot take nourishment.
Sep 20, 1915.  Died.  General tuberculosis.


History and clinical notes:
History:  Brought to hospital Sept 8th, 1913, papers did not arrive until Sept 10th, 1913.  Has recently been employed in a hospital in New Jersey and on Saturday, Sept 6th, 1913 she told the matron that she was being followed by detectives.  A former patient, for previous history see Book VI, page 405.
Feb 26, 1914.  Has been very quiet and orderly since she came here.  Was allowed to return to her home today.  Paroled.
Oct 7, 1914.  Discharged recovered.

Additional notes:
Still in DSH at 1920 census.  Married, no kids, died 9/12/1950 in Pa.


History and clinical notes:
History:  Present trouble was first noticed Sept 18th, 1913; at that time he suddenly became violent and threatened to kill his family with an axe; was arrested and declared insane.
Sep 22, 1913.  Quiet since admission and admits he has been drinking to excess.
Nov 2, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.


History and clinical notes:
History:  Husband states that first symptoms occurred about 5 weeks ago; neglected her work and wandered from home.  Lately has been gradually getting worse and the last few days has burnt up a lot of her clothes and her husband’s.
Jan, 1914.  Very much demented.  Limbs somewhat swollen and pits upon pressure.
Mar 10.  Has been in bed for a few days owning to swollen feet and limbs.  Several toes on right foot almost gangrenous.
Apr 20.  Has been continually in bed since last note; toes of both feet black/gangrenous, limbs still swollen.
May 30.  Has steadily grown weaker.  Takes but liquid nourishment.
Jun 8, 1914.  Continued to fail and died at 8:30 p.m.  Diabetes mel.


History and clinical notes:
History:  Has been acting peculiarly for past 2 months, imagines all food is poison and that the neighbors are talking about her.  Has taken very little food for past 2 weeks.
[No further entries, but penciled note gives address for correspondent on Nov 15, 1915].

Final disposition:
Still in hospital  [No notes other than history].

Additional notes:
Died March 17, 1923 at DSH of cancer of the uterus (from death certificate).  Was in DSH the entire time.


History and clinical notes:
History:  No definite history as regards epilepsy.  Father died in DSH a number of years ago.  Is confined to bed.
Oct 3, 1913.  Was removed to his home on a cot, against advice of Supt.  Paroled.
Oct 20, 1913.  Discharged unimproved.

Slightly different form attached:  Oct 3, 1913.  “I remove my brother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to [blank] or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [sister].”

Additional notes:
Died October 8, 1913, just a few days after he was taken out of DSH on a cot, AMA.  Death certificate lists cause of death as acute mania, complicated by pneumonia.


On certificate of:
Drs. Irvine M. Flinn and H.G. Buckmaster

History and clinical notes:
History:  Patient is very feeble but quiet; no history other than patient could not be cared for at home.
Nov 1, 1913.  Has been in bed almost constantly since she came here.  Has to be hand fed.  Very feeble.
Nov 15.  Very low this a.m.; too weak to partake of milk; is unconscious.
Nov 17.  Remained in comatose condition until her death.  Passed away quietly at 4 p.m.
Nov 17, 1913.  Died.  4 p.m.  Cerebral apoplexy.


History and clinical notes:
History:  A former inmate of this institution but eloped in company with another inmate on the night of November 22nd, 1912.  He was at large for a short time and then returned to Wilmington, and again became involved in a “hold up,” he was arrested and brought before Court on a charge of assault with intent to commit murder.  The Court again ordered him returned to Del. State Hosp. on the old commitment #2557.
Mar 9, 1914.  Has given us no trouble and has shown no signs of mental alienation.
Mar 9, 1914.  Discharged today by order of Court of General Sessions; papers governing same are filed with commitment No. 2696.
Mar 9, 1914.  Discharged by Court Order – Not Insane.

Final disposition:
Discharged not insane by court order #2696

Additional notes:
Died 1/20/1960 at Governor Bacon Health Center.


History and clinical notes:
History:  No history other than patient has been very restless and would wander about neglecting his work.  Is very thin and feeble.
Mar 25, 1915.  Is always quiet, seldom speaks.
Aug 12.  No change; is unusually quiet and seldom speaks unless addressed.
Feb 23, 1916.  Condition remains unchanged.
Aug 30.  Has had epistaxis, nares tamponed anteriorly.
Sep 1.  Somewhat better today and took some nourishment.
Oct 3.  Is up and about, always very quiet.
May, 1918.  No change in patient’s mental condition, physically getting weak.
Mar 21, 1920.  Patient died at 11:30 a.m.; apparently he was well until 11:15; died very suddenly.  Had chronic valvular heart disease for over 2 years.  Contributing arteriosclerosis 5 years.

Final disposition:
Died of chronic valvular heart disease, 2 years, contributing condition arterioschlerosis, 5 years


On certificate of:
Drs. Samuel C. Rumford and Henry J. Stubbs

History and clinical notes:
History:  Has been in N.C. Co. Workhouse about 2 weeks on a charge of vagrancy.  No history.
Jan 25, 1914.  Has delusions of grandeur, hesitancy in speech and unsteady gait; is noisy and untidy.
Jul 6.  Rapidly growing worse, confined to bed; noisy and untidy.
Sep 12.  Takes only liquid nourishment, bowels very loose.
Oct 3, 1914.  Died.  General paralysis of insane.


On certificate of:
Drs. George I. McKellway and John W. James

History and clinical notes:
History:  Was brought at 1:30 a.m. by Sheriff and two officers.
Oct 16, 1913.  Was visited by his brother today, who states that patient has had syphilis and has been drinking to excess for past year.  Has been in a continual debauch since first week in Sept. and has threatened his wife and family.
Oct 5.  [Must mean Oct 25th?].  Somewhat improved but is surly and morose at times.
Oct 30.  Marked improvement since last report.
Nov 5, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.

Additional notes:
Apparently stayed out of trouble.  In 1920 census was living with his wife and three grown children and a son-in-law.  Died in 1928.


History and clinical notes:
History:  Has been peculiar for past year and while not violent she is very stubborn at times and her every act is governed by “Miss Turner.”  Takes very little nourishment.  History of insanity in family.
Nov 25, 1913.  No improvement; very restless and incoherent.  Repeats everything that is said to her.  Is untidy in her habits.
Jan 25, 1914.  No improvement.  Masturbates incessantly unless watched closely.  Has not menstruated since she came here.
[No further entries].

Additional notes:
1910 census -- at home with parents and siblings.  1920 census -- cannot find her.  1930 & 1940 census -- at DSH.  She died in 1958 and is buried in Mt. Salem Cemetery.


History and clinical notes:
History:  A former patient, for previous history, see Book VI, page 396.
Jan 1, 1914.  Has at times been very noisy and troublesome.  Has had restraint on for some time.
Apr 1.  Is a little more quiet and orderly.  Restraint has been removed.  Is much better.
Oct 13, 1914.  Patient was sent home today as her relatives would not come for her.  Paroled.
Apr 20, 1915.  Discharged improved.


History and clinical notes:
History:  Was a former patient in institution and was discharged Sept 13th, 1913 [year of date is wrong].  For previous history, see Book V, page 308.
Jan 1, 1919.  No change in patient’s mental condition.
Jan 20, 1919.  Patient’s daughter came and took her home for trial.  Paroled.  Improved.
Feb 4, 1919.  Patient brought back by her daughter, who states that it is impossible to take care of her at home.

Additional notes:
Still in DSH during 1930 and 1940 censuses.  She died in 1945 and is buried in Riverview, along with her husband.


History and clinical notes:
History:  Has always been considered weak minded.  About one week ago he was thrown from a cart which seems to have provoked this attack; a history is also given of masturbation.
Nov 4, 1913.  Very much improved, says he now realizes he was off when admitted.
Nov 10.  Continues to improve and is anxious to remain until he is well.
Nov 16, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.


History and clinical notes:
History:  Present trouble began 3 years ago when she manifested delusions of a persecutory nature, has written letters to Dr. Henry Spruance and others in Wilmington.
[No further entries].
Note: Original “Contract for Board of” (patient).  Tri-fold sheet of paper.  On outside printed Contract for Board of Irene L. Denio, Surety Geo. L. Denio, Residence Ridgewood, NJ, Amount $4 00/100 wkly.  On inside:  “Whereas, The Trustees of the Delaware State Hospital at Farnhurst are by law authorized to receive into the Delaware State Hospital any insane person, and may make contracts in relation to the board and maintenance, care and custody of such insane person; And Whereas, Irene L. Denio of Wilmington in the State of Delaware, an insane person, is about to be received into the said Hospital, and there to receive board, maintenance, care and custody, Now, in consideration therefore, I, George L. Denio, do hereby agree to and with the said Trustees that I will pay to them for such board, maintenance, care and custody the sum of Four (4) dollars per week so long as the same may continue.  I agree to make payments weekly, in advance, any unearned portion of which is to be returned to me should the said board, maintenance, care and custody for any cause cease before the expiration of the period for which payment has been made.  It is further understood that nothing in this Agreement shall prevent the said Trustees from recovering reasonable compensation against the estate of the said Irene L. Denio, in the event that I shall fail to make the payments herein provided for; nor shall I be discharged from the liability hereby created until the amount due has been fully paid.  In Witness Whereof, I have hereunto set my hand this seventh day of November, A.D. One thousand nine hundred & thirteen.  Signed: Geo. L. Denio.  Witness: Wilbur S. Gillmater.

Final disposition:
Still in hospital.  No notes except for history upon admission


Complications:
amputation of left leg and toes on right foot

History and clinical notes:
History:  Patient had an accident several months ago which necessitated amputation of lower 1/3 of left leg and toes on right foot; he was confined to Delaware Hospital, Wilmington, and during convalescence he became violent and was transferred to N.C.Co. Hospital but not having facilities for his care he was committed to DSH.
Mar 25, 1915.  No change since admission, excepting some physical improvement.
Oct 3, 1916.  No improvement since last report.
[No further entries].

Additional notes:
1920 and 1930 census -- still at DSH.  Died 1/16/1940.  Buried at DSH, Grave #510.  Possibly: He immigrated with his wife Marya in 1889 on the ship Pennland, leaving from Luxembourg.


History and clinical notes:
History:  Husband states that his wife, before he married her, was very sickly, was always physically weak.  When she was born did not expect her to live for weeks.  First attack occurred about 25 years ago (10 years after marriage), was very peevish and depressed.  Has never been well mentally since that time.  At times would brighten up a little, but the most of the times very reticent and moody.  About 2 months ago became very much worse.  Threatened suicide and once or twice has attempted the life of her husband.  Appetite is very poor and she seldom sleeps without an opiate.
Jan, 1915.  Patient extremely nervous and restless, bites her fingernails and is very restless.  Always talks rational and sensible.
May 7, 1915.  Is not quite so restless as formerly.  Was visited by her husband today who removed her.  Paroled.
Oct 26, 1915.  Discharged improved.

Standard form attached:  May 7, 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”


On certificate of:
Drs. William W.M. Henry and C. de J. Harbordt

History and clinical notes:
History:  Quite feeble and could not be cared for at home, wanders away from home and is inclined to be destructive to clothing and furniture.
Jan 1, 1914.  Patient has been quite feeble since she came here, has to be cared for as a child.  Arteriosclerosis well marked.
Mar 16.  Very feeble this a.m. was placed in bed.  Right-side paralyzed, could not swallow this a.m.
Mar 18, 1914.  Patient continued to fail and died at 1 a.m.  Cerebral apoplexy.


History and clinical notes:
History:  First noticed mental change 3 years ago and has been gradually growing worse, accuses his wife of infidelity and has threatened to kill her.  Has a fair appetite but does not sleep well.
Jun 20, 1914.  Does not improve and is sometimes violent.
Aug 29, 1914.  Removed today, against advice of Supt.  Paroled.
Sep 14, 1914.  Returned today.
Mar 25, 1915.  Condition unchanged, is generally well behaved.
Nov 16.  Is very stubborn at times, refuses to eat or be shaved, is noisy at night.
May 7, 1916.  Fell on floor today producing an intra-capsular fracture of right hip.
Aug 20.  Good result, is up and able to walk about.
Oct 3.  Condition about the same as when last reported.
Mar 21, 1917.  Is very noisy, incoherent, destructive, physical condition good.
Nov 1.  No change in mental condition; physically he is failing very fast, is losing weight, does not eat well.
Dec 19, 1917.  Is gradually growing weaker; transferred to infirmary.
Dec 30, 1917.  Died 2:20 a.m.

Standard form attached:  Aug 29, 1914.  “I hereby remove my father from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [daughter].”


History and clinical notes:
History:  No history other than patient has been under treatment for several weeks with Dr. S. Weir Mitchell and could not be cared for at home.
Mar 25, 1915.  No mental change, when addressed, he generally replies in a loud tone, “I won’t tell you.”
Jun 10.  Had a convulsion today, which lasted for ½ hour.
Jun 15.  Somewhat better today, is up and about his room.
Oct 3, 1916.  No mental change but some physical decline.
Mar 21, 1917.  Is delusional, depressed, destructive and very untidy, is unresponsive, eats and sleeps well.
Dec 31, 1917.  Patient is unconscious today, pulse very weak, rapid respiration and pupils contracted.
Dec 31, 1917.  Died of apoplexy, 10:40 a.m.

Note attached on half-sheet, letterhead Harrie Alonzo Bell, Philadelphia, PA.  “Dear Doctor Hancker, I had a talk with Edward Berry yesterday after I left you, and we thought it would be advisable for you to notify him as well as me, in case of any further developments.  You can reach him by phoning Frank O’Donnell’s during business hours, or by phoning Henry W. Sasse, 2302 Market Street, outside of business hours.  I have not yet told Mabel or Mrs. Berry, but will do so tonight or tomorrow.  Sincerely, Harrie A. Bell.”

Final disposition:
Died of apoplexy.  Buried with wife at Wilmington & Brandywine Cemetery.


On certificate of:
Drs. Joseph W. Bastian and G.W.K. Forrest

History and clinical notes:
History:  Mother states that child was born when she was in poor health and at the age of 45.  Child has never been bright and has been very irritable and sometimes violent since she started to menstruate.  Practices masturbation.
Jul 1, 1915 [perhaps date year is wrong??].  No improvement since admission.
Jul 18, 1914.  Paroled.
Mar 9, 1915.  Discharged unimproved.


History and clinical notes:
History:  Patient recently fell down an elevator shaft and injured his head, was taken to Del. Hosp. but no trace of fracture found.  Has a hesitancy in speech and slightly ataxic gait.
Dec 29, 1913.  Very much improved, no hesitancy in speech and improvement in gait.
Jan 3, 1914.  Paroled.
Apr 14, 1914.  Discharged recovered.

Additional notes:
Died 9/19/1954 of cirrhosis of the liver, buried in Mt. Olive


On certificate of:
Drs. Charles H. Boehm and P.W. Tomlinson

History and clinical notes:
History:  Has been drinking to excess.  No other history.
Jan 6, 1914.  Entirely recovered, eats and sleeps well.
Jan 7, 1914.  Paroled.
Apr 14, 1914.  Discharged recovered.

Additional notes:
Died at DSH 9/14/1923 of stomach cancer; buried in Cathedral Cemetery.


On certificate of:
Drs. E.H.F. Farlow and J. Roscoe Elliott

History and clinical notes:
History:  Was brought to Farnhurst Station and delivered over to an attendant of DSH.  No history, but patient was weak and emaciated when admitted.
Mar 5, 1914.  Confined to bed since admission, is unable to walk.
Apr 2.  Rapidly growing weaker, bowels loose and is unable to retain solid food.
Apr 7, 1914.  Died.  General paralysis.


History and clinical notes:
History:  Has always been peculiar but more pronounced for past few years, is sometimes violent and has threatened to suicide (sic).
[No further entries].

Final disposition:
Still in hospital.  No entries other than history.

Additional notes:
Buried at DSH, Grave #468.  1930 census was still in DSH.  Died at DSH November 13, 1936.


History and clinical notes:
History:  About one year ago patient had a fall and has not been well since, about six months ago he began to act in a strange manner and grew very nervous.  Has not been violent.
Feb 6, 1914.  Some improvement but is nervous and irritable at times.
Mar 26.  Condition remains unchanged.
Apr 17, 1914.  Removed today against advice of Supt.  Paroled.
Oct 7, 1914.  Discharged improved.

Additional notes:
Died 6/8/1929, diagnosed with dementia praecox; died of pulmonary TB, buried in Riverview.


History and clinical notes:
History:  Brought from Del. Hosp. where she was undergoing treatment following assault with criminal intent.  Is very nervous and noisy at times and could not be cared for at Del. Hosp.
Jan 15, 1914.  Mother telephoned today that patient should have menstruated latter part of last month, but did not.  Patient was very noisy all night, singing, etc.  Face very flushed.
Jun 22, 1914.  Has not improved.  Was removed by her mother against advice of Supt.  Paroled.
Oct 7, 1914.  Discharged unimproved.

Standard form attached:  June 22, 1914.  “I hereby remove my sister from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [brother].”


History and clinical notes:
History:  Brought from police station where he was being held temporarily on account of drunkenness, while in his cell he battered his head against bars and has several contusions on head.
Jan 25, 1914.  Has entirely recovered from effects of his debauch.
Feb 9, 1914.  Paroled.
Oct 7, 1914.  Discharged recovered.

Additional notes:
Died of acute alcoholism, 1/10/1917, buried at Cathedral Cemetery.


History and clinical notes:
History:  Officer who brings patient knows nothing of his history, with the exception that he was tried for stealing a team and found not guilty by reason of insanity.  Patient talks rationally and states that he was drunk when he took the team.
Apr 6, 1914.  Suffering from acute articular rheumatism and is confined to bed.
Apr 30.  Up and around the ward, no mental change.
Nov 1.  Works about grounds and stable.
Nov 14, 1914.  Eloped.
Apr 20, 1915.  Discharged improved.

Additional notes:
Died 11/12/1948 near Farnhurst due to crushed chest from being struck by a locomotive.  Ruled an accident (not suicide).  Buried at Delaware City Cemetery.


On certificate of:
Drs. William P. Orr. Jr. and Joseph M. Martin

History and clinical notes:
History:  Brought to Farnhurst RR Station and given over to an attendant.  No history obtainable.
Jan 1, 1915.  During past year patient has been on ward but is always stupid, cannot move around the ward very rapidly.
Jan 1, 1916.  Patient has been failing lately.  Often goes to bed for days at a time and occasionally will not eat.
Jan 20.  Had a slight stroke of apoplexy, right side, partly paralyzed.
Feb 1.  Still in bed, eats but little, will not talk, and when she does it is difficult to understand her.
Feb 10.  Still in bed and quite feeble.  Refuses to eat.
Feb 17, 1916.  Died.  Cerebral apoplexy.


On certificate of:
Drs. John B. Derrickson and James Martin

History and clinical notes:
History:  Quite feeble and could not be cared for at home; tears her clothes and wanders away from home.
Jan 20, 1914.  When patient was bathed, attendants found quite a number of bruises on arms, legs, and body.
Jan 21.  Patient quite feeble; was placed in bed.
Mar 1.  Patient has been in bed since her admission, too weak to be up and about.
Jun 1.  Still in bed.  Bowels have been quite loose for some days.
Jul 1.  Very weak, bowels loose at times.  Patient has lost flesh and strength.
Aug 1.  Bowels running constantly, contents very offensive.
Aug 3.  Patient has been in a comatose condition since last night and died at 5:15 a.m.
Aug 3, 1914.  5:15 a.m.  Died.  Tubercular enteritis.


History and clinical notes:
History:  Friend who brings patient states that patient had the first attack of insanity about 10 years ago, details not known.  Present attack began about 2 months ago, was very much depressed, would not eat and refused to talk to any one.  Did not sleep at night and extremely restless.  Is very feeble when brought to hospital, could barely walk, due probably to insufficient nourishment.
May 1, 1914.  Some physical improvement since admission but is confined to bed.
Mar 25, 1915.  Is always quiet and says “my bowels never move.”
Jun 23, 1915.  Paroled.
Oct 19, 1916.  Discharged improved.


On certificate of:
Drs. L.A.H. Bishop and George I. McKelway

History and clinical notes:
History:  Patient says he had a “break down” about two years ago and was for awhile in a sanitarium.  For past year he has made threats and his wife has been afraid to live with him, has delusions of persecution and grandeur.  Says, “They say I’m insane and I guess it’s up to your doctor to find out whether I am or not.”
Jan 22, 1914.  Patient has always been egotistical in regard to his physical strength, business ability, and etc., although he has paid no attention to business for years.  He has the delusion that everyone was “teasing him” and has threatened to kill various persons for this alleged act.  He thinks his great mental abilities are not recognized and at the same time that everyone is jealous of him because of them.  He is antagonistic to his wife and accuses her of unfaithfulness and his son he accuses of conspiring against him.  His wife had to go to a brother’s house to sleep at night, fearing he would make good his threats.  Recently he assaulted two of his neighbors without cause.  Lately he has developed some extravagant notions, although not able to conduct his own business, he has backed a moving picture show, a toy store and has endeavored to dispossess two of his tenants so that he could carry on the same business at their stands.
Mar 25, 1915.  No change since admission.
Oct 3, 1916.  Has “outbreaks” at times when he becomes noisy and violent.  Transferred to Ward D.
Mar 20, 1917.  Has many delusions of grandeur, noisy, violent, and very troublesome at times.

Additional notes:
He died in 1921.  In the 1920 census, his wife and son are living by themselves, without him, but he is not listed anywhere.  Is buried in Dover.


History and clinical notes:
History:  Officer who brought patient left him at depot.  Patient has had one brother die here and one who is a patient now.
May 1, 1914.  Is very nervous and seldom speaks, attempted to escape a few days ago.
  
Jan 12, 1916.  Works in laundry, is quiet but very incoherent, decorated his apparel with badges and gaudy colored yarns.
Sep 30.  Eloped.
Oct 1.  Returned today, said he went to Chester, PA.
Jan 29, 1917.  Eloped.
Feb 6, 1917.  Returned.
[No further entries].

Additional notes:
Census for 1920 and 1930 lists him still as a patient; he died at DSH in 1963.  Buried at DSH, Grave #705.


History and clinical notes:
History:  Patient has a mother in Norristown S.H. at present time; also has two maternal aunts who are supposed to be insane but not confined to an institution.  Patient has been considered mentally weak since infancy, says his lungs are caved in and his bones are rotting away.
May 1, 1914.  Is untidy and troublesome, constantly picking at his skin, when not in restraint.
Mar 25, 1915.  Skin lesion somewhat improved, eats and sleeps well and is rather precocious.
Sep 1, 1916.  Attempted to escape by crawling through transom; is very troublesome at times.
Oct 6.  Sometime after midnight he got out of “crib”, forced lock on inside screen, separated bars and with the aid of sheets lowered himself to ground, making his escape; was apprehended near Red Lion, Del.; handcuffs were still on him when caught.
Mar 20, 1917.  Has many delusions, memory and judgment impaired, conversation irrelevant, tears up his restraints and is very troublesome; physical condition good.
Jan, 1918.  No improvement in patient’s mental condition, physically very well.
Sep 28, 1918.  This morning at 6:10 patient eloped.  Paroled.
Apr 17, 1919.  Discharged unimproved.

Final disposition:
Discharged unimproved (after second elopement)


On certificate of:
Drs. L. Heisler Ball and Francis L. Springer

History and clinical notes:
History:  Mental changes first noticed 15 years ago but she always attended to her household duties, about 7 months ago she became very nervous and irritable to members of her family, does not sleep well and says food does not agree with her.  Is depressed and says “she has one foot in the grave.”
Jun 20, 1914.  But very little change since she came here.  Her husband removed her today.  Paroled.
Oct 7, 1914.  Discharged improved.

Additional notes:
In 1920 census she was living with her husband and an adult child; she died in 1926 at Farnhurst, buried elsewhere


History and clinical notes:
History:  First symptoms occurred about three months ago, began to talk incoherently after an attack of hemiplegia (left) right – Has steadily lost flesh and strength since she was attacked.  Very restless and at times tries to get out of bed.  Parents have been afraid that she would accidentally fire the house while they were out to work.
Feb 14, 1914.  Patient very feeble when brought to hospital.  Has been in bed constantly.  Right lung full of rales and expectorations profuse.
Mar 1.  Has failed very rapidly.  Is suffering from Pul. Tub.
Mar 9, 1914.  Patient died this a.m.  4.  Pul. Tub.


History and clinical notes:
History:  Brought by officers who state that patient jumped into river twice today but was rescued after some difficulty.  Has probably been drinking to excess.
May 1, 1914.  Is very morose, seldom utters a sound, has a poor appetite and has lost flesh.
Mar 25, 1915.  Markedly depressed, eats sparingly and is very unsteady on his feet.
Oct 2, 1916.  Is noisy and sometimes violent.
Mar 20, 1917.  Has many delusions, is depressed, memory impaired, incoherent, and very untidy, destructive and violent at times.
Jan 25, 1920.  Mentally and physically getting worse.
May 20.  Patient suffering from lobar pneumonia.
May 26, 1920.  Patient died at 6 p.m. this evening.  Lobar pneumonia, 6 days.


History and clinical notes:
History:  A former patient; for previous history see Book VII page 21.  Brother states that he has been well behaved since leaving institution in May 1913, until 2 weeks ago when he became very nervous and irritable, wandered away from home and went to Dover.
May 1, 1914.  Is not inclined to obey rules and handles the truth recklessly.
May 2, 1914.  Paroled.
Oct 7, 1914.  Discharged unimproved.

Standard form attached:  May 2, 1914.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [mother].”


History and clinical notes:
History:  First attack about 4 years ago, lasting only a few days?  Since that time has had quite a number of attacks.  For past two weeks has been unruly, walks the house at night, and attempted suicide by drinking ammonia.  Is steadily getting worse in every particular.
Mar 28, 1914.  No improvement since admission.  Very depressed and hard to care for at times.  Keeps by herself and frequently refuses to eat for 2 or 3 days at a time.  Was visited by her husband and son today who demanded her discharge.  He was urged to allow her to remain for further treatment but he would not listen to reason.  Paroled.
Oct 7, 1914.  Discharge unimproved.

Standard form attached:  March 28, 1914.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband, marked with an X].”

Additional notes:
Correct spelling of last name is Marszelewski; died 7/24/1939, buried in one of the Catholic cemeteries.


History and clinical notes:
History:  Brother states that present trouble began 3 years ago, following an injury to head but also says he was a backward boy at school.  Patient says he eats and sleeps well.
Aug 5, 1914.  Is quiet but no mental change.
Mar 25, 1915.  Is generally quiet and a good worker.
Oct 2, 1916.  Very mean at times, was transferred to Ward D.
[No further entries].

Additional notes:
US Census 1920, 1930 -- still at DSH.  Died at DSH 1/28/1936.


History and clinical notes:
History:  A former patient on two occasions and was discharged Jan 11th, 1894.  Has been depressed for past year or two and has been taking large doses of Bromide, has threatened suicide and there is a suspicion that he masturbates.
May 1, 1914.  Very much improved but is not willing to admit it, is constantly speaking of his ills and says “I’ll never go home alive.”
Aug 5.  Some mental and physical improvement, although he is unwilling to admit it.
Mar 25, 1915.  In good physical health but constantly talks of his “condition” and his past life.
Oct 2, 1916.  Constantly talks of his past and says “my mind must have been weak or I would not have abused myself the way I did.”
Mar 20, 1917.  Is delusional, quiet and well behaved, physical condition good.
[No further entries].

Final disposition:
Still in hospital.  No further information.


History and clinical notes:
History:  Has been drinking to excess for past 2 weeks, this a.m. he ran out of his home in a nude state, is very nervous.
Mar 12, 1914.  Is very much improved, bright and cheerful, works about the ward.
Mar 17, 1914.  Paroled.
Oct 7, 1914.  Discharged recovered.


On certificate of:
Drs. Frank Bellville and Walter W. Ellis

History and clinical notes:
History:  No history other than patient suddenly became noisy and violent, was brought to institution with “muffs” on hands and legs were tied.  His father was formerly a patient in DSH.
Mar 6, 1914.  Noise and violent, requires restraint and refuses nourishment.
Mar 8.  Very noisy all night, “lunges” forward and backward in his chair and is showing signs of exhaustion.
Mar 10.  Takes but little nourishment and is still violent.
Mar 12, 1914.  Died.  Exhaustion from acute mania.

Additional notes:
Duplicate #30 for patient of year; simple mistake, I guess


On certificate of:
Drs. Irvine M. Flinn and Florence Seward

History and clinical notes:
History:  Has been failing mentally for past 3 months, is bewildered and incoherent, several days ago she poured coal oil on a hot stove and could not be trusted about the home.
Mar 12, 1914.  Has developed a hemiplegia (L.S.) and is have convulsions in rapid succession.
Mar 13.  Rapidly growing weaker.
Mar 14, 1914.  Died – cerebral apoplexy.


History and clinical notes:
History:  Patient was very noisy when admitted and was crying aloud “Oh Dr., don’t let them kill me.”  No history obtainable other than she attempted suicide by inhaling gas.
Apr 1, 1914.  Very violent, tears her clothes, and is very troublesome.  Imagines that everyone is trying to kill her.
Jun 1.  Was visited by her husband a few days ago.  While he was peeling an apple for her she grabbed the knife and stabbed her husband in arm.  Wound slight.
Sep 4, 1914.  No improvement.  Has been visited by the Hebrew Charities Aid Association who have repeatedly tried to get her out.  Her husband has refused several times to allow her to go.  Today he consented and female members of the Ass. Removed her against the advice of the Supt.  Paroled.
Nov 16, 1914.  Patient was returned to institution by Hebrew Ass., stated that they could do nothing further for her.

Standard form attached:  Sep 4, 1914.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband].”

From ancestry.com – At the 1920 and 1930 census, she was still a patient at DSH.  She died August 9, 1930 of chronic valvular heart disease, and was buried in Lombardy Cemetery.

Additional notes:
From ancestry.com – At the 1920 and 1930 census, she was still a patient at DSH.  She died August 9, 1930 of chronic valvular heart disease, and was buried in Lombardy Cemetery.


History and clinical notes:
History:  Has been suffering with Diabetes (Mel) for several months, paracentesis abdominis performed 3 months ago, abdomen rapidly filling up.  Mental change developed 2 weeks ago and she could not be cared for at home.
Mar 15, 1914.  Large ulcers over both lower limbs.  Abdomen very much distended.  3rd degree prolapse of uterus.
Apr 1.  Ascites has disappeared and ulcers on leg very much better.  Patient is very feeble and is in a semicomatose condition most of the time.
Apr 5.  Very weak this a.m.  Is comatose.
Apr 6, 1914.  Continued to fail and died at 8 p.m.  Diabetes mel.


History and clinical notes:
History:  No history obtainable.  Brought by an officer.
Mar 25, 1914.  No improvement since admission, is irritable.  Says “There is nothing wrong with me and I want to go home.”
Apr 20.  No change since last report.
Apr 25, 1914.  Removed today against advice of Supt.  Paroled.
Apr 27.  Returned today, became unmanageable at home.
Aug 5.  Has given us no trouble since his return to the institution – is a good worker.
Mar 29, 1915.  Condition unchanged, is morose at times.
Oct 2, 1916.  No change since last report, is quiet and a good worker.
Oct, 1917.  Mentally no improvement.  Physically weak.
Jan, 1918.  No change in his mental condition.  Upon examination found phthisis pulm. – transferred to TB.
May, 1918.  Patient getting weaker.  Hemoptysis very often.
Sep, 1918.  Patient getting worse, put to bed.
Oct 16, 1918.  Patient died at 9:30 p.m., phthisis pulm.

Standard form attached:  Apr 25, 1914.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [mother].”


History and clinical notes:
History:  Very little history obtainable other than “her lover” broke into her room a short time ago and attempted to assault her, she jumped from 3rd story window and was severely hurt.
Apr 1, 1914.  Patient is very noisy and disturbed at all times and somewhat hard to control.
Jun 1.  No change mentally.  Noisy and violent.
Nov 1.  No improvement.  Lately has a severe cough, swears and curses any one that comes near her, even her own father when he visits her.
Jan 1, 1916.  Very feeble; both lungs are involved; has a severe cough.  Is in bed constantly.
May 1.  Has been in bed and steadily growing more feeble since last note.  Expectorates a great deal.
May 14, 1916.  Patient died at 4:30 a.m.  Phthisis pul.

Additional notes:
No further info.  Buried in Kennett Square.


History and clinical notes:
History:  Patient has marked delusions of persecution.  States that her neighbors have hypnotized her and put electricity into her food and click (clock?).  They follow her wherever she goes.  Becomes very much excited when relating her experiences.
Apr 1, 1914.  Says that people are putting electricity in her and men are having intercourse with her at night and other delusions of a persecutory nature.
May 30.  Patient dropped unconscious this a.m. after examination revealed nothing of a serious nature, i.e., bruise very superficial.  Patient’s temperature very high, delirious and extremely restless, has to be tied in bed.  Pupils equal and react readily.
May 31.  Still restless and unconscious.
Jun 1.  Is much better, talked a little this a.m. and took nourishment.
Jun 5.  Is more rational although very restless; takes her food well.
[No further entries].


On certificate of:
Drs. Samuel C. Rumsford and W.H. Kraemer

History and clinical notes:
History:  Brought from N.C. Co. Workhouse where he has been undergoing sentence of 60 days for “disorderly conduct.”  Is very troublesome, violent, and profane, sometimes will go for several days without food.
May 1, 1914.  Is very disagreeable and refuses to do certain kinds of work, says “I was so troublesome at Blakeley that the M.D. were glad to discharge me.”
May 30.  Marked improvement since last report.
Jun 10, 1914.  Paroled.
Oct 7, 1914.  Discharged recovered.


On certificate of:
Drs. John W. James and George I. McKelway

History and clinical notes:
History:  Wanders aimlessly about and has threatened to kill his relatives, has a mother and uncle in DSH.
May 1, 1914.  Is very restless and is always looking for an opportunity to escape, says “he would like to marry a white lady.”
Aug 5.  No change since last report.
Mar 29, 1915.  More demented and at times very wicked, good physical health.
Oct 2, 1916.  Is violent at times and untidy.
Oct 2, 1917.  Suffering from tuberculosis.
Oct, 1918.  Physically very weak, suffering from multiple tubercular abscesses.
Oct 15.  In bed with epidemic influenza.
Oct 21, 1918.  Died at 8:30 a.m. from broncho-pneumonia.

Attached note related to his father John and now-widowed mother Cecelia.

“NOTICE  To, Cecelia Handy (widow of Jonathan Handy, deceased) of Kent County, De and Elias Handy of Brooklyn, N.Y., John Thomas Handy of Blackbird, Del, Benjamin Handy of Farnhurst, Delaware; Clara Handy of 3618 Sansom St., Philadelphia, Pa; Minerva Butler formerly Minerva Handy of Baltimore, Md; Parker Handy and Ross Handy of Leipsic, Delaware, (heirs at law and devisees of Jonathan Handy, deceased) and Cecelia Handy, Ross Handy and Parker Handy, tenants in possession and Earl Winchester of Farnhurst, Delaware said to be a natural child of Mayette Dickerson formerly Mayette Handy, deceased, one of the children and devisees of the said Jonathan Handy, deceased.
TAKE NOTICE that I intend to apply to the Orphans Court of the State of Delaware in and for Kent County at the _______ Term thereof to be held at Dover, Delaware on the second day of January A.D. 1918 for an order to sell the whole or any part of the real estate of Jonathan Handy late of Kent County, Delaware, deceased situate in the County aforesaid as will be necessary to pay his debts.  January 18th, 1918.  Thomas Q. [illegible], Executor of Jonathan Handy, deceased.


History and clinical notes:
History:  Has been a patient in Del. Hosp. for past two weeks, undergoing treatment for some prostatic trouble, he became very noisy disturbed other patients and was transferred to DSH.
Mar 24, 1914.  Quiet during the night.
Mar 27.  Is in a stupor, feet and ankles swollen, some ascites, voids but little urine.
Mar 28, 1914.  Can be aroused with difficulty, urinous odor to breath and is in a semi-conscious state.
Mar 29, 1914.  Died – acute nephritis.

Attached note on unlined stationery.  At the top 
Bell Phone 276		Automatic phone 2759
The best furnished rooms in the city
Holt’s Hotel and Restaurant
Nos. 3 and 5 East Fourth Street
Open all night
Wilmington, Del., April 20, 1914

“Dr. Wm. H. Hancker
	Dear Sir,
		You will please deliver to Mr. S.J. McNee, the personal belongings of the late William M. Nicholson, as I have made arrangements with him to ship the same to Mrs. Thompson Attorney, [ill.] Charles H. Merillat, at Washington, D.C.
			Very truly yours,
				Emil Budwitz, Administrator of the estate of Wm. M. Nicholson, dec’d under appointment by the Orphan’s Court of Baltimore City.”

Additional notes:
Note about sending his belongings to a lawyer in Washington, DC


History and clinical notes:
History:  No history other than patient has always been considered “queer.”
May 1, 1914.  Is a good worker and has given us no trouble.
May 8, 1914.  Paroled.
Oct 7, 1914.  Discharged unimproved.

Additional notes:
Died 5/23/1943 at the State Welfare Home in Smyrna.  Another person of same name also died at State Welfare Home 1/25/1946.


History and clinical notes:
History:  Brought by Dept. Warden who gave no history.
May 1, 1914.  Seldom talks, sits with his head down and has twitching of masseter muscles.
Jan 6, 1915.  Cold abscess on back, opened and evacuated.
Feb 12.  Some physical but no mental change.
Apr 6.  Losing flesh rapidly, eats very little and has a persistent cough.
Jun 24.  Rapidly failing, removed to “T.B.”
Jul 1, 1915.  Died.  Phthisis (pulmonary).

Additional notes:
Buried at DSH, Grave #246.  Cem Rec says he died 6/30/1915.


History and clinical notes:
History:  For previous history see Pa 76, Case Book VII.  Patient was sent back to Jail Nov 26th, 1913.  Dept. Warden who brings patient states that he is much worse and very troublesome.
May 1, 1914.  Is very restless and constantly pleading with the doctors to release him.
Aug 5.  Very troublesome, and bears watching.
Mar 29, 1915.  Condition unchanged, always asks to go home.
Oct 2, 1916.  Is usually quite rational but rather tricky and mean.
Mar 20, 1917.  Has some delusions, insists on going home, is troublesome at times, but is usually quiet.
Sep 25, 1918.  Patient recovered.  Sent to Louisburg, N.C.  Paroled.
Oct 16, 1918.  Discharged recovered.


History and clinical notes:
History:  Patient has been acting in a peculiar manner for past 6 months, and says “people are spitting in my face.”  The parents are very nervous.  When brought to institution she was very much provoked, said there is nothing wrong with me and I refuse to remain.
[No further entries].

Additional notes:
She died at Farnhurst 3/19/1929.  Her father Lewis was the postmaster of Seaford Delaware.  No further info.


History and clinical notes:
History:  Certificate states that patient had an injury to head two years ago and since that time has been peculiar; wanders about in a bewildered state of mind.  Was quiet when admitted.
Aug 5, 1914.  No improvement, gait unsteady and confined to bed most of the time.
May 12, 1915.  No change since last report.
Oct 2, 1916.  Is very incoherent at times, untidy about his personal appearance.
Mar 19, 1917.  Is depressed, destructive, and untidy, is usually quiet.
Jan 29, 1918.  Patient has been feeble for some time, has been eating very poorly for several days and kept in bed today.  Is incontinent, profoundly depressed.
Feb 1, 1918.  Has been gradually growing weaker for several days.  Died 8:45 a.m.  today of pulmonary tuberculosis.
Feb 1, 1918.  Died.


History and clinical notes:
History:  Present trouble began in Oct. 1912 and has been gradually growing worse, has some hesitancy of speech and unsteady gait.
May 1, 1914.  Condition unchanged since admission.
Aug 5, 1914.  No change since last report, confined to bed.
Aug 25.  Rapidly growing worse, can take only small quantities of liquid nourishment.
Sep 23.  Sent a telegram to [wife] but was informed by telegraph operator that she died a year ago, so telegram was given to [her] sister.
Sep 25, 1914.  Died.  General paralysis of insane.


History and clinical notes:
History:  Brought by Constable but he could furnish no history; patient was very noisy and excitable and became violent when taken to ward.
Sep 26, 1914.  Patient has improved very much since she came here.  Is quiet and orderly and works on the wards.  Was allowed to go home with her friends today.
Sep 26, 1914.  Paroled.
Apr 20, 1915.  Discharged recovered.


On certificate of:
Drs. Irvine M. Flinn and Henry W. Briggs

History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp. for past 4 months, nurse states that he was in Mrs. Walter’s Hospital prior to his admission to N.C.Co. Hosp. and had been on a debauch.  Is very noisy at night.
May 1, 1914.  Is very morose, eats very little.
Aug 5.  Does not improve mentally, but is quiet.
Mar 29.  No change since last report, but is constantly grunting.
Oct 2, 1916.  No mental or physical change, is up and about but “grunts” a great deal.
[No further entries].

Slip attached, preprinted form from State Board of Health Laboratory, State Laboratory Building, Newark, Delaware.  Lab. No. 42,346, Date: 2-28-20.  Dr. Wm. H. Hancker, Dear Sir: -- The examination of the specimen of Blood from 2760 does show the presence of a negative Wassermann.  Remarks: [blank].  Singed H.J. Watson, per K.Q.  Bacteriologist.”


History and clinical notes:
History:  Has been in N.C.Co. Hosp for several months, is noisy and untidy at times.  Would wander away from home and could not be cared for.
May 1, 1914.  Is sometimes noisy at night, otherwise gives us no trouble.
Aug 5.  No mental change, is untidy at times.
Oct 25.  Has been growing feeble for past few days and has been placed in bed.
Nov 1.  Growing weaker, left arm paralyzed, stertorus breathing, cannot take nourishment.
Nov 3, 1914.  Died – apoplexy (cerebral).


History and clinical notes:
History:  Certificate states that attack began 2 days ago and that it is due to excessive use of alcohol.  Patient has only been a resident of Wilmington since the 5th inst. (sic).  His home being in Baltimore.
May 1, 1914.  Very much improved, eats and sleeps well.
May 8, 1914.  Paroled.
Oct 7, 1914.  Discharged improved.


History and clinical notes:
History:  Brought by his brother, who states that patient had La Grippe about four weeks ago but did not seem to recover from its effects; has lost flesh and has taken no food for past 48 hours, is very weak and emaciated.  Is very listless and does not seem to comprehend.
May 1, 1914.  Is in a stuporous condition and can only be aroused with difficulty; takes liquid nourishment.
May 2.  Very much weaker today, cannot be aroused, takes no nourishment.
May 3, 1914.  Died – Pachymeningitis interna.


History and clinical notes:
History:  Brought to Farnhurst Station by Sheriff Smith of Kent Co.  No history other than patient has delusions of persecution.
May 1, 1914.  Delusions have entirely disappeared, has improved physically.
May 16, 1914.  Paroled.
Oct 7, 1914.  Discharged improved.


On certificate of:
Drs. W. Victor Messick and James S. Cobb

History and clinical notes:
History:  Brought to hospital May 2nd 1914, papers arrived today May 5th, 1914.  Patient has been acting strangely for past two weeks, had a revolver and shot gun and threatened to shoot his neighbors, has been very restless since admission and requires restraint.
May 5, 1914.  Is very much exhausted, cannot take nourishment.
May 6, 1914.  Died – exhaustion from acute mania.


History and clinical notes:
History:  A former patient, was discharged March 7th, 1914.  For previous history, see book VII, page 80.  Patient was arrested yesterday for neglect of her children, see attached slip.
Jul 1, 1914.  Has improved since her admission.  Is very quiet and rational.
Jul 12, 1914.  Was visited by her husband today who removed her against the advice of Supt.  Paroled.
Mar 9, 1915. Discharged improved.

Standard form attached:  July 12, 1914.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband].”

Newspaper clipping attached:  “Held for Neglect.  Parents of Children Accused and Will be Heard To-Day.  Frank Stout, special agent for the S.P.C.C., yesterday was called upon to investigate two cases of alleged neglect of minor children, which he declares are about the worse of the kind that have come within his jurisdiction in the several years he has held the office.  As a result of his activities, Mrs. And Mrs. Henry LaCierle, of 306 East Fifth street, and Mrs. Sarah R. White, of 1125 Pleasanton street are under arrest on charges of neglecting their minor children and this morning they will be arraigned in the city court.  Mr. Stout, with Patrolmen Reese and Massey, was called to Mrs. White home yesterday afternoon by neighbors.  When the officers arrived they found the woman’s four small children in the house alone.  They are Lillie, aged 14 years, Walter, 11 years, Caroll, 6 years, and Howard, 5 years.  The father is second officer on the Southern Steamship Company’s boat Algers, and at present is at Tampa, Florida.  The mother was located at 1203 Reed street where it was said she had been for two or three days, having left the children in the Pleasant street house.  Mr. Stout and the policemen found the children in a pitiable condition.  The oldest girl was trying to care for the smaller ones, but had not succeeded very well.  The only thing to eat found in the house was a pot of flour and water which had been mixed together and was cooking on the stove.  The water was running in the kitchen and had flowed through to the parlor floor.  The house is said to have been in a dirty condition, the broken down bed was covered with dirty cloths and the children wore few and dirty clothes.”

Additional notes:
nteresting story.  From ancestry.com – The couple also had older children, Daisy E. White (1894-1982) who married William Treml, Sr..  She signed the patient’s (her mother) death certificate.  There was an older son, William Charles White (b. 1897), who married Anna and had 2 daughters.  In the 1930 census, his brother Howard was also living with him.  Sarah R. White, the patient, was listed as being at DSH during the 1920 and 1930 census, and died November 19, 1933 at DSH of coronary occlusion and chronic myocarditis.  She is buried at Silverbrook.  There are surviving descendants listed as “private” on ancestry.com.  Sarah’s husband was 20 years older than she was.


History and clinical notes:
History:  Present trouble began 4 weeks ago, when he began to act in a strange manner, did not eat or sleep well and seemed unable to concentrate his thoughts; has marked hesitancy in speech and exaggerated patellar reflex.
May 13, 1914.  Is in a bewildered state, eats but little food, is noisy and untidy, tears his clothes.
May 26.  Is losing flesh rapidly and is confined to bed.
May 29.  Has developed erysipelas (idiopathic) and is failing rapidly.
Jun 4, 1915.  Died.  Erysipelas (idiopathic).  General paralysis of the insane.

Final disposition:
Died of erysipelas (idiopathic) and general paralysis of the insane


History and clinical notes:
History:  Was picked up by police on outskirts of Wilmington in a semi-nude condition, was acting in a strange manner and making threats of violence to bystanders.  No other history obtainable.
May 25, 1914.  Is very abusive to officers and employees, says he is not insane and threatens to do violence.
Jun 5.  Marked improvement, is respectful and eager to be dismissed.
Jun 7, 1914.  Paroled.
Oct 7, 1914.  Discharged recovered.


History and clinical notes:
History:  Has been in a depressed state for past 1.5 years, remains at home during the day but wanders about the streets at night, sometimes stays out all night.  Is very reticent and sits with head bent over, is very tall for his age and is aenemic.
Aug 5, 1914.  No improvement since admission, is very quiet and when not engaged in ward work, sits with newspaper held in front of his face.
Mar 29, 1915.  No mental or physical change.
Oct 2, 1916.  Is untidy about his personal appearance and is at times troublesome.
[No further entries].

Additional notes:
From ancestry.com – he is listed in the World War I draft records (1917-1918) at being at DSH.  He died May 9, 1921 at DSH Farnhurst of tuberculosis (age 25) and is buried at Cathedral Cemetery.


On certificate of:
Drs. Walter W. Ellis and Harris M. Carey

History and clinical notes:
History:  A former patient, was discharged unimproved April 1st, 1909.  Could not be cared for at home.  For previous history, see book III, page 384.
Oct 16, 1917.  Is quiet and fairly well behaved; is in good general health.
Dec 15, 1917.  There has been no change in patient’s condition since last report.  Fell today 7:00 p.m. and fractured her hip (left).
Dec 19.  Patient is gradually growing weaker; showing great cardiac weakness.
Dec 20, 1917.  Died 4:55 p.m.  Fracture of hip, chronic valvular heart disease.

Final disposition:
Died of fracture of hip, chronic valvular heart disease


History and clinical notes:
History:  Patient had a sun stroke several years ago and has been in a melancholy state ever since; has attempted suicide several times; this a.m. he had a rope about his neck and was about to suspend himself from the rafters when he was discovered.
Jul 15, 1914.  Very much improved, is cheerful, eats and sleeps well.
Jul 30, 1914.  Paroled.
Mar 9, 1915.  Discharged recovered.

Additional notes:
Died in 1940, never in DSH again, at least not during census years.  Buried in Mt. Salem Cemetery.


History and clinical notes:
History:  A former patient, see Book VI, page 421.  Was discharged March 7th, 1910; lately he has grown very nervous and irrational at times, is considered a nuisance in the town.
Aug 5, 1914.  Very noisy and untidy – tears his clothing.
Dec 12.  Marked improvement, is quiet and respectful.
Jan 2, 1915.  Paroled.
Sep 23, 1915.  Discharged improved.

Additional notes:
In the 1920 census he was living with his mother and one of his brothers and that brother's family.  Working at a tobacco store.  No entry for 1930.  In 1940 census he was living as a boarder with an unrelated woman and one other person.  He died in 1944 and is buried in the Seaford Odd Fellows Cemetery.


On certificate of:
Drs. William Marshall, Jr., and George W. Marshall

History and clinical notes:
History:  Is very restless and talkative and is constantly talking about God; says everything is for the best, it is God’s will, and etc.  Does not rest well, but has a good appetite.
Jun 10, 1914.  Extremely restless, runs up and down the ward pushing patients and occasionally taking their hands and rubbing them – said she was going to cure everyone here.
Jun 20.  At time quite violent and frequently resists the attendants.  Has torn curtains in the ward.  Very hard to care for.
Jul 1.  Is looking better physically, but no improvement mentally.
Jul 14, 1914.  Husband removed her today against the advice of the Supt.  Paroled.
Mar 9, 1915.  Discharged unimproved.

Standard form attached:  July 14, 1914.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”


History and clinical notes:
History:  Has been drinking to excess for past few days and is noisy and violent.
Jun 12, 1914.  Is ration and anxious to go home.
Jun 17, 1914.  Paroled.
Oct 7, 1914.  Discharged recovered.


History and clinical notes:
History:  Patient has been peculiar for past 15 years, at times violent, no other history obtainable.
[No further entries].

Additional notes:
In 1910 census she was living with a brother.  Died at DSH 12/1/1965.  From 5X8 cards.


History and clinical notes:
History:  Brought from Middletown by officer and was given over to care of one of our attendants.  No history obtainable.
Aug 5, 1914.  Quiet at all times.
Mar 29, 1915.  Condition about the same as when last reported.
Jun 1.  No marked change.  Has epileptic seizures occasionally.
Jun 29.  Has had several convulsions today.
Jun 30.  Has not regained consciousness since yesterday; convulsions continue.
Jul 2.  Patient still unconscious.  Has failed rapidly.
Jul 2, 1915.  Died 4:20 p.m.  Status epilepticus.


On certificate of:
Drs. L.S. Conwell and Joseph L. Crossmore

History and clinical notes:
History:  Has been an inmate of Kent Co. Almshouse, is feeble but noisy and is in poor physical condition.
Aug 5, 1914.  Confined to bed since admission, is noisy and very profane at times.
Aug 25.  Refuses food and is losing flesh rapidly.
Sep 13, 1914.  Had a cerebral hemorrhage this a.m. and died soon after.  Died – apoplexy (cerebral).  Carcinoma of ear and face.

Final disposition:
Died of cerebral apoplexy and carcinoma of ear and face


On certificate of:
Drs. L.S. Conwell and Jospeh L. Crossmore

History and clinical notes:
History:  Has been an inmate of Kent Co. Almshouse, no history other than patient is violent at times.
[No further entries].


Form:
manic depressive phychosis, depressive type

History and clinical notes:
History:  A former patient; for previous history, see Book VI, page 358.  Brought by officers but no history relative to present attack obtainable.
Aug 5, 1914.  Quiet since admission, seldom talks.
Oct 28, 1914.  Paroled.
Dec 11.  Returned today, had wandered away from home, acting in a peculiar manner and was “picked up” by police.
Mar 29, 1915.  Is quiet and talks very little, good physical condition.
May 30, 1915.  Paroled.
Aug 22.  Returned today.
Nov 12.  Is inclined to be disagreeable at times and strikes his fellow patients.
Dec 25, 1916 [actually 1915].  Paroled.
Jan 23, 1916.  Returned today.
Jul 16.  No mental change.
Aug 23, 1916.  Paroled.
Sep 3.  Returned today.
Oct 2.  Is quiet and not so inclined to be troublesome.
Mar 19, 1917.  Is depressed, talks very little, destructive at times, is usually quiet and fairly well behaved.
[No further entries].

Standard form attached:  Oct 28, 1914.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [father].”

Additional notes:
63582436 (not sure what this is here for)  In DSH at 1920, 1930, and 1940 censuses.  Died in 1956, buried in Riverview.  Was married to Edna B., who died in 1910 at age 22, in childbirth with daughter Alice, who also died at birth.


History and clinical notes:
History:  Has been acting strangely for several weeks past, is delusional and says four men have been sitting in a wire basket which is suspended from a tree overlooking her apartments and she has warned them that she will kill them if they enter her room.  Has not been eating or sleeping well.
Jul 1, 1914.  Patient very delusional, imagines that people are trying to get in her windows.  That she hears voices, etc.
Jul 10.  Says that Dr. Tomlinson and others are talking about her in the cellar and has well marked delusions of a persecutory nature.
Jul 16.  Was removed by her mister (master?), Mr. Christopher L. Ward and Mrs. Fisker this a.m. and was transferred to the Laurel Sanitarium, Md.
Jul 16, 1914.  Paroled.
Mar 9, 1915.  Discharged unimproved.

Additional notes:
She died in 1926 and is buried in the W&B Cemetery in Wilmington.  She seems to have owned land in Wilmington.


History and clinical notes:
History:  Patient was picked up in the streets of Camden, N.J. and brought by officers to the Police Station of Wilmington.  Patient states that he lives at Milford, but fails to give a history of his wanderings or when he left home.
Aug 5, 1914.  Gradually growing worse, is very untidy and tears his clothing, is feeble and frequently falls on floor.
Aug 6, 1914.  Removed to Camden, N.J. by his daughter.  Paroled.
Mar 9, 1915.  Discharged unimproved.


History and clinical notes:
History:  Patient gave birth to a child 7 weeks ago, one week after delivery she showed signs of infection and has grown rapidly worse, is noisy at times, no other history obtainable.
Jul 20, 1914.  Has had trouble in getting milk stopped, but breasts are now better.  Very restless since admission.  Will not speak a word to any one.  Keeps by herself.
Oct 1.  Very little change; still very reticent.
Nov 1.  Has gradually improved, talks rationally.  General health much better.
Nov 19, 1914.  Was visited by her relatives today who removed her.
Paroled.
Apr 20, 1915.  Discharged recovered.

Additional notes:
From ancestry.com – Patient was Sarah L. (for Lidie) Burrows Neal, married to Richard A. Neal.  Her first child was a boy named George.  He was born May 8, 1914 and died September 17, 1914 in Philadelphia, where he must have been sent after she had to go to DSH because of postpartum infection.  His death certificate says he died of gastroenteritis and is buried at “Eden”.  By the 1920 census, Sarah and Richard had two further children, Sarah O., born 1916, and Wilbur/Wilbert T., born 1918.  At the 1940 census, when Richard was 53 and Sarah 43, they were living with Wilbert, 22, James H. 19, William T., 15, Greta R., 11, Julia E., 7 and Bertha E., 2.  So she went on to have 7 more children after her first died.  Died 9/19/1961.


History and clinical notes:
History:  Brought from private sanitarium at Laurel, Md. On July 16th, 1914, but papers did not arrive until today (July 18th, 1914).  Has been at Laurel, Md. for several years, she says the food was not fit to eat, the Doctors in charge were not gentlemen and when they made daily visits to see her, that she always feared they would assault her.
Aug 1, 1914.  Very cross and irritable, nothing suits her demands, better food, better accommodations, and etc.
Sep 1.  No change, still very contrary and difficult to suit.
Sep 20.  Had an attack of heart trouble this a.m., became pulseless, very pale.  Attack yielded to remedies.
Nov 1.  Has had several attacks of syncope due to valvular lesion of heart.  Feet and abdomen beginning to be puffy.
Jan 1, 1915.  Has not been able to go to bed (sic) for some time owing to difficulty of breathing.  Ascites very marked and limbs and feet very oedematous.  Heart attacks much more frequent, is weaker.
Jan 17.  Had another attack this one at 8:30 and although usual remedies were administered, they were of no avail and she died in a few moments.
Jan 17, 1915.  8:30 p.m.  Died.  Val. Dis. of Heart.


History and clinical notes:
History:  A former patient, for previous history see book VII, page 38.
Aug 5, 1914.  Quiet since admission, has had a few seizures since admission, mild in character.
Mar 29, 1915.  Always neat and quiet, has occasional epileptic seizures.
Jul 12.  Is very neat and orderly, has occasional epileptic seizures.
Oct 2, 1916.  No change since last report.
Mar 19, 1917.  Has convulsions occasionally, his manner and attitude is good.
Jun 26.  Patient has been failing physically for some time, is losing weight, and is gradually growing weaker, has been kept in bed.
Jul 1.  Is confined to bed in ward D.  Is suffering from pulmonary TB.
Jul 16.  Is very feeble, takes very little nourishment and is gradually growing weaker; was visited today by his mother who took him home.
Jul 16, 1917.  Paroled.
Oct 20, 1917.  Discharged unimproved.

Additional notes:
Died July 27,  1917 of TB.  Had been paroled -- taken home by his mother -- on July 16, 1917.  Buried in Cathedral cemetery.


History and clinical notes:
History:  Brought to institution at 5 a.m., officer who accompanied patient can furnish no history other than patient is violent and has made numerous threats to do bodily harm.
Aug 5, 1914.  No change since admission, eats and sleeps well.
Mar 29, 1915.  Writes threatening letters to relatives and usually talks about shooting.
Jul 12.  Condition the same as when last reported.
Oct 2, 1916.  Is controlled by his delusions, gives us no trouble and is a good worker.
[No further entries].


History and clinical notes:
History:  Brought to Hospital Sunday July 26th, 1914 but papers did not arrive until today 7-28th-14.  Patient is very quiet and well behaved, no history obtainable.
Aug 4, 1914.  Has been very quiet and orderly since she came here, but has been extremely restless, walking up and down the ward.
Aug 9.  Quite incoherent in her talk this morning, was very weak and seemed unable to coordinate her movements, was placed in bed.
Aug 10.  Has not ate anything since placed in bed (sic).
Aug 11.  Last night about 11 p.m. became comatose and was examined by Dr. Davies.  Continued to fail and died at 3:10 p.m. today.
Aug 11, 1914.  Died 3:10 p.m.  Cer. Apop.


History and clinical notes:
History:  Friend who brings patient knows but little of her history, altho he states that she is quite violent at times and tears her clothing.
[No further entries].


History and clinical notes:
History:  Has been considered peculiar for several years but during past week he has been acting in a strange manner and citizens have been afraid of him.
Mar 29, 1915.  Quiet most of the time, has delusions of persecution.
July 12.  Condition unchanged.
Oct 2, 1916.  Is usually well behaved but is inclined to be mean when aroused by his delusions.
Mar 19, 1917.  Has many delusions, his memory for present and past events is good, is usually quiet, physical condition good.
[No further entries].

Additional notes:
Still at DSH in 1920 and 1930 censuses; died at DSH January 22, 1939.  Buried at DSH, Grave #498.


History and clinical notes:
History:  Has been acting strangely for past five months; about 4 weeks ago she jumped from second story window and injured her left leg.  When asked why she jumped from window, she said “I was only fooling.”
Nov 2, 1914.  Very much improved, is very quiet and a good worker.
Dec 2, 1914.  Paroled.
Apr 20, 1915.  Discharged recovered.

Additional notes:
Died 1/10/1917 of 'paresis' - buried in New Castle.


History and clinical notes:
History:  Father of patient states he had a similar attack about 2 years ago but seemed to have entirely recovered.  One week he began to act in a strange manner, would not talk, would wander away from home and was sometimes violent.  A history of masturbation given by father.
Mar 29, 1915.  No mental or physical changes, is rather indolent.
Apr 20.  Very much improved, transferred to Ward C!!
May 15.  Continues to improve, is working on the farm.
Jun 30.  Condition about the same as when last reported.
Jul 10, 1915.  Paroled.
Dec 13, 1915.  Discharged recovered.

Additional notes:
In 1930 he was back in DSH, but cannot find any info about 1920 or 1940 or his death.


History and clinical notes:
History:  Has always been a heavy drinker and has delusions of grandeur and lately became violent and destructive.  Mother had epilepsy.
Sep 1, 1914.  At first patient very irritable and contrary, quite profane.  Lately has not been so cross although he states that some of the people of Laurel are his enemies.
Oct 7, 1914.  Has improved very much.  General health much better.  Apparently well although he still insists that certain residents of Laurel are persecuting him.  Was allowed to go home by himself today.  Paroled.
Apr 20, 1915.  Discharged recovered.


History and clinical notes:
History:  Mother states that patient had scarlet fever when he was 4 years old and has not been well (mentally) since; lately has been growing worse and could not be cared for at home.
Mar 29, 1915.  No change since admission, is usually quiet.
Jul 12.  Condition unchanged; eats and sleeps well.
Oct 2, 1916.  No mental or physical change.  Goes out walking every day in charge of Attendant Robinson.
Mar 16, 1917.  Memory impaired, incoherent and very talkative, acts very foolish, laughs in a foolish manner.  Is quiet and gives no trouble.
[No further entries].

Additional notes:
For World War I draft registration, he was in DSH; 1930 census he was still in DSH with a different middle initial; died April 6, 1938, age 52.  Buried at DSH, Grave #486.  According to his death certificate, he died of parenchymatous nephritis and softening of the brain.


History and clinical notes:
History:  Brought from Del. Hosp. but no history obtainable from officer.  Had been in Del. Hosp. for past 16 days suffering from gastroenteritis; for past few days he grew noisy and disturbed other patients.  When admitted he was weak and emaciated.
Aug 18, 1914.  In a semi-conscious state, takes but little nourishment.
Aug 20.  Very much worse today, cannot take any nourishment.
Aug 21, 1914.  Died.  Gastroenteritis.

Final disposition:
Died of gastroenteritis after only a few days at DSH.


History and clinical notes:
History:  Has been peculiar for several years following an operation for hepatic abscess which has left a fistula and bile excretes from duct.  Is very morose and at times violent.  Is in very poor physical condition.
Sep 1, 1914.  Has a hepatic or sinus from Gall Bladder that has never healed.  Is extremely violent and hard to care for.  Takes 4 attendants to hold her while dressing sinus.
Sep 26, 1914.  Was removed by husband today.  Paroled.
Apr 9, 1915.  Patient was returned to Hospital today by her husband.  He stated that at times she was fairly quiet, but lately she has been very violent, hitting anyone that came near her.  Is was impossible for them to care for her at home.
Aug 4, 1917.  No change whatever mentally or physically.  Was removed by her husband today on parole.
Oct 20.  Was returned by her husband today who stated that he could not care for her any longer.
May 3, 1918.  No change in patient’s mental condition, physically getting weak.  Patient had a biliary fistula and upon examination found a nodular tumor which seems to be in bile ducts.  Marked jaundice and very painful – carcinoma of bile ducts.
Dec 1, 1918.  Upon today’s examination found the liver is involved.  A nodular tumor reaching four fingers below the last rib.  Marked cachexia.
Apr 1, 1919.  Patient getting very weak, hardly can eat; takes only milk.
May 2, 1919.  Patient died this morning at 3 a.m.  Carcinoma of liver; contributory cause carcinoma of bile ducts.

Final disposition:
Died of carcinoma of liver, contributions from carcinoma of the bile ducts


History and clinical notes:
History:  Patient was brought to the Hospt. with her sister who was taken to the NCCH.  Patient is very poor physical health, will not talk and has refused to eat.  Moans a great deal of the time.
Nov 1, 1916.  Very little change mentally.  Heart action very irregular.  Talks in a mumbly manner and it is difficult to understand her.
Jan 14, 1917.  Had a weak spell this a.m. and fell from her seat on the ward and bruised her forehead; was placed in bed.  Heart very weak and pulse flutt[ill.], dropping beats frequently.
Jan 20.  Still in bed and very weak.
Jan 24, 1917.  Has continued to fail and died at 5:15 p.m.  Val. Dis. of Heart.


History and clinical notes:
History:  Has been acting strangely for past 7 weeks, is blind and would wander away from home, at times he is very irritable and inclined to be violent.
Dec 14, 1914.  Confined to bed, eats and sleeps well but is very irritable at times.
Mar 29, 1915.  Condition the same as when last reported.
Jul 12.  Is failing physically and will only take small amounts of nourishment.
Jul 13.  Suffered a “stroke” today, involving left side.
Jul 24, 1915.  Died.  Cerebral apoplexy.


On certificate of:
Drs. Meredith I. Samuel and William Wertenbaker

History and clinical notes:
History:  Has been employed by H. & H. Co. of Wil. for past ten years as a painter; about 3 mo. ago he showed marked signed of Plumbism from which he has never fully recovered.  Is very irritable at times and has grandiose delusions, hesitancy of speech, and uncertain gait.  During the recent “race riot” in Wilmington, he said the Mayor gave him permission to carry a revolver.  Came to institution on Friday, August 21st, 1914 and was detained on account of the character of his delusions.
Sep 1, 1914.  Is not as restless as when admitted and does not express his delusions as freely.
Sep 23, 1914.  Removed today against advice of Supt.  Paroled.
Mar 9, 1915.  Discharged improved.

Standard form attached:  Sept 23rd 1914.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [wife].”

Additional notes:
Died at Farnhurst 10/23/1917.  Note:  “Plumbism” refers to chronic, long-term lead poisoning, from the Latin for lead “Plumbum.”  No doubt he was using lead paint in his job.


History and clinical notes:
History:  Brought to hospital Aug 21st, 1914 but certificate had not been signed by Trustee; is was referred to Mr. Philip L. Carrow for his signature and was received today Aug 25th, 1914.  No special history obtainable, other than patient masturbates and is violent at times.
Dec 14, 1914.  Marked improvement; working in dining room.
Jan 19, 1915.  Paroled.
Sep 23, 1915.  Discharged recovered.

Additional notes:
5X8 card says she was readmitted on 6/26/1950 and died 8/20/1950.


History and clinical notes:
History:  Bought to Hospital on Sunday Aug 23rd, 1914, but papers did not arrive until Aug 25th, 1914.  Patient had a “nervous breakdown” several years ago but made a complete recovery.  For past seven weeks, she has been morose and threatened suicide; on Sat. evening Aug 22nd, 1914 she became violent, ran out into the street in her night gown and said she wanted to kill every body.
Aug 30, 1914.  Confined to bed, refuses food and has to be “tubed” occasionally, has delusions and hallucinations.
Sep 2.  Is very restless at night, bites her finger nails and frequently says “I’m afraid I’ll kill someone.”
Sep 25.  Some improvement; eats and sleeps better and take a walk about grounds.
Nov 4.  Was visited by mother and sister today and plead [pled] with them to take her home.
Nov 7, 1914.  Mother came to take her home, at first she refused and later decided to go.  Paroled.
Nov 9.  Returned today, very nervous and depressed.
Nov 25.  Very much improved mentally and physically, is cheerful, eats and sleeps well.
Dec 1.  Is now on Ward A very much improved and about ready to return to her home.
Jan 2, 1915.  Was allowed to go home with her mother.  Paroled.
Apr 20, 1915.  Discharged recovered.

Standard form attached:  Nov 7, 1914.  “I hereby remove my daughter from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [mother].”

Additional notes:
She was married to someone named Thomas Pollard.  Died in 1920 in Philadelphia of lobar pneumonia, buried in Middletown.


History and clinical notes:
History:  Has had epilepsy since childhood and attacks are becoming more frequent, is violent, preceding and following attacks.
Jan 1, 1915.  No change in patient’s condition.
Jan, 1916.  The epileptic convulsions are very frequent; patient very violent following the spells.
Jan, 1917.  No change in her condition.
Jan, 1918.  Very frequent convulsions.
Aug 14.  Having convulsions very frequently.
Aug 17, 1918.  Patient died at 3 a.m.  Status epilepticus.


On certificate of:
Drs. J. Lymon Pratt and Samuel M.D. Marshall

History and clinical notes:
Officer who brought patient could furnish no history.
Oct 9, 1914.  For past three days has been very violent and at times it took the combined efforts of four attendants to change restraint, while crossing hall he slipped and fell producing a wound over left eye.
Oct 11.  Is very stupid at times, is confined to bed and very often refuses food.
Oct 25.  Cannot swallow food, is very restless, emaciating rapidly.
Oct 27.  Is cold and clammy, pulse rapid and weak, respirations from 8 to 10 per minute.
Oct 28, 1914.  Died.  Exhaustion from mania (acute).


History and clinical notes:
History:  When patient was admitted, she was in an semi-conscious condition.  One side of her face was drawn.  Had evidently had a stroke of apoplexy while on her was [way] out, as her relatives stated that nothing indicated such a thing while she was at home.
Sep 10, 1914.  Patient has remained in a semi-conscious condition since she came here.  Has only taken liquid nourishment.
Sep 20.  Very much weaker in every respect.
Sep 24.  Patient continued to fail and died this a.m. at 5:30 a.m.
Sep 24, 1914.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  No history obtainable.
Dec 14, 1914.  Is generally in a good humor, says “I am going to tear up these old floors and put down hardwood floors and paint all the rooms.”  Says he has plenty of money to pay for it.
Nov 12.  Is very quiet, seldom talks.
Feb 15, 1915.  Had impaction of faeces and was quite ill for past 24 hours.
Feb 21.  Had a convulsion and remained in stupor for 24 hours.
Mar 1.  Is up and about ward.
May 7, 1915.  Paroled.
May 21.  Had a convulsion last night and was returned to institution today.
Jul 12.  No change mentally, eats and sleeps well.
Dec 19.  Has been going out with a Spec. Attendant, is quiet but no mental improvement.
Jan 12, 1916.  Is not so well mentally, is noisy at times, untidy about his person and requires restraint during the day.
Jan 19.  Placed in bed today on account of oedematous condition of feet and ankles.
Jan 20.  Has retention of urine, catheterized by Dr. D. 8:30 p.m..
Feb 6.  Somewhat improved, is able to be up but is very untidy.
Oct 2.  No mental or physical change.
Mar 3, 1917.  Has had several convulsions today and was placed in bed.
Mar 4.  Has been unconscious for 24 hours and is gradually growing weaker.
Mar 6, 1917.  Died.  Exhaustion from general paresis.


History and clinical notes:
History:  Patient called up Dr. Robin on phone and said she wanted to meet him at 10th and Market Sts. at 10 a.m..  When Dr. Robin asked her what she wanted, she replied, “I want to settle with you for stealing my daughter’s baby and replacing it with another.”  Dr. Robin, accompanied by a patrolman, walked to the appointed place and she was arrested.
Oct 16, 1914.  No change since admission; still very delusional; says that Miss Clark, an attendant on the ward, is another person and that she (the attendant) had a baby by a patient.  This a.m. 5:30 while attendants were removing patients from Ward A to B, patient escaped through the front door.  Was afterwards captured by the police and was returned to the hospital.
[No further entries].

Additional notes:
Note:  From on-line resources, patient was still in the hospital in 1920.  She died in the hospital on June 22, 1939 of coronary occlusion and was buried at Cathedral cemetery.


History and clinical notes:
History:  Has been an inmate of Home of Aged Women (R.C.) for several years and lately has become unmanageable, is noisy at times and tears her clothes.
Oct 1, 1914.  Is noisy, sometimes violent and irritable, confiscates property of other patients and causes an endless amount of disturbance by do so (sic).
Nov 12.  Suffered a “stroke” today affecting her right side.
Nov 22.  Growing very weak and can take only small amounts of liquid nourishment.
Nov 25.  Has been in semi-conscious condition all day, pulse rapid and weak.
Nov 27, 1914.  Died – cerebral apoplexy.


History and clinical notes:
History:  Has been in poor health for past year; six weeks ago she became melancholy and attempted suicide.  She imagines her food contains poison and she has not taken food for past 3 days.  Physical health is poor.
Sep 30.  Patient has been steadily failing.  Has refused to take any kind of food and has been fed with nasal tube daily.  Heart’s action very irregular and intermittent.
Oct 20.  Is steadily growing weaker.  Still has to be fed with tube.
Oct 25.  While physician was in the ward today patient collapsed, face livid, pulse hardly perceptible.
Oct 27.  For the first time patient took 2 glasses of milk voluntarily today.
Oct 28.  Drank 2 glasses of milk this morning.  Has been in bed since yesterday.  Supt saw her at 2:15 p.m. today.  At 4:30 p.m. attendant telephoned that she was dying.  When physician arrived she had passed away.  Attendant stated that she suffered a great deal of pain and she immediately telephoned – when she got back to patient she was breathing her last.
Oct 28, 1914.  Died 4:30 p.m. Valvular disease of the heart.

Additional notes:
Youngest child did survive to adulthood.


History and clinical notes:
History:  Has been peculiar for past 3 years, during the early period she was very irritable but for past 3 mon. has been very docile, she neglects her household duties and her mind if greatly enfeebled.
Sep 24, 1914.  No improvement.  Was visited by her husband today who removed her against the advice of the Supt.
Sep 25, 1914.  Paroled.
Oct 21.  Patient was returned to the institution by relatives today.  They could not keep her in the house as she was wandering from her home and they are afraid she would be injured.
Jan 1, 1915.  No improvement whatever.  Very silly acting.
Jul 27.  Went into a status epil. this 11:30 a.m., between convulsions left side paralyzed.  Head turned to right.
Jul 29.  Convulsions have continued uninterrupted since the attack began.  Died at 4:30 a.m. today.
Jul 29, 1915.  Died.  Cerebral apoplexy.          Standard form attached:  Sept 24th, 1914.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband].”


On certificate of:
Drs. K. James Hocker and Francis M. Gum, Sr.

History and clinical notes:
History:  A former patient for previous history, see Book VI, page 278.
Dec 14, 1914.  Very nervous and restless, eats but does not sleep well, says, “I ought to be at home,” does not realize any thing ails him.
Mar 29, 1915.  Some improvement since last report, is very quiet and anxious to go home.
Apr 9, 1915.  Paroled.
Oct 27, 1915.  Discharged recovered.


History and clinical notes:
History:  No history obtainable, patient was very noisy and objected to entering the institution.
[No further entries].

Additional notes:
5X8 card says she was at DSH until her death on 4/29/1950 of broncho-pneumonia.  23.2 Paranoid reaction, paranoid state.


History and clinical notes:
History:  Has been peculiar for past 10 years, but has been worse since March 1914 when her husband died.  She says her mother-in-law and Father Mealy killed him; quiet when admitted.
Oct 10, 1914.  Very quiet and orderly since admission.  Has delusions in regard to priests, especially Father Mealy, says that he was responsible for the death of her husband.
Oct 12.  Bowels very loose this a.m.; was placed in bed.
Oct 13.  Passed some blood this a.m.; abdomen tender.
Oct 20.  Some days her bowels are loose, but medication does not seem to do much good.
Oct 25.  Bowels not quite so loose.  Patient is very weak and feeble.  Still traces of blood at times.  Takes but liquid nourishment – mostly predigested Beef which she readily retains.
Oct 28.  Very weak and feeble; bowels extremely feeble (sic), still tinged with blood.  Extremely emaciated.  Has taken no nourishment today.
Oct 31, 1914.  Patient failed rapidly and died at 10:30 p.m.  Acute enteritis.

Additional notes:
Thought her mother-in-law and a priest had killed her husband.


History and clinical notes:
History:  Sheriff states that he knows but little of his history – was brought to the jail last night.  Patient states that he has just come from Chicago and other places.  Is in apparent good physical health.  Sheriff states that he was quiet last night and slept well.
Dec 14, 1914.  No change since admission, is quiet and well behaved.
Jan 25, 1915.  Is losing flesh, has a poor appetite, is very quiet but very anxious to go home.
Mar 8.  Has a severe cough and tubercular involvement of larynx and pharynx.
Apr 11.  Has profuse bleeding from nose, post nares eroded.  Both nares tamponed today.
Apr 15.  Patient removed tampons, which had to be replaced, is very weak and has difficulty in breathing.
Apr 15, 1915.  Died 6:25 p.m. – laryngitis (tubercular).


History and clinical notes:
History:  Brought to hospital by officers, no history obtainable.
Oct 10, 1914.  Quiet since admission, eats and sleeps well, is cheerful.
Oct 13.  From interview with an interpreter, she seems to be perfectly rational.
Oct 14, 1914.  Paroled.
Dec 19.  Returned.  Has been noisy and violent; assaulted her husband.
Jan 6, 1915.  Is noisy at times and requires restraint.
Mar 15.  Struck patient [name redacted] causing her to fall and producing a fracture of middle 1/3 of radius, left arm.
Aug 1.  Is much better in every respect, altho she is very restless at times.
Aug 25, 1915.  Husband removed her against advice of Supt.  Paroled.
Jan 25, 1916.  Discharged improved.


History and clinical notes:
History:  Daniel Still who brot (sic) patient states that she has been his housekeeper for some time.  Left Saturday a week she called him in the middle of the night and stated that she saw rats running around the room.  Since that time she has had spells of acting peculiar but most of the time she is quite rational.  Patient states (correctly) that she has a child two months old.  Husband left her before child was born.  Has been keeping house for Mr. Still for a month past, child is now at his Mr. Still’s home.
Jan 1, 1915.  Patient is orderly and well behaved, works in Dining Room.  She is a moron.
Mar 20, 1915.  Was visited by her mother today and she was removed to her home in Camden, New Jersey.  Paroled.
Oct 26, 1915.  Discharged improved.


History and clinical notes:
History:  Officer states that he escaped from the Del. Hospt. this a.m. without any clothes on.  That he has been drinking to excess lately and that he is delirious? nearly all the time.  It is said that about one year ago he had a brick fall on his head.
Dec 14, 1914.  Marked hesitancy in speech, delusions of grandeur, uncertain gait, untidy at times.
Jan 20, 1915.  Confined to bed, unable to walk and takes little nourishment.
Feb 12.  Emaciating rapidly, noisy at night and will only take small quantities of milk.
Feb 20, 1915.  Died.  Exhaustion from general paralysis.

Final disposition:
Died of exhaustion from general paralysis


History and clinical notes:
History:  Brought by police, no history obtainable.  Quiet when admitted.
Oct 25, 1914.  Has been quite rational and well behaved since admission, has had no attacks.
Oct 28.  No change, eats and sleeps well and is anxious to go home.  Sent to Chesapeake City, Md.
Oct 30, 1914.  Paroled.
Apr 20, 1915.  Discharged recovered.


History and clinical notes:
History:  Brought by officer, no history obtainable.
Nov 1, 1914.  Has grandiose delusions, unsteady gait and hesitancy in speech.
Nov 9.  Gradually growing worse, is feeble and gait unsteady.
Nov 14.  Is very feeble and eats very little.
Nov 16.  Got up as usual this a.m. and expired suddenly while sitting on bench.  Coroner notified.
Nov 16, 1914.  Died – valvular disease of the heart.  Certificate furnished by Coroner.


On certificate of:
Drs. P.S. Downs and C. de J. Harbard (?)

History and clinical notes:
History:  Patient was paroled from this institution last Feb., see Case Book VII, pg. 114.  Her brother states that she has been caring for an old lady in Phil for some length of time, but lately left there.  Said it was too lonesome.  About three weeks ago, began to show a return of her mental troubles.  They tried to keep her at home but it was found to be impossible.
Jul 16, 1916.  Paroled.
Sep 26, 1916.  Returned today, was very nervous and talkative.
[No further entries].


History and clinical notes:
History:  No history other than patient has had poor health for past year and for past 3 mo. has been acting in a strange manner.
Oct 25, 1914.  Confined to bed, is in a stupor most of the time, puffiness under eyes, some oedema of feet and ankles, aenemic.
Oct 29.  Took no nourishment today, respirations rapid, pulse very feeble.
Oct 30, 1914.  Died – nephritis (acute).

Final disposition:
Died of acute nephritis after one week at DSH


History and clinical notes:
History:  Has been peculiar for past two years, comes from a neurotic family.  When admitted she was very talkative and said the officers who accompanied her were Indian Chiefs and they had come to give us a show, also said “she knew Mrs. Torbert, who is a patient here.”
Dec 24, 1914.  No improvement whatever.  Restless and talking unceasingly.  Was removed by her husband today against advice of Supt.
Dec 29.  Was returned by the police today.
Aug 6, 1915.  No improvement whatever since last note.  Restless and very talkative, and at times irritable and cross.  This a.m. about 11:30 told attendant Mrs. Chan that she was having a great deal of pain and that she had had it all night and it felt as if she was going to have a child.  Was examined by the Supt. at 11:30 a.m. and found that she was in labor.  Patient stated that she had felt movement for 3 or 4 months but that she had said nothing to any one about it.  She is extremely stout and nothing was suspected by the attendants.  Was delivered of a healthy female child at 1:55 p.m.
Aug 21, 1915.  Was removed with her child today by her husband.  Paroled.
Dec 13, 1915.  Discharged unimproved.

Standard form attached:  Dec 24, 1914.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband].”

Additional notes:
At 1910 census, she had one daughter, at 1930 census, she had two daughters, supposedly born 13 years apart, but was living with her husband and children.  At 1940 census was back in DSH, along with her older daughter, both had been there since at least 1935.  Mary died in 1941.  Her daughter, also named Mary, the one born at DSH, lived until 1979.  Older daughter Catherine had a "life claim" through Social Security in 1965.  Not sure what that means.  Left message on findagrave for descendant.


History and clinical notes:
History:  Has been in poor health for past four months, is greatly emaciated.  Mental change was first noticed two weeks when she became restless and unmanageable, says “they are going to amputate me, they are going to kill me” and etc.  Has a cough and expectorates.
Apr 16, 1915.  No change since admission, is noisy at times and does not sleep well.
Nov 12.  Is losing flesh, has a severe cough and profuse expectorations.
Jan 1, 1916.  Confined to bed and takes but little nourishment.
Jan 20, 1916.  Died at 11 p.m.  Phthisis pulm.


History and clinical notes:
History:  Was brought to hospital Oct 22nd, 1914 but papers did not arrive until today Oct 26th, 1914.  A former patient in this institution, for previous history, see Book IV, page V.  Dr. Gum states that patient has been failing (mentally) for past two years, said he would not work and wanted to lie in bed most of the time; at times was morose, and frequently spoke of suicide, but was afraid to commit suicide because, he was not quite sure whether there is a hereafter.
Oct 28, 1914.  Became violent today and it required the combined efforts of four attendants to restrain him – transferred to Wd. D.
Dec 14.  Appeals to officers to protect him, says “they are going to kill me.”
Mar 29, 1915.  No mental change, has lost some flesh.
Apr 6.  Heart shows marked valvular disturbance upon slightest effort.
Jun 12.  Rapidly growing worse and is confined to bed.
Jul 1, 1915.  Died.  Valvular disease of heart.

Additional notes:
Comment about suicide and the afterlife.


History and clinical notes:
History:  Patient says “he has always been healthy, had the usual diseases of childhood.  Was an officer in the Army during Spanish-American War, suffered from sunstroke during his service and was confined to the barracks for ten days.  Has been well until Feb. of this year when he had a “giddy spell” and fell; he did not regain consciousness for four days, had a similar “spell” 2 weeks ago from which he recovered rapidly.  Was lucid when admitted, said he knew he was at Farnhurst and hoped we would be able to do him some good, complains of a burning sensation in left arm and leg and states he obtains relief by immersing his arm for a few minutes in hot water; vesicles appear on palmar surface of hand and between fingers which rupture and the epidermis excoriates.  History states he is rarely violent, has never chewed, smoked, or drank or had any specific disease.  Has had some delusions (transitory) but did not express any when admitted.
Nov 9, 1914.  Had at attack today, probably Jacksonian.
Nov 19.  Has been more stupid since attack and incoherent.
Nov 22, 1914.  Removed today against advice of Supt.  Paroled.
Nov 29.  Returned today; had been in Orthopedic Hosp. Phila Penna for one week under the care of Dr. Burr.
Nov 30.  Is fault finding and expects sanitarium comforts – writes home complaining of food, and etc.
Dec 16, 1914.  Removed against advice of Supt.  Paroled.
Apr 20, 1915.  Discharged unimproved.

Standard form attached:  Nov 22 1914.  “I hereby remove my brother-in-law from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [brother-in-law].”

Standard form attached:  November 22, 1914.  “I hereby remove my [patient’s name, but is bil] from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [blank], Signed [same brother-in-law].”

Additional notes:
Officer during Spanish-American War; suffered sunstroke.  According to ancestry.com he died in 1916 at home, and is buried in Lincoln Cemetery.  His widow got a pension from the government (listed under Civil War,  pensions, but for Span-Am War); says he belonged to the 11 Co. US Vol. Sig. Corps.  He had an invalid pension before his death, application dated to 1912; her application for pension not until 1929??


History and clinical notes:
History:  Patient had a chancre 3 years ago – but whether secondary symptoms ever apparent is not known.  One year ago became quite depressed.  Kept by himself.  Was very reclusive.  At times he would brighten up and be like himself, but only for a short time.  About a couple of months ago had an attack of Typhoid Fever.  After he recovered about 4 weeks ago, was much worse mentally and for the past two weeks has been quite noisy and troublesome.  Has been in bed constantly for several weeks and is very weak and emaciated.  When admitted was noisy and resisted being taken to ward.
Nov 7, 1914.  Removed against advice of Supt.  Paroled.
Nov 20.  Returned today, had a contusion of eye, excoriated wrist and numerous scratches on body.
Dec 14.  Some improvement, eats and sleeps well and has gained some flesh.
Mar 29, 1915.  Condition unchanged, is very slow about dressing in the morning.
Jun 12, 1915.  No improvement whatever.  Was visited by his mother again this p.m. who removed her (sic) against advice of Supt.  Paroled.
Oct 3.  Returned today, could not be cared for at home.
Jan 12, 1916.  Is very indolent, does not want to do any work and is gaining in flesh.
Oct 2.  Slight improvement, seems to have acquired some animation.
Mar 16, 1917.  No change in mental condition, is quiet and well behaved, has many delusions of grandeur.
Jul 7.  Became troublesome today and was transferred to Ward D.  Is well oriented, has delusions of persecution and grandeur, physical condition good.
[No further entries].

Standard form attached:  Nov 7, 1914.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [mother].”

Standard form attached:  June 12, 1915.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [mother].”

Additional notes:
Online records show he died 12/24/1927 of TB of the intestine of 10 years standing.  Buried in Riverview.


History and clinical notes:
History:  Brought by officers.  No history obtainable.  Quiet when admitted.
Nov 9, 1914.  Has been very stupid since admission, is weak and emaciated – refuses food.
Nov 12.  Noisy during the night, violent and had to be restrained, eats but little and is growing weaker.
Nov 16.  Rapidly growing weaker, takes small quantities of liquids with difficulty.
Nov 19, 1914.  Pulse rapid and feeble, breathing labor, cannot be aroused.  Died.  Exhaustion from acute mania.

Final disposition:
Died of exhaustion from acute mania.  Buried at Spiral Cemetery #240.


History and clinical notes:
History:  A “pick up”.  Patient says he just came from Holmesburg, Penna.; had been undergoing sentence for vagrancy (10 days).  No other history obtainable.
Nov 9, 1914.  Violent and was placed in restraint.
Dec 14.  Very profane and abusive, threatens officers and attendants.
Mar 29, 1915.  Untidy about personal appearance, inclined to be violent.
Jul 12.  No change since last report.
Aug 20, 1916.  Very vulgar and profane and wants to know when he can returned to England.
[No further entries].

Additional notes:
World War I draft registration in 1918 places him at DSH still.  He died on 4/13/1933 at DSH.  Buried at DSH, Grave #413.  Ledger has his first name listed as Bertman, but all other records, including death certificate, say Bertram.  Died of TB.


History and clinical notes:
History:  Present trouble began 15 mos. Ago, when she began to “act queer”, became morose and would talk very little, would frequently repeat the same sentences.  Has talked of committing suicide and this a.m. suggested to her mother that they both take chloroform and die together.  Has severe headaches, scanty menstruation.
Mar 12, 1915.  Has shown some slight improvement since admission, is delusional at times.
Apr 12, 1915.  Removed today against advice of Supt.  Paroled.
May 9, 1915.  Patient was returned today by her husband, who stated that she was too hard to care for and that he was afraid she might injure her children.
Jun 4.  Dr. Samuel and Dr. Wertenbaker of Wil visited this a.m. and stated that patient’s mother had requested them to come here and make an examination (per vag) (??) of patient.  No request of this kind had been made to the Officers of this institution previously by either of the husband or mother.  Nor had the patient ever complained of pain to indicate such an examination necessary.  On examination, the os uteri was torn in several places and lots of cicatricial tissue.  The perineum was also ruptured badly.
Jun 8, 1915.  Was removed today by husband to Del Hospt for operation.  Paroled.
Dec 13, 1915.  Discharged unimproved.

Standard form attached:  Apr 12, 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband].”

Additional notes:
Removed by husband 6/8/1915 to get an operation at Delaware Hospital.  At DSH for 1920 census.  She died 7/24/1949 at DSH, of broncho-pneumonia and chronic myocarditis.  She had gone back in the hospital on 5/2/1918, until her death in 1949.  Buried at Silverbrook.  Her husband Frank had died in 1939.


History and clinical notes:
History:  Brought by officers, who state that patient was climbing lamp posts in the city and breaking the globes with a knife.  Was excitable when admitted and said he wanted to kill Postmaster Murphy of New Castle; rather incoherent at times.
Dec 14, 1914.  Very surly and at times inclined to be violent.
Mar 29, 1915.  No change since last report.
Jul 12.  Some improvement, but irrational at times.
Oct 2, 1916.  No change, says he hears terrible noises and ask the Doctor to stop it.
[No further entries].

Additional notes:
Died at DSH 6/20/1957 of broncho-pneumonia.


History and clinical notes:
History:  Has been drinking to excess, but ceased drinking about 4 days ago, since that time he has been depressed and says “he is not feeling well.”
Dec 14, 1914.  Very much improved, is quiet and respectful, works about kitchen.
Dec 19, 1914.  Paroled.
Apr 20, 1915.  Discharged recovered.

Additional notes:
Died 5/24/1928.  Buried in Mt. Olive Cemetery.


History and clinical notes:
History:  Has been in U.S. Army and prior to being sent to New Castle, was in Government Insane Hosp. in San Francisco for 6 months.  Is irritable, has a silly grin on his face, at times insolent and profane.  Patient brought to hospital on Nov 19, 1914 but Trustee certificate did not arrive until today, Nov 21st, 1914.
Dec 14, 1914.  No change since admission.
July 12, 1915.  Is incoherent, careless about person and inclined to violence.
Jun 12, 1916.  No improvement; is untidy about his person.
[No further entries].


History and clinical notes:
History:  Has been under treatment for gastric ulcer and suddenly became maniacal, sings and yells at the top of his voice, is very much emaciated.
Dec 2, 1914.  Unable to retain food and regurgitates liquids, emaciating rapidly.
Dec 6.  Very weak today, in a semi-conscious condition.
Dec 8, 1914.  Died.  Gastric ulcer (perforating).


History and clinical notes:
History:  Office knows nothing in regard to patient.  Was picked up in Wilmington.  Certificate states that he lately ran away from Russia to keep from the Army.  Patient in broken English states that he has been in Wilmington two years.  Says he wants to kill himself.
Dec 14, 1914.  Very quiet since admission, does not talk.
Nov 12, 1915.  Is very depressed and requires constant watching.
Jul 6, 1916.  Some slight mental improvement.
Oct 2, 1916.  Condition unchanged since last report.


Form:
alcoholic psychosis, chronic paranoid type

History and clinical notes:
History:  Had “chills and fever” one year ago and has not been well since; lately his mind has become affected.  No other history obtainable.
Dec 14, 1914.  Very restless and at times untidy, eats well.
May 6, 1915.  Shows some improvement since last report.
Jun 19, 1915.  Paroled.
Jun 21.  Returned today, became very nervous at home and could not be cared for.
Dec 12, 1915.  Is usually very quiet but occasionally demands his discharge.
Jun 6, 1916.  Condition unchanged since last report.
Oct 2.  Some physical improvement.
Jan, 1917.  No change mentally or physically, very cross and irritable at times.
Dec 9, 1919.  There has been no change whatever since last note.  This morning Supt. found him in bed at 10 a.m.  Charge Attendant stated that he said he was sick and that he would not get up.  Patient told Supt. that he did not feel well.  No temperature.  Pulse was somewhat irregular.  At 11 o’clock attendant noticed that he was worse – Supt. notified at once.  When he got to bedside of patient there was no pulse and patient was not breathing perceptibly.  At 11:30 breathed his last.
Dec 9, 1919.  Died 11:30 a.m.  Valvular disease of heart.


History and clinical notes:
History:  Son who brings patient states that first symptoms was noticed about 2 years; acted at times somewhat strange and neglected her work around the house.  In a few weeks she began to be suspicious of her neighbors; said that they were talking about her and frequently at night heard them.  For some months these delusions disappeared to a certain extent, but returned with increased emphasis.  Last spring went to Maine with her brother and staid (sic) about 2 months.  When she returned she was fairly well until the last 2 or 3 months when she became much worse with distinct delusions of persecution.
Jan 1, 1915.  No improvement since admission.  Has delusions in regard to several of the patients.
Feb 1.  No change.  Was transferred to Cottage some days ago (because) of threatening the attendants.  Said she was going to get out.
Feb 25, 1915.  Was removed by her husband.  Her sister who lives in Maine accompanied him and she proposes to take her directly to Maine without stopping in Wilmington.  Paroled.
Sep 23, 1915.  Discharged unimproved.

Additional notes:
Supposedly went to Maine with her sister


On certificate of:
Drs. William H. Kraemer and Samuel C. Rumford

History and clinical notes:
History:  Patient was brot (sic) from Workhouse, his term of 2 years for disorderly conduct has expired.  Ever since his incarceration, has walked his cell incessantly from one end to the other.  Has not slept at night and at times quite cross and irritable.
Jul 8, 1915.  Noisy and sometimes very violent; struck Night Watch Nolan Wyatt with a chamber producing a scalp wound.
Sep 10.  Removed today by friends at the instance of Ex Judge Cochran and Rafael Julian who promised to send him to Italy.
Sep 10, 1915.  Paroled.
Jan 25, 1916.  Discharged improved.

Note:  Presume that “chamber” refers to “bedpan” and that “instance” is supposed to be “insistence.”  But who knows?


History and clinical notes:
History:  Brought by officers, no history obtainable.
Jan 24, 1915.  Confined to bed since admission, eats very little and sleeps most of the time.
Feb 18, 1915.  Some improvement since last report, is up and about ward, appetite improved.
Mar 17, 1915.  Paroled.  Removed by wife.
Mar 27.  Returned today, could not be cared for at home.
Jul 8.  Confined to bed, is noisy and untidy.
Nov 12.  Still in bed; eats well, but noisy at times, at present suffering from otitis media [illegible – looks like “purulentia”].
Jan 16, 1916.  Is losing flesh, sublingual glands enlarged and tongue fills entire mouth, can take food with difficulty.
Jan 30.  Glandular involvement has subsided and he is again takes his usual nourishment (sic).
Feb 10.  Is rapidly failing and takes but little nourishment.
Feb 14.  Rapidly growing weaker.
Feb 18, 1916.  Died.  Exhaustion from general paralysis of the insane.


On certificate of:
Drs. Irvine M. Flinn and Wilbur E. Postles

History and clinical notes:
History:  A congenital imbecile and was cared for at home but for past year she has grown unmanageable; has violent outbursts of temper and is too fond of the opposite sex.
May 2, 1918.  Patient’s mental and physical condition getting worse.
Jun 15.  Upon physical examination found patient suffering from tuberculosis of the lungs.
Jan 18, 1919.  Physically and mentally getting worse.
Jan 25, 1920.  No change in her mental condition; physically getting weaker.
Jul 17, 1920.  Patient died at 2:15 p.m.  Phthisis pulmonalis (2 yrs.).


History and clinical notes:
History:  Patient has been failing mentally for years.  For past year, has been cross and irritable, frequently threatens his wife.  Is very hypochondriacal.  Imagines that he has pains in different parts of his body.  For 2 or 3 years has been in the habit of using morphia and bromides.  Takes as much as 6 grains of morphia a day.  Very hard to get along with.  After son left, was very irritable; said he was not going to stay and refused his food; said it was not fit for a dog to eat.  Threatened to strike the attendants and curses them.
Feb 18, 1915.  No change since admission, constantly complains of pain in various parts of body, has only had 2.5 grains of morphia since admission.
May 2.  Has freedom of grounds from 8 a.m. until 7:30 p.m.; has shown some slight improvement, but is cross and irritable at times.
Jul 2, 1915.  Removed to Dr. Darlington’s Sanitarium, at Concordville, Pa.  Paroled.
Dec 13, 1915.  Discharged improved.

Additional notes:
Died 10/15/1919 in Philly.  Buried in Smyrna.


On certificate of:
Drs. George W. Marshall and Samuel M.D. Marshall (?)

History and clinical notes:
History:  Mr. Thomas, brother-in-law, states that patient is nearly blind and that for the past four years has been extremely weak minded.  For past two years has been very hard to care for.  States that he had no place warm enough to keep the old man from suffering.  The case looks like an unload, pure and simple.
Feb 6, 1915.  Is very restless; heart muscle very weak and shows marked exhaustion upon slightest exertion.
Feb 9.  Refuses to take nourishment and it is with difficulty that we get him to take small quantities of liquids.
Feb 13.  Very weak today, cannot be aroused, pulse scarcely perceptible.
Feb 14, 1915.  Died.  Valvular disease of the heart (chronic).

Final disposition:
Died of chronic valvular disease of the heart


On certificate of:
Drs. Irvine M. Flinn and Silas C. Frederick

History and clinical notes:
History:  Friends of patient know but little of his history.  Says he has been insane for past 4 years, but is gradually growing worse.  Has threatened to kill his wife and family several times and yesterday if it had not been for the interferences of his neighbors he might have accomplished his object.  At nights is very restless, gets up, straddles his bed and imagines that he is driving his horses.  Has slept a great deal during the day and not much at night.  Is steadily growing worse.  Appetite is fairly good and he has not lost flesh or strength.  Has always been a sober and an industrious worker.
Feb 16, 1914 [actually 1915].  Has a carbuncle above ear, considerable swelling of right side of face, tears bandages off and picks at wound; no mental change.
Mar 3, 1915.  Large amount of pus exuding from wound, shows marked exhaustion and a possible general infection.
May 1.  Has never recuperated, continues to lose flesh and is rapidly growing weaker.
May 25, 1915.  Died.  Diabetes mellitus.

History:  Friends of patient know but little of his history.  Says he has been insane for past 4 years, but is gradually growing worse.  Has threatened to kill his wife and family several times and yesterday if it had not been for the interferences of his neighbors he might have accomplished his object.  At nights is very restless, gets up, straddles his bed and imagines that he is driving his horses.  Has slept a great deal during the day and not much at night.  Is steadily growing worse.  Appetite is fairly good and he has not lost flesh or strength.  Has always been a sober and an industrious worker.
Feb 16, 1914 [actually 1915].  Has a carbuncle above ear, considerable swelling of right side of face, tears bandages off and picks at wound; no mental change.
Mar 3, 1915.  Large amount of pus exuding from wound, shows marked exhaustion and a possible general infection.
May 1.  Has never recuperated, continues to lose flesh and is rapidly growing weaker.
May 25, 1915.  Died.  Diabetes mellitus.


On certificate of:
Drs. Edward M. Vaughan and Joseph Carrow

History and clinical notes:
History:  Mother states child could not be cared for at home, is very noisy and untidy, refuses at times to walk and rolls about floor, has choreic movements.  No other history obtainable.
Apr 7, 1915.  Was removed by her relatives today.  Was a little better than she was at time of admission.  Paroled.
Oct 26, 1915.  Discharged improved.


History and clinical notes:
History:  Has been peculiar for past year but for past week has had hallucinations and delusions; yesterday he threatened suicide and was violent.  Arrived of 2-22-15 but papers did not arrive until 2-23-15.
Mar 3, 1915.  Is restless during the day and wants to go home.
Jul 8.  Is very quiet and seldom speaks of going home; eats sparingly.
Sep 2.  Has just recovered from a supra-orbital neuritis involving right side of head.
Feb 1, 1916.  Has very little to say and does not ask to go home.
Oct 2.  No change; is quiet and gives us no trouble.
Mar 16, 1917.  Memory impaired, has delusions, is always quiet and well behaved.
[No further entries].


History and clinical notes:
History:  Patient was first admitted here May 8, 1897 and discharged as recovered Jun 12, 1898.  Has one or two attacks since that time.  For past week patient has become very violent.  Her uncle died a few weeks ago and this has worried her a great deal and for past few days has been very violent and difficult to control.
Mar 1, 1915.  No change since admission.  Very restless and constantly asks to go home.  Appetite fairly good.  Is quite anaemic.
Jun 1.  No very marked change.  Limbs and eyelids quiet edematous.  Was placed in bed.
Jun 5.  Swelling has disappeared and she was allowed to get up.
Jun 15.  Lower limbs very much swollen; was placed in bed and kept there.
Jun 20.  Is steadily growing weaker.  Has some temperature, 100 to 101.
Jun 23.  Temperature this am 103; complains of pain near region of kidneys.  Urine very scanty and high colored.
Jul 1.  Temperature varied from 101 to 104 with no regularity.
Jul 5.  Has a voluntary stool this a.m.  A large quantity of blood was found in the bed.  Attendants do not know whether it came from bowels or urethra.  No pain over abdomen except deep pressure over renal region.
Jul 10.  Patient is growing very much weaker.  Temperature keeps up.
Jul 13, 1915.  Continued to fail and died at 6 a.m.  Acute nephritis.


History and clinical notes:
History:  No history obtainable – patient had burns of face and arm when admitted; said to have been produced by falling on stove.  Was admitted under name of Mary Buck, was a former patient under name of Mary Robinson.  See Book VII page 233.
Feb 25, 1915.  Is an epileptic; burns on face and arm were produced during a seizure.
Jan, 1916.  Very much disturbed at times, especially after convulsions.
Jan, 1917.  No change.
Jan, 1918.  Lately has lost flesh and strength, cough a great deal of the time.
Feb 1, 1918.  Was placed in bed today; bowels very loose.  Lungs: rales over both apices.  Considerable diarrhea, pain over entire intestines (tubercular enteritis).
Mar 1.  Very much weaker.  Is in bed all the time.  Bowels still very loose.
Mar 18, 1918.  Was visited by her sister today who removed her.  Paroled.
Oct 16, 1918.  Discharged unimproved.

Additional notes:
Died at the Gov. Bacon Health Center on 10/16/1957.


History and clinical notes:
History:  Patient has been troublesome, walks on RR tracks and has had several narrow escapes.  Is probably an imbecile.  Quiet when admitted.
Jul 8, 1915.  No change since admitted, is quiet and well behaved.
Feb 1, 1916.  Has occasional epileptic attacks and is usually irritable for hours afterward.
Oct 2.  No improvement but is a very good worker.
Mar 3, 19120.  No change in patient’s mental condition; physically well.
Mar 31, 1921.  Patient’s father came and took him home against the wish and advice of the Supt.  Paroled.
Sep 21, 1920.  Discharged unimproved.

Standard form attached:  Mar 31, 1920.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [M.A. Tarumianz], Signed [father].”


History and clinical notes:
History:  Was brought to hospital on Feb 20th, 1915 but papers did not arrived until Feb 27th, 1915.  Has been drinking heavily for years and has lately started to use narcotics, frequently cries and asked for whiskey.  Shows the dementia of alcoholism and seems to have no idea as to where he is, time of day, and etc.  Is noisy and restless at times.
Mar 3, 1915.  Has a hesitancy in speech and unsteady gait, is untidy.
Apr 12, 1915.  Removed today against advice of Supt.  Paroled.
Oct 29, 1915.  Discharged unimproved.

Final disposition:
Discharged unimproved.  No further info from ancestry.com

Additional notes:
First name was Orlando.  Or Ira Orlando.


History and clinical notes:
History:  Patient has been acting in a peculiar manner for past month and has threatened bodily harm to those about her.  Was irritable when admitted and said she did not belong here and would only remain over night.
[No further entries].

History:  Patient has been acting in a peculiar manner for past month and has threatened bodily harm to those about her.  Was irritable when admitted and said she did not belong here and would only remain over night.

Final disposition:
Still in hospital.  No further entries after admission.

Additional notes:
Died at DSH 5/15/1934, buried in Spiral Cemetery.


History and clinical notes:
History:  Has been peculiar for past 10 yrs., is very irritable and would walk the streets at all hours, has threatened to burn her home and kill her grandchildren.
Aug 15, 1915.  Very much disturbed at all times, noisy and troublesome, imagines that everything a patient has belongs to her and fights for it.  Grabs patients’ glasses off their faces.
Dec 23.  No marked change mentally since last note.  This a.m. complained of being ill and was placed in bed.  Right lung was found to be hepatosces (?).
Dec 24, 1915.  No change.  Very restless and hard to keep in bed.
Dec 25.  No improvement; left lung also slightly affected.
Dec 28, 1915.  Very much worse this a.m.   Relatives have been with her all night.  Continued to sink and died at 5 p.m.  Lobar pneumonia.


History and clinical notes:
History:  Patient was removed from this institution by her husband June 30th, 1914.  See this Case Book (VII) pg. 155.  Husband states that she has been very violent and that he could not care for her at home.
Jan, 1917.  Patient’s condition very much improved; she is quiet and helps in ward.
Dec 23, 1917.  Paroled.
Mar 14, 1918.  Discharged improved.


History and clinical notes:
History:  Patient was removed from this institution May 9th 1914 by her mother; see Case Book VI, Pg. 438.  Officers who brought her state that she has been quite violent.  No other history obtainable.
May 1, 1915.  Was quite disturbed for a time but is now quiet and orderly.
Sep 16.  Is now working in Laundry, apparently in her normal condition.
Jan 1, 1916.  Has been working at Supt.’s residence for past few days.
Jan 30.  Patient was allowed to go home for the afternoon about one week ago.  Was allowed to go visit her mother yesterday morning with the understanding that she should return last eve.  Up to the present time she has not returned.
Jan 29, 1915.  Paroled.
Aug 12, 1916.  Discharged improved.


History and clinical notes:
History:  Has a bad reputation.  Was an inmate of N.C.Co. Hosp. for several years and was difficult to manage, for sometime past the Wil. Fire Dept. have been called out on a number of “monkey runs” and it was finally learned that the above named was the “culprit.”
Jul 8, 1915.  No change since admission, is quiet and orderly.
Feb 1, 1916.  No change since last report but occasionally gets into some sort of mischief.
May 21, 1916.  Was visited by his mother today and she requested his removal, stating that she was moving to the country.  Paroled.
Aug 12, 1916.  Discharged improved.

Standard form attached:  May 21, 1916.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [W.T. Hodgson], Signed [mother’s mark, X].”

Additional notes:
Was back in DSH for 1920 census.  Died 1/29/1928 of acute alcoholism, buried at Silverebrook.


History and clinical notes:
History:  Has been taking 4 oz. Laudanum for past 11 years but when “Harrison Law” became effective he was unable to obtain drug; he became violent, tore his clothes and threatened to kill himself and those about him.
Mar 27, 1915.  Very much improved, has freedom of the grounds; eats and sleeps well.
Apr 3, 1915.  Paroled.
Oct 27, 1915.  Discharged recovered.

Additional notes:
"Letters of administration" from court after death in 1941.


History and clinical notes:
History:  Has been cared for at home but lately she has become violent and on one occasion procured a revolver and threatened to kill those about her.  Has not menstruated for past 8 months and although her abdomen is prominent, relatives deny the possibility of pregnancy.  Was noisy when admitted.
Jun, 1918.  Patient mentally and physically getting worse.
Jul 14.  Patient suffering from lobar pneumonia.
Sep, 1918.  Recovered from pneumonia, physically very weak.
Oct 22.  Patient suffering from an attack of epidemic influenza.
Nov 15.  Recovered from influenza.
Jan 20, 1919.  Upon examination it was found that patient has tuberculosis of lungs; could not be transferred to the T.B. Bldg on account of her mental condition.  Isolated in the ward.
Oct 18.  Patient has hemophysis.
Dec 22.  Patient very weak.
Jan 22, 1920.  Patient died at 11 p.m.  Phthisis pulm.


Form:
alcoholic paralysis, chronic paranoid type

History and clinical notes:
History:  A former patient, see book VII, page 115.  Patient says “he and his wife cannot get along.  When in institution on a previous occasion his wife stated that he threatened to kill the children.  Was quiet and talked rational when admitted.
Apr 20, 1915.  Is always quiet and respectful.
May 31.  No change since last report.
Jul 8.  Is well behaved, but is constantly writing to his attorney, letters are paranoidal in character.
Jul 27.  Condition about the same as when last reported.
Feb 1, 1916.  Is very quiet and respectful.
Jul 8.  Is not so well mentally and has lost flesh.
Oct 2.  No change since last report.
[No further entries].

Additional notes:
Died at Farnhurst 10/10/1935.  Buried at Forest Presbyterian Cemetery, Middletown.


History and clinical notes:
History:  Brought from N.C.Co. Hosp. where he has been for several weeks; is noisy, untidy, and violent at times.  No other history.
Apr 26, 1915.  Is quiet but untidy and destroys his clothes by constantly picking at them.
May 31.  Was pounding his hands against wall and had to be placed in restraint.
Jul 8.  Is noisy and untidy, tears his clothes, is unable to retain solid food.
Oct 8.  Some improvement, is not so noisy and gastric disturbance has abated.
Nov 5.  Condition about the same as when last reported.
Nov 22, 1915.  Was removed today by his sister, against advice of Supt.  Paroled.
Nov 29.  Returned today, could not be cared for at home.
Feb 1, 1916.  Is destructive to clothing and sometimes noisy and violent.
Oct 2.  Confined to bed and is gradually losing flesh.
Nov 17.  Is gradually growing weaker and probably will only live but a very few hours.
Nov 19, 1916.  Gradually failing and died last night at 9:38 p.m.  Chronic interstitial nephritis.  Died November 18th.

Standard form attached:  Nov 22, 1915.  “I hereby remove my brother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [sister].”


History and clinical notes:
History:  Has been using 4 to 5 [weird symbol, z with extra on top] T[ill] Opii (?) for last 10 years and since “Harrison Law’ has become effective he has been unable to obtain the drug.  At times he is very nervous and irritable, but rational.
Mar 20, 1915.  Very much improved and does not crave for drugs.
Mar 27, 1915.  Paroled.
Oct 27, 1915.  Discharged recovered.

Additional notes:
Died in October 1918, buried at Riverview.  Was a Civil War veteran, Company C, 1st Delaware Infantry.


History and clinical notes:
History:  A former patient on two occasions on July 18th, 1914, he was in poor physical health and was taken home by his parents.  He has slightly improved physically, but is cross, irritable, and at times violent.  For previous history see Book VI, page 307.
Apr 26, 1915.  No change since admission, is in poor physical health.
Jul 8.  No mental or physical improvement.
Dec 10.  Condition about the same as when last reported.
Feb 1.  No mental or physical change, is sometimes very irritable and inclined to be violent.
Oct 2, 1916.  Some physical but no mental change.
[No further entries].

From on-line sources, died October 5, 1922 at age 39, at Farnhurst.


On certificate of:
Drs. John G. Dawson and P.T. Carlisle, Jr.

History and clinical notes:
History:  Brought from Milford via automobile and arrived at 10:45 p.m.; friends who accompanied her state that she has been using opium and whiskey for several years, sometimes consuming 2 quarts of whiskey in 24 hours.  En route, she became violent and she was given ½ pt. whiskey which she consumed in one drink and when she reached institution she was “paralyzed” and had to be carried in.
Mar 25, 1915.  Paroled.
Sep 23, 1915.  Discharged – Not insane.


History and clinical notes:
History:  Could not be cared for at home, constantly playing with fire and wandering away from home.  Is quite feeble but was quiet when admitted.
Apr 26, 1915.  Is quiet, eats and sleeps well but untidy at times.
Jul 8.  No change since last report.
Jul 30.  Confined to bed, marked oedema of feet and ankles, passing some blood in urine which is foul smelling.
Sep 6.  Rapidly growing worse; take only small amount of liquid nourishment.
Sep 9, 1915.  Died.  Chronic interstitial nephritis.


History and clinical notes:
History:  Unable to obtain history; patient does not speak English.  Was in a depressed state when admitted.
Apr 9, 1915.  Refuses to eat and had to be “tubed”.
Apr 20.  Eating regular meals and is not so depressed.
May 31.  Is peculiar about eating, at times refuses to eat or drink.
Jul 8.  Is depressed and will only eat two meals a day, sits in a stooping position and never talks.
Dec 10.  Confined to bed although able to get up and move about, but when compelled to get out of bed, he refuses to eat.
Feb 1, 1916.  Eats his regular meals but remains in bed all the time, seldom talks.
Oct 2.  No mental change, remains in bed all the time.
Mar 16, 1917.  Is profoundly depressed, unresponsive, is allowed to remain in bed owing to his depressed condition.
Jul 14.  Patient had hemorrhage of lungs today and was transferred to T.B. building; he refuses to eat and is gradually growing weaker.
[No further entries].

Additional notes:
Still at DSH in 1930.  No further info.  There is one person of this name listed as dying in Delaware in 1935, but no way to tell if it is the same person.


History and clinical notes:
History:  Has been at “Hope Farm” suffering with “T.B.”; lately he became noisy and violent and could not be cared for, is very much emaciated, coughs and expectorates profusely.  Confined to bed since admission; is very weak and cannot take food.
Apr 11, 1915.  Died.  Phthisis pulm.


On certificate of:
Drs. P.W. Tomlinson and Elwood I. Rogers

History and clinical notes:
History:  Brother states that for past 2 months she has been acting in a peculiar manner, i.e. muttering, gesticulating, at times morose.  From facial expression and etc. she is probably an imbecile.  Was quiet when admitted but brother states that she is noisy at times.  Had a grandfather insane, and mother committed suicide.
Aug 1, 1915.  Some improvement, is quiet and more careful about personal appearance.  Paroled.
Oct 4.  Returned today.
Dec, 1919.  At times patients is very destructive, talkative, and violent.
Feb 16, 1920.  The examination of the specimen of blood show the presence of negative Wasserman.

Lab form attached:  “State Board of Health Laboratory, State Laboratory Building, Newark, Delaware.  Lab. No. 42096, Date 2-14-20.  Dr. Wm. H. Hancker, Dear Sir: -- the examination of the specimen of Blood from 2887 does show the presence of negative Wasserman.”  Signed by H.J. Watson, Bacteriologist, per KG.

Additional notes:
From online sources, she died at DSH 2/26/1926 and is buried in Silverbrook Cemetery.  One of her children ended up at a Baptist Orphanage in Philadelphia, grew up, married, had three children, and lived until the 1970s.  No information on the other daughter.


History and clinical notes:
History:  Has worked very hard on his farm and his health has been poor for past year, is melancholy and has threatened suicide.  Was very quiet when admitted and when asked why he worried, he made no reply.
Apr 26, 1915.  Very depressed and frequently weeps.
May 9.  Fretful and asks “What crime did I commit?”
May 17, 1915.  Removed today, contrary to advice of Supt.

Standard form attached:  May 17, 1915.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [wife].”

Newspaper clipping attached:  “Farmer Ends His Life by Hanging.  Body of Adila (sic) Jackson, of Milltown, Found Suspended to Rope by his Wife.  Adila Jackson, aged 53 years, a wealthy farmer living at Milltown, which is about two miles beyond Brandywine Springs, committed suicide last night about 7 o’clock by hanging himself in his barn.  He is believed to have been mentally deranged at the time as he is said to have been brooding and very melancholy for some time.  His wife and one son survive him.  He was reputed to be one of the wealthiest farmers in that section of the country.  Recently a relative died, and after the funeral, Jackson remarked to his wife that he wished it was himself who had gone.  He frequently had made remarks to her, she said last night, about dying, and these caused her to believe that he was contemplating self-destruction.  Last night about 6 o’clock he made an excuse about leaving the house and started toward the barn.  When he did not appear an hour later, Mrs. Jackson went to look for him.  She was horrified to find his body cold in death, swinging at the end of a rope in the barn.”

From on-line sources:  Mr. Jackson committed suicide on August 26, 1915, just 9 days after being removed from DSH.  He is buried in the Lower Brandywine Presbyterian Cemetery.  At the 1930 census, his wife, age 69, was living with their son, age 38, with no other members of the household.

The patient name is listed variously as Adila, Aquila, or Aquilla.

Additional notes:
Mr. Jackson committed suicide on August 26, 1915.


History and clinical notes:
History:  Was very quiet when admitted, would talk but little, is very morose and says she worries because her husband runs around with other women.  Had a baby 5 mo. ago, everything normal.
Apr 27, 1915.  Patient states that people are after her and that she hears voices.  Says that her husband always abused her and treated her badly.
Jun 9, 1915.  Some slight improvement.  Husband visited her today and insisted upon removing her against advice of Supt.  Paroled, improved.

Standard form attached:  Jun 9 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [husband’s signature]”.  No witness.

Additional notes:
She was back at DSH for 1930 and 1940 censuses.  Died 4/16/1964.


History and clinical notes:
History:  Has been peculiar for past 15 years, is quiet most of the time and in a bewildered state.  Brought to hospital at 10 p.m.
[No further entries].

Additional notes:
Still at DSH during 1920, 1930, and 1940 censuses. Middle name Myrtle.  Died 10/15/1954.


History and clinical notes:
History:  Has been drinking to excess, is noisy and inclined to be violent; was bewildered when admitted and had no idea where he was.  Has a large amount of checks and some cash.
Apr 26, 1915.  Has “cleared up” considerably and realizes where he is.
May 8, 1915.  Paroled.
Oct 27, 1915.  Discharged recovered.


History and clinical notes:
History:  Nephew who brings patient states that the disease was first noticed about 10 or 12 months ago.  Became very much depressed and melancholy.  This condition has gradually increased.  Lately has been quite noisy at night.  Imagines that someone is going to injure her.  Has slept very little for the past week.  Is in fair general health.
[No further entries].

Additional notes:
Was at DSH for 1920 census.  Died 7/14/1926 of bladder cancer.  Buried at Riverview.


History and clinical notes:
History:  Has been an inmate of New Castle Co. Hosp. has been noisy and violent and attempted to stab a fellow patient.  Had been living with a common-law wife who deserted him and since then has been acting strangely.
Jul 8, 1915.  Mutters to himself, at times excitable but has shown no tendency to violence.
Sep 15.  Shows more mental enfeeblement.
Oct 20.  Confined to bed and is gradually growing weaker.
Nov 2.  Has large trophic sores on back and is growing weak.
Nov 7, 1915.  Died.  Exhaustion from general paralysis of the insane.


History and clinical notes:
History:  Has been peculiar for past 3 or 4 years and is steadily growing worse; last night she tried to kill her mother and destroy the furniture.  Was very nervous when admitted and said she wasn’t sick and wanted to go home.
Sep 25, 1915.  Paroled.
Jan 25, 1916.  Discharged recovered.

Additional notes:
Name Mary Brodway.  Readmitted to DSH 10/2/1915, died 11/4/1915.  Died of TB, buried in Maryland.


History and clinical notes:
History:  Has been peculiar for past 3 years, is very irritable at times and has threatened to kill his wife.  At present time his wife is very ill and he could not be cared for at home.
May 31, 1915.  Is very cross at times and threatens suicide.
Jun 17.  Very restless and talkative.
Jul 8.  No change since last report, is in fair physical condition.
Aug 29.  No change; very restless, talkative; while walking to the toilet this 1 p.m. fell on the floor and when examined by Supt. a fracture of head of femur of right leg was found.  Was placed in bed and made as comfortable as possible.
Sep 15.  Is very restless and untidy, is growing weaker, base of lungs congested.
Sep 30.  Takes little nourishment, heart’s action growing weaker, respirations hurried and lungs markedly congested.
Oct 4, 1915.  Died at 3:45 a.m.  Lobar pneumonia, contributing cause intra-capsular fracture of femur.

Final disposition:
Died of lobar pneumonia and intra-capsular fracture of femur


On certificate of:
Drs. William P. Orr, Jr., and Joseph M. Martin

History and clinical notes:
History:  Was “picked up” by police in New Castle, says he is from Silver Springs, Md., is rational for a few moments at a time and when asked about his parents, he replies, “there is my mother standing near me” and points to an imaginary spot.  No history obtainable.
Jun 5, 1915.  Patient very quiet and orderly, says he had been drinking when arrested.
Jun 8, 1915.  Patient’s fare was payed (sic) to Wash. D.C. and was placed on train at Wil. 7:30 p.m.  Paroled.
Dec 13, 1915.  Discharged recovered.


History and clinical notes:
History:  Has been unbalanced for past 2 or 3 years, is very arbitrary at times and inclined to violence.  Is very fond of reading and is well versed in the history of Ireland.
May, 1918.  Patient at times very violent, fighting with the nurses, talkative, and untidy.  Has to be kept in restraint.  Upon examination found that patient is suffering from chronic valvular heart disease.
Jan, 1919.  Patient getting worse mentally and physically.
Mar 20, 1919.  Patient getting very weak, has to be kept in bed.
Apr 10.  No change in patient’s mental condition, physically getting very weak.
Apr 24, 1919.  Patient died this morning at 8:30 a.m.  Chronic valvular heart disease (duration 1 year).

Note:  Accompanied by small 2.5” X 4” ticket, saying “Admit Bear to See M English.”  Signed by Dr. Tarumianz, using his initials, M.A.T.  On the back, handwritten in pencil, “Ruse 58 Strand New Castle, Del.”

Additional notes:
"Well versed in the history of Ireland."


History and clinical notes:
History:  Gave birth to a child 5 weeks ago, about two weeks ago she developed a high fever and became maniacal, is very restless at night and eats very little.
Jun 12, 1915.  Suffering from Mastitis involving left breast.
Jun 26, 1915.  Removed by husband against advice of Supt.  Paroled.
Dec 13, 1915.  Discharged unimproved.

Standard form attached:  Jun 26, 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”

Additional notes:
Last name Semanski.  Died at Farnhurst of epidemic influenza, died 1/8/1919, buried at Cathedral Cemetery.


History and clinical notes:
History:  Father states that he has had epilepsy for 3 or 4 years.  Don’t know what caused it.  Mind is becoming more feeble.  Lately wanders away from home.  Is in a bewildered state all of the time.  Occasionally is inclined to be violent.
Jul 8, 1915.  Has an occasional epileptic seizure and at such times is quarrelsome and violent.
Aug 14, 1915.  Removed today against advice of Supt.  Paroled.
Aug 28.  Returned today, could not be cared for at home, has occasional epileptic attacks.
Oct 6.  No change since last report.
Dec 10.  Is very violent at times, preceding and following attacks.
Feb 1, 1916.  No change since last report.
Oct 2.  Very violent at times and requires the combined efforts of attendants to restrain him.
Mar 1, 1917.  Is delusional, violent, and troublesome at times, is in continuous restraint, has convulsions frequently.
Apr 22, 1918.  Had quite a number of convulsions today and died in status epilepticus.
4:30 a.m.

Standard form attached:  Aug 14, 1915.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [father].”


On certificate of:
Drs. J. Willard Springer and P.W. Tomlinson

History and clinical notes:
History:  Brought by officers who could furnish no history other than patient has been acting strangely for past 2 weeks and for past week has refused to eat.  In appearance, patient is robust looking but has not taken food for a week.
Jun 17, 1915.  At a good breakfast this a.m.
Jul 8.  Is more cheerful and eats well, moved to front hall today.
Aug 18, 1915.  Paroled.
Dec 13, 1915.  Discharged recovered.

Additional notes:
Died 6/27/1941, buried at Cathedral Cemetery.


History and clinical notes:
History:  Has used alcohol to excess and has led “a fast life.”  When admitted he was able to walk but was very nervous and trembled – would cry and laugh alternatively.  Very much emaciated.
Jul 8, 1915.  Condition unchanged, occasionally cries and says “give me a shower bath and let me go home.”
Jul 27.  Is in a condition of status epilepticus this a.m.
Jul 29, 1915.  Died at 10:15 a.m.  Status epilepticus.


History and clinical notes:
History:  Has been in Methodist Hosp., Phila., for several weeks where she was undergoing treatment for “nervous breakdown” – on June 16, 1915 she became very noisy and violent and had to be removed from the hospital.  Was brought to Farnhurst on a cot, accompanied by her son and a nurse from Meth. Hosp.; was weak when admitted.
Jun 18, 1915.  Seemed bright about 9 a.m., ate her breakfast, about 10:50 a.m. she suddenly became unconscious, stertorus breathing, inequality of pupils and flushed face, pulse very feeble and bounding, which in ½ hour became very weak and patient died at 11:45 a.m.  Papers arrived 6-19-15.  Died – Apoplexy (cerebral).


History and clinical notes:
History:  Present trouble began about one year ago, at that time she was very depressed and attempted suicide by hanging.  Has been under the care of various physicians but failed to improve; lately has been growing worse.  Trustees signature was not appended and certificate was returned for same and was received today Jun 19, 1915.  
Jul 1, 1915.  No improvement whatever.  Says that her food is being poisoned and that she hears voices at night.  Says she is going to kill herself.  Has broken several locks and is constantly picking at the locks of the door.
Jul 27, 1915.  Was visited by her husband today who removed her against the advice of the Supt.  Paroled.
Dec 13, 1915.  Discharged unimproved.

Standard form attached:  Jul 27, 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”

Additional notes:
Last name spelled Terguliza on COD.  Admitted to Philadelphia State Hospital on 11/16/1915, dementia praecox/paranoid, died 6/17/1953, place of burial "Anatomical Building, Philadelphia, Pa."


History and clinical notes:
History:  Has been acting peculiar since Feb. 1915; is very nervous and does not sleep well, about 2 weeks ago she jumped from second story window and sprained her ankle.  Was quiet when admitted.
May 10, 1918.  Patient at times noisy, physically well.
Jan 15, 1919.  No change in her mental condition.  Patient kept in restraint, because she attempted suicide.
Oct 6.  Patient suffering from cold.  Put to bed.
Oct 10.  Patient feeling much better, temp. 98°, pul. 88, R 18.
Oct 12.  Patient is well physically.  No change in mental condition.  This evening at 7:50 p.m. the night watch came and reported the death of the patient.  When I arrived at the cottage (B.E.) I found the patient lying in bed with part of a sheet around her neck and blood coming out of her mouth covering her dress, her face cyanotic.  After taking off the sheet from her neck and putting (??) the patient in front of the open window, we tried to revive her.  Dr. Hancker and myself worked over her for 40 minutes without any result.  Patient was dead.  A case of suicide by strangulation.
Oct 12, 1919.  Died at 7:50 p.m.


History and clinical notes:
History:  Officer who brings patient states that she has always been mentally deficient.  That both her parents died when she was quite young.  Has been able to work for her living all her life.  Hester A. Sharp (see this Case Book, page 330) who died here a few days ago was her aunt by marriage and she always thought a great deal of her and since her death she has been unable to sleep and is very restless, getting up at night and walking the floor incessantly.
[No further entries].

Additional notes:
At DSH in 1930 census.  Died 10/7/1933 at the Homeopathic Hospital in Wilmington.


History and clinical notes:
History:  No history obtainable other than patient was “picked up” and is noisy and violent at times.
Jul 24, 1915.  Visited today by Sarah E. Bostick, who says, correct name of patient is Sarah Black.
Aug 1, 1915.  Has been in bed almost constantly since admission.  Is suffering from right hemiplegia, cannot walk without assistance.
Sep 1.  Patient still in bed.  Her articulation is affected so much that it is difficult to understand her.  Has had quite a number of convulsions during past 2 or 3 days.
Sep 24.  Has been in convulsions all day – patient is unconscious.
Sep 26, 1915.  Has been unconscious since last note; convulsions have been steady.  Died at 3:30 a.m.  Status epilepticus.


History and clinical notes:
History:  Is a periodical drinker.  3 weeks ago he spoke to his brothers about his condition and said “I think I am losing my mind and in case I become unruly, have me sent to Farnhurst.”  Since that time he has been very morose and would stand for one and two hours at a time, in the same spot with his head bent down.  Wants to sleep during the day and wander about during the night, has been carrying a revolver but has made no threats.
Jul 20.  Says “I am receiving messages from President Wilson every day.”
Jul 31, 1915.  Removed today by his mother against advice of Dr. Davies.  Paroled.
Jan 9, 1919 [year makes no sense, probably added later, carelessly].  Discharged unimproved.

Standard form attached:  Jul 31, 1915.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [father].”

Additional notes:
Received messages from President Wilson.  Died in 1941 at the age of 60 (ancestry.com); died of a heart attack at police headquarters in a town in Pennsylvania.  He was back at DSH in the 1940 census.


History and clinical notes:
History:  Was arrested for assault upon a neighbor but Judge of Court thought the woman was mentally unbalanced and had her examined by Drs. Forrest and Tomlinson who declared her insane.  No other history obtainable.
Sep 15, 1915.  Very restless on the ward and has been since admission.  Talks a great deal in Italian, cannot understand her conversation.  Interferes a great deal with any patient that comes near her.
Jan 1, 1916.  Very slight change in her actions – complains of rheumatic pains a great deal of the time.
Feb 1.  Lately has complained of considerable pain over gastric region.
Feb 10.  Was placed in bed today; would not eat; pain over gastric region still continues.  Is too weak to be up and about.  The only nourishment she is taking is predigested beef.
Feb 15, 1916.  Died.  Carcinoma of pyloris.


History and clinical notes:
History:  No history obtainable, seems quiet but bewildered.
Sep 8, 1915.  Is very feeble and frequently falls on floor, is noisy and untidy, has delusions of grandeur.
Sep 16.  Is noisy, untidy, and very unsteady on his feet.
Oct 5.  Very weak today, takes very small amounts of food, pulse very weak.
Oct 14.  Unconscious for past 12 hours.
Oct 15, 1915.  Died.  General paralysis of the insane.


History and clinical notes:
History:  A former patient, was discharged on Oct 11th, 1905 and was apparently in good condition until one year ago, since then he has been acting in a peculiar manner and wandering about the state, always talking about “Ditching” on Sundays and Mondays.  Clothing were covered with mud when he was admitted.  For previous history, see Book V, page 101.
Sep 8, 1915.  Is very quiet, eats and sleeps well but seldom has anything to say.
Nov 13, 1915.  Paroled.
Mar 24, 1916.  Discharged improved.

Additional notes:
Died 7/21/1916 of VHD.  Buried at Barratts Chapel Cem.


History and clinical notes:
History:  Has been drinking to excess.  Had numerous contusions on body when admitted and crushed toe.  No other history obtainable.
Aug 6, 1915.  Very quiet during the night and at breakfast.
Aug 8.  Unable to retain any semi-solid food and only small quantities of liquid, is in a stuporous condition from which he can be aroused.  Pulse is very rapid and thready.
Aug 10.  No improvement, rejects all nourishment and is weaker.
Aug 13, 1915.  Became very weak at midnight and died at 12:30 a.m.  Acute gastritis and acute alcoholism.

Final disposition:
Died of acute gastritis and acute alcoholism


History and clinical notes:
History:  Was divorced from 1st husband and since her second marriage, has been living with her husband’s parents; they looked upon a divorced woman with horror and combined with other domestic disturbances seemed to have affected her.  Dr. Cooper stated she has had some ovarian trouble.
Sep 2, 1915.  Husband allowed her mother to remove her to Baltimore.  Paroled.
Jan 25, 1916.  Discharged improved.

Standard form attached:  Sep 2, 1915.  “I hereby remove my daughter from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Geo. W. Ca-illegible], Signed [mother].”

Additional notes:
From online sources, she was back living with her husband in the 1920 census, but later that year, 9/15/1920  died of complications from a ruptured tubal pregnancy (internal hemorrhage).


History and clinical notes:
History:  A former patient, this being the fifth admission.  For previous history see Book VII, page 14.  Present attack began 3 mo. ago and since that time she time (sic) she has been growing steadily worse, was noisy and incoherent when admitted.
Oct 25, 1915.  Very much improved, works about ward and kitchen, is neat and respectful; rational in conversation.
Nov 5, 1915.  Patient was allowed to go home by herself this 7:04 p.m.  Paroled.
Mar 24, 1916.  Discharged recovered.


History and clinical notes:
History:  Could not be cared for at home, is untidy, tears her clothes and is unable to walk.
Jan, 1916.  Has been in bed continuously since her admission.  Is no trouble to care for.  Is cheerful and affable at all times until she has endeared herself with every one with whom she comes in contact.
Jan 1, 1917.  No improvement in any respect.  Is always cheerful and happy.
Jan 1, 1918.  Has a severe cold for the past few days.  This a.m. pneumonia was diagnosed.
Jan 4.  Very feeble this p.m.
Jan 5.  Has been unconscious all day, both lungs are involved.
Jan 6, 1918.  Died 10 p.m.  Lobar pneumonia.


Complications:
old injury -- possible fracture of lower leg

On certificate of:
Drs. W.F. Huey (?) and William Marshall, Jr.

History and clinical notes:
History:  Friends state that patient has been acting strangely for past several weeks, imagines people are in the cellar and are going to kill her, she carries large baskets of food to the cellar every day to feed her imaginary enemies.  Is very unsteady on her feet due to an injury sustained 2 years ago.
[No further entries].

Additional notes:
In 1920 census, she was still at DSH, but could not find any more info.


History and clinical notes:
History:  Is a railroad engineer, has been drinking to excess, this a.m. he walked into Brandywine Creek with his clothes on; very talkative and irrational when admitted.
Aug 23, 1915.  Paroled.
Dec 13, 1915.  Discharged recovered.

Final disposition:
Discharged recovered.  Died in 1920, according to ancestry.com


History and clinical notes:
History:  Dr. Betts, who brings patient, states that he has treated him for D.T.s twice during past year.  About 2 months ago became very morose and irritable to his wife and children.  Lately has threatened to kill his wife.  Has been a steady drinker for years.
Aug 30, 1915.  Very restless at times and inclined to be violent.  Became noisy and violent today and was transferred to Wd. D.
Sep 12.  Marked improvement, removed to Wd. C.
Sep 25, 1915.  Paroled.
Jan 25, 1916.  Discharged recovered.


History and clinical notes:
History:  Officers state that he had been arrested and this a.m. attacked three other prisoners in City Hall – struck them with an iron bar and that two of them had fractured skulls and were not expected to recover.  No other history obtainable.
Sep 8, 1915.  Quiet since admission and says, “150 men are after me.”
Sep 9.  Since his admission, the second victim of his assault has died from fracture of skull.
Oct 1.  Says “they are planning to kill me” won’t you let me go out on the farm to work.
Dec 10.  No improvement, and imagines he is going to be killed.
Oct 2, 1916.  Is delusional and says “my bowels never move.”
Mar 15, 1917.  Has delusions of persecution, is in continuous restraint, is depressed, violent at times.
Jan [Jun], 1917.  Patient doesn’t show any improvement.
Jul, 1918.  Patient suffering from nephritis.
Jan 1, 1919.  Patient very weak, had an abscess on back.
Jan 18, 1919.  Patient died this morning at 7:50 a.m.  Chronic interstitial nephritis.


History and clinical notes:
History:  Patient was paroled from this institution June 8, 1914.  Has been here 3 times previously.  Friend who brings her states that she could not do anything with her – as she was allowing every man she knew to have intercourse with her and she was the talk of the neighborhood.  Patient was brought to the institution on the 25th, papers were not received until today (27th).
Sep, 1916.  No change in patient’s mental and physical condition.  She is in T.B. Bldg. suffering from phthisis.  Had a few hemorrhages.
Dec, 1917.  No change in patient’s mental condition, but physically getting weaker.
Jan 1, 1919.  Patient put to bed – condition very critical, suffering badly from gastro-enteritis [illegible].
Jan 30, 1919.  Patient getting very weak.
Feb 3, 1919.  Patient died at 6 a.m. from chronic gastroenteritis, contributing cause phthisis.

Final disposition:
Died of chronic gastroenteritis with contributions from phthisis


History and clinical notes:
History:  Brought to Farnhurst Station and delivered to Supervisor Straub; was a former patient in year 1912.  At that time, history stated that he had some domestic trouble and was divorced.  No history in reference to present attack.
Sep 16, 1915.  Very quiet since admission, eats and sleeps well.
Oct 1.  Condition remains unchanged, is quiet and orderly.
Dec 10.  Is always quiet and well behaved and continually asking the officers to allow him to go home.
Mar 15, 1916.  Asked to go home today and if not permitted he said “he would cut his throat.”
Jun 15.  Is not so fretful and does not make so many requests to go home.  Has made no threats of suicide recently.
Oct 2.  Condition about the same as when last reported.
Feb 28, 1919.  Has been working in kitchen for past month or two.  Eloped today.  Eventually arrived at his home.
Dec 18, 1919.  Patient brought back by an officer who states that patient was wandering around the town and that his parents could not manage him.
[No further entries].

Final disposition:
Still in hospital.  At DSH for 1940 census.


On certificate of:
Drs. William Wertenbaker and Julius Dodd

History and clinical notes:
History:  A former patient, see Book VII, page 19.  Brought to hospital without papers and was examined by Drs. Wertenbaker and Dodd.  Examination was paid by Mr. McIlwain.  Has been very troublesome for past year, says she is very wealthy and owns all the houses in Viola, is of Royal blood, being related to Kings and Queens.  Claims she was abducted in order that enemies would gain control of her vast estate – taps her fingers on chair and says she is telegraphing to her friends.
[No further entries].


History and clinical notes:
History:  Brought from N.C.Co. Hosp. where he has been an inmate for several months, is very feeble and had to be carried upstairs.  No other history obtainable.
Sep 15, 1915.  Very quiet since admission; has a fair appetite and sleeps well.  Has a son in Gov. Hosp. for Insane, Washington, DC.
Sep 15, 1915.  Confined to bed since admission and is in a semi-comatose state.
Sep 18.  Refuses nourishment and is growing very weak, paralysis of left side (arm and leg).
Sep 20, 1915.  Died – cerebral apoplexy.


On certificate of:
Drs. Harvey B. Patton and P.W. Tomlinson

History and clinical notes:
History:  Father states that she was apparently well until 6 weeks ago when she showed signs of nervousness; did not eat or sleep well; since then she has grown steadily worse and today was noisy, violent and destructive.  A former patient, was discharged 10-18-1910.  See Book VI, page 185.
[No further entries].

Additional notes:
She died at Farnhurst (DSH) on 4/21/1924, is buried in Silverbrook Cemetery.  She died of TB.


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp. for several months, lately he has become noisy and irritated and could not be cared for.  Has a wheel chair to get about but is able to do a little walking with assistance – suffering from Spastic Paraplegia.  Was fairly rational in his conversation, talks very loud and in a monotonous tone.
Oct 1, 1915.  Is fault finding, complains he does not get enough to eat, that his bed is not comfortable, and etc.
Dec 10.  Confined to bed for past few days, does not have much use of his arms or legs.
Jan 30, 1916.  Some physical improvement since last report.
May 30.  Is very untidy about his rooms, insists on storing food between the mattress and when taken from him he is very abusive and profane; calling attendants and physicians murderers.
Oct 2, 1916.  Condition unchanged.
Mar 15, 1917.  Has many delusions of grandeur and persecutory ideas, in very talkative, uses profane language.

History:  Has been an inmate of N.C.Co. Hosp. for several months, lately he has become noisy and irritated and could not be cared for.  Has a wheel chair to get about but is able to do a little walking with assistance – suffering from Spastic Paraplegia.  Was fairly rational in his conversation, talks very loud and in a monotonous tone.
Oct 1, 1915.  Is fault finding, complains he does not get enough to eat, that his bed is not comfortable, and etc.
Dec 10.  Confined to bed for past few days, does not have much use of his arms or legs.
Jan 30, 1916.  Some physical improvement since last report.
May 30.  Is very untidy about his rooms, insists on storing food between the mattress and when taken from him he is very abusive and profane; calling attendants and physicians murderers.
Oct 2, 1916.  Condition unchanged.
Mar 15, 1917.  Has many delusions of grandeur and persecutory ideas, in very talkative, uses profane language.

Additional notes:
Buried at DSH, Grave #441.  Was in hospital from admission in 1915 until death on 5/27/1935.


History and clinical notes:
History:  Brought from N.C.Co. Hosp. where she has been an inmate for several weeks.  Is pregnant and Nurse says that she walked from Smyrna, Del. to N.C.Co. Hosp.  Is noisy and tears her clothing.  Has all appearances of an imbecile.
Sep 20, 1915.  Very violent, incoherent, and noisy since her admission.  Is well advanced in pregnancy.
Sep 25.  Patient was delivered of a male baby at 10:30 last night.  Labor was very easy.
Sep 26.  Patient continues very noisy.  Has to be restrained in bed.
Nov 1.  Not quite so noisy as formerly, but is very much demented; tears everything she can lay her hands on.  Will not take any nourishment but liquid.  Expectorates a great deal.  Both lungs are involved.  Rales very perceptible.
Jan 20, 1916.  Is very much weaker, was placed in bed today.
Jan 30, 1916.  Very low this p.m.  Died at 6 p.m.  Phthisis pulm.
Jan 31, 1916.  The child born has been in institution since its birth; Miss Katharine Porter, charge attendant of C.E., took the child to her home today.


History and clinical notes:
History:  Officer who brot (sic) patient says he has been drinking steadily of late and that he is on the verge of D.T.s.  Imagines that he is seeing bugs, etc.  Was brot from City Hall.
Sep 23, 1915.  Very much improved today – rational and sleeps well.
Oct 1.  Continues to improve and is well behaved.
Oct 6, 1915.  Paroled.
Jan 25, 1916.  Discharged recovered.


History and clinical notes:
History:  Has been drinking to excess for past week, at times is quiet but has occasional outbreaks.  Was quiet when admitted.
Oct 1, 1915.  Very quiet and rational, has given us no trouble.
Oct 2, 1915.  Paroled.
Jan 25, 1916.  Discharged recovered.


History and clinical notes:
History:  Granddaughter states that patient wanders away from home.  That she is very irritable to every one and that she turns on the gas whenever she gets the chance and that it was impossible to care for her at home.
Nov 1, 1915.  Patient very feeble.  Has been in bed constantly since admission.  Very restless, tears her bedding.
Dec 28.  Breathing very much labored this p.m.
Dec 29, 1915.  Patient refused her supper this evening.  Respiration very labored and rapid.  7:50 p.m.  Died.  Lobar pneumonia and La Grippe.


On certificate of:
Drs. J. Lynn Pratt and Samuel M.D. Marshall

History and clinical notes:
History:  Has been acting in a peculiar manner for past 4 mo., wanders from home and walks the streets with her head down.  Manifests no delusions and is very quiet.
Nov 1, 1916 [actually 1915].  Very restless and at times quite irritable; stays in bed a great deal of the time.  Has lost some flesh.  This a.m. patient’s temperature went up to 105° without an assignable cause.  Examination reveals all organs apparently normal.  This p.m. temperature was normal again.
Dec 20.  Has two other attacks similar to the one described above since last note.
Jan 1, 1916.  Patient has improved very much.  Now works in dining room and is very cheerful.
Jan 27, 1916.  Was visited by her husband today, who removed her.  Paroled.
Aug 12, 1916.  Discharged recovered.


On certificate of:
Drs. Samuel G. Elbert and P.W. Tomlinson

History and clinical notes:
History:  Dr. Stevens (son-in-law) states that her mind is quite feeble and first symptoms were noticed about 2.5 years ago.  She has been steadily growing worse.  Does not remember things recent or past.  Lately has been wandering away from home, particularly at night, with nothing but her nightdress on.
Jan, 1916.  Patient is very quiet and orderly, but her mind is quite feeble and she does not realize where she is.
Jun, 1916.  Very little change.  Very cheerful and orderly at all times.  Does some little work about the wards.
Dec, 1916.  No change since last note.
May 10, 1917.  No change until this morning when she had a stroke of cerebral apoplexy affecting entire right side.
Jun 10.  Has been in bed, helpless, since last note.
Jan 20.  Is still in bed, several bed sores have appeared in spite of precautions taken.
Aug 10.  Bed sores extending over both buttocks.  Has been quite weak for past few days.
Aug 28, 1917.  Has continued to fail and died at 4:20 p.m.  Cerebral apoplexy.


History and clinical notes:
History:  Constable who brings patient knows nothing in regard to her history.  He states that her husband said that she was worse at night.  That she imagined that she saw snakes, etc.  Patient is blind and has to be led from place to place.
Jan, 1916.  Has been helpless since her admission and very incoherent in her conversation.  Has to be fed by hand.
Feb 1, 1918.  Has been in bed for about 10 days.  Is gradually growing more feeble.  Bowels have been extremely loose.  Was given Bis [illegible] repeatedly with but little effect.
Feb 20.  No improvement in any respect.  Is much more feeble.
Feb 23, 1919.  Continued to fail and died at 12:15 p.m.  Chronic enteritis.


On certificate of:
Drs. Jacob C. Knowles and Anna C. Shipley

History and clinical notes:
History:  Has been peculiar for past 2 years, tears her clothes and on one occasion stuck a fork in her sister’s hand.  Eats well but is sometimes very restless at night.
Nov 1, 1915.  Patient was quite feeble when brot here and has been in bed ever since.
Nov 10.  Takes but little nourishment, only milk.  Is very feeble.  Arterio-sclerosis was marked over all superficial arteries.
Nov 17, 1915.  Patient died at 10 a.m., features very much drawn to left side all the morning.  Cer. Apoplexy.


History and clinical notes:
History:  A former patient, for previous history, see Book VI, page 305.  Was in a stupor when admitted and apparently, had a convulsion a short time before admission.
Nov 8, 1915.  Has been in a stupor since admission and has had numerous convulsions.
Nov 12.  Had several convulsions during the night.
Nov 13, 1915.  Died – status epilepticus


On certificate of:
Drs. James H. Chipman and G. Frank Jones

History and clinical notes:
History:  The party who brot (sic) patient did not stop – turned the patient over to attendants, consequently no history obtainable.  Patient very filthy when she came.
Nov, 1916.  Patient very noisy.
Dec, 1917.  No change in patient’s mental condition.  Physically getting weaker, pronounced arterio-sclerosis.
Dec 29, 1918.  Patient died at 11:45 a.m.  Chronic valvular heart disease.


History and clinical notes:
History:  Patient’s mind became affected following a “stroke” both lower limbs involved.  Could not be cared for at home.  Patient arrived Nov 2, 1915 but papers did not arrive until Nov 3, 1915.
Nov 10, 1915.  Patient has remained in bed since admission.  Very restless and has to be tied to prevent her falling out.  Lower limbs completely paralyzed.
Nov 19.  Had a slight stroke of apoplexy this p.m., right side.  Has been but semi-conscious since.
Nov 20.  Unconscious; cannot take nourishment, nor can she drink.
Nov 21.  Stertorus respiration all this p.m.
Nov 22, 1915.  Died 1:20 p.m.  Cerebral apoplexy.


History and clinical notes:
History:  A case of imbecility and cretinism, has been selling newspapers for years but of late he is unruly at times, also untidy, and has been spending most of his time in bed.
Nov 8, 1915.  Heart’s action weak and irregular, kidneys inactive and some oedema; is aroused with difficulty.
Nov 11.  Condition unchanged; in a stupor most of the time but can be aroused.
Nov 12, 1915.  Died.  Valv. Dis. of heart and acute nephritis.

Final disposition:
Died of valvular disease of the heart and acute nephritis


History and clinical notes:
History:  A former patient, for previous history see Book VII page 190.  Was noisy, talkative, and disheveled when admitted – no history obtainable.
Nov 30, 1915.  Very much improved, is quiet and orderly and anxious to go home.
Dec 15.  Condition about the same as when last reported.
Dec 23, 1915.  Removed today against advice of Supt.  Paroled.
Mar 24, 1916.  Discharged improved.

Standard form attached:  Dec 23, 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [T.H. Davies], Signed [husband].”

Additional notes:
She was back in DSH for the 1920 and 1930 censuses; died in 1933; died at DSH 11/13/1933 and was buried in Silverbrook Cemetery.


On certificate of:
Drs. George I. McKelway and L.A.H. Bishop

History and clinical notes:
History:  Has been in Kent Co. jail for past 3 months, for attempting to assault a man for an imaginary wrong.  Has delusions against the President and other Public Officials.  Has been in DSH before, also “Blockley” and Moyamensing Prison.  For previous history, see Book VII, page 188.
Dec 10, 1915.  Has periods of excitability, during which period he is very talkative and manifests delusions of a persecutory nature.
Jun 15, 1916.  Frequently asks to go home and when refused, he becomes violent and noisy.
Oct 2.  Does not improve.
Mar 15, 1917.  Has many delusions of persecution; also some delusions of grandeur, is usually quiet, cleanly, and tidy.

Additional notes:
Died at DSH, Grave #631.  Died 10/11/1954.


History and clinical notes:
History:  Has been an inmate of Kent Co. Almshouse for several years.  Supt. says, she wanders away and is sometimes noisy.  No other history obtainable.
Dec 2, 1915.  Patient has been very quiet and orderly since her admission.  Today at the meeting of the Board of Trustees this patient and No. 2958 (Margaret Waters) were [illegible] to the Board of Trustees as an unload.  Dr. Wilson was requested to make arrangements to have them transferred back to the Almshouse of Kent Co. as they were examined by the Almshouse physician, which is contrary to law.
Jan 4, 1916.  Patient was removed to Kent Co. Almshouse.  Discharged unimproved.

Final disposition:
Discharged unimproved.  Returned to Kent County Almshouse.


History and clinical notes:
History:  Child has had epilepsy since birth, has no control over sphincters, is quiet most of the time and walks but little.
Dec 2, 1915.  Patient is a deaf and dumb epileptic.  Was reported to the Board of Trustees today as an unload.  Dr. Wilson was appointed a committee of one to have them transferred back to Kent Co. Almshouse.  He reported that the certificate was signed by the Almshouse physician, which is contrary to law.
Jan 4, 1916.  Patient was transferred to Kent Co. Almshouse this a.m.  Discharged unimproved.

Additional notes:
Sent back to Almshouse in Kent County. Died there on 1/30/1916.


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp. since June 1915.  Is very noisy, violent, and profane and cursed the attendants that brought her to the hospital.
Jan 1, 1916.  Quiet and orderly usually, but at times becomes cross and irritable.  Very stubborn also at times and will not work on ward.
May 1.  Very little change, is up and about every day.  Is indolent and lays around on lounges and settees all day.
Jun 22, 1916.  Was removed by her relatives today.
Oct 19, 1916.  Discharged improved.


History and clinical notes:
History:  Officer states that patient was all right until about 10 days ago, when he began to neglect his work and has wandered from his home several times.  He does not appear to realize where he is going, etc.
Nov 19, 1915.  Very quiet, but eats very little, always wants to go to bed.
Dec 10.  No improvement; is quiet but untidy at times.
Feb 14, 1916.  Is very weak and unable to walk and was placed in bed, constipated and passing large quantities of urine.
Mar 1.  Abdomen filling up with fluid and legs oedematous.
Mar 8.  Rapidly growing weaker, pulse 150, resp. 38, and cannot take nourishment.
Mar 10, 1916.  Died.  Diabetes mellitus.


On certificate of:
Drs. M.F. Conkthone (??) and P.W. Tomlinson

History and clinical notes:
History:  Daughter states that his mind has been feeble for about six months.  That at times she is afraid of him as she has 2 children at home, she could not care for him any longer.  Patient is quite feeble and tottering on his feet.
Nov 17, 1915.  Very quiet since admission but wanders about his room at night.
Dec 10.  No mental change since last report.
Jan 31, 1916.  Very unsteady gait, tremor in both hands, very marked in right hand.
Mar 15.  No change since last report.
Jun 15.  No improvement, is up and about and usually rather cheerful.
Oct 2.  Some mental and physical improvement.
Oct 11, 1916.  Was visited today by daughter who removed him from the institution.  Paroled.
July 16, 1917.  Discharged unimproved.

Additional notes:
Returned to DSH 3/25/1918 and died there on 11/13/1918 of cerebral apoplexy and arteriosclerosis.  Buried in Camden, NJ.


History and clinical notes:
History:  No history other than patient is violent at times.  Was very quiet when admitted.
Nov 15, 1915.  Very restless and talkative today and says he is going home and take all of these men (patients) with him.
Nov 17.  Restless last night and tore his bed linens.
Dec 10.  Marked improvement, transferred to Ward C, is neat and quiet.
Jan 2, 1916.  Is not so well and had to be returned to Ward D.
Mar 30.  Is not eating well and quite weak, was placed in bed today.
Jun 15.  Confined to bed; does not talk and eats sparingly.
Oct 2.  Condition about the same as when last reported.
Mar 15, 1917.  His mental and physical condition is somewhat improved, memory impaired, has delusions, talks to himself most of the time, is untidy, is up and around the ward at the present time.
Jan, 1918.  Has steadily grown worse mentally.  Very untidy and hard to care for.
Oct 12.  Came down today with influenza – temperature high.
Oct 13.  Much worse, will not keep his bed clothes on and will not stay in bed.
Oct 14.  Patient much worse, no abatement of symptoms.
Oct 19.  Pneumonia developed, will not care for himself.
Oct 24, 1918.  Has failed rapidly since last note and died 4:40 p.m.  Lobar pneumonia.


History and clinical notes:
History:  Mother of patient died suddenly about 3 weeks ago and since that time he has been mentally unbalanced, has lost flesh rapidly and seems in a bewildered state.  No other history obtainable.
Nov 17, 1915.  Very much better today, is rational, eats well and although restless he slept some during the night.
Nov 19.  Was visited by his brother from Charleston, S.C. today; the visit seemed to have brightened him up.
Nov 20, 1915.  Removed today by his wife and brother to Virginia.  Paroled.
Mar 24, 1916.  Discharged recovered.

Standard form attached:  Nov 20, 1915.  “I hereby remove my brother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [brother].”

Additional notes:
In 1920 census he was back in Wilmington, living with his wife May, but he died in 1924 and is buried in Virginia.


History and clinical notes:
History:  Patient has been acting in a peculiar manner for past 8 or 10 years; has always been nervous and had an irritable temper.  About 10 years ago had a facial paralysis.  Was divorced from his wife a couple of years ago and since that time he constantly talks of “mismated couples” and says he is writing a book hope to correct such errors, and etc.  His mother and maternal uncle died in this institution.  Was very quiet when admitted.
Dec 10, 1915.  No change since admission, is quiet and respectful, but is partially controlled by his delusions.
Mar 15, 1916.  No change since last report, is quiet and orderly at all times.
Jun 15.  No change, is always quiet but at times is very nervous at times (sic).
Oct 2.  No mental change but is usually very quiet.
Jun 12, 1917.  Is delusional and very nervous, his manner and attitude is good.
[No further entries].


On certificate of:
Drs. W.W. Hocker and William P. Orr, Jr.

History and clinical notes:
History:  Patient is very feeble and emaciated, cannot walk without assistance; her daughter states that she has been gradually growing worse for past year, pulls cooking utensils from stove and does not at any time seem to realize what she is doing.
Nov 28, 1915.  Removed to Wilmington by her daughter-in-law, was in a very weak state.  Paroled.
Mar 24, 1916.  Discharged unimproved.

Additional notes:
Just goes to show that the final notes are often made in the ledger without anyone ever actually checking up on patient.  She actually died 12/9/1915, not even two weeks after she was removed from DSH.


History and clinical notes:
History:  Officers who bring patient know but little of her history.  A few days ago wandered from her home and walked 16 miles.  Does not seem to realize where she is going.  Patient was brot here a week ago with illegal papers and refused admission; she was taken back to Lewes.
Jul, 1916.  Patient has been restless and irritable since she came here.  Takes her clothes off and very incoherent in her conversation.  Both lungs show cavities on auscultation.
Jan, 1917.  No change in any respect.  Very thin and has lost flesh.
Dec 20, 1918.  Was taken with influenza today and removed with other patients to new Swift Bldg.
Dec 22, 1918.  Very low this a.m., temperature high.  Has double pneumonia.
Dec 24, 1918.  Continued to fail and died at 9 p.m.  Lobar pneumonia.


On certificate of:
Drs. Walter K. Barrett and J.S. Prettyman, Jr.

History and clinical notes:
History:  Patient came to Wilmington a few days ago to attend a Convention of Telegraphers and after the session she went to Phila and telegraphed to the President of the company that he was dismissed and also to a number of other operators.  She is boisterous and talkative at times, inclined to be destructive.  Has some grandiose delusions.  Has a father in DSH.
Dec 1, 1915.  Patient is very violent, destructive, and obscene in her talk.
Jan 1, 1916.  No improvement mentally, talk very immoral, exposes her person to physician when he is making rounds.  Says she has a large number of children by different men.
Feb 1.  Very little change since last note.
Mar 1.  Considerable improvement since last note.  Still insists that she has a number of children.
Apr 1.  Very much better in every respect, no delusions noticeable.
May 1.  Has worked in dining room steadily and is a good help on the ward.
May 28, 1916.  Was allowed to go home today on parole.
Oct 19, 1916.  Discharged recovered.


On certificate of:
Drs. Irvine M. Flinn and Edward J. Rogers

History and clinical notes:
History:  Patient’s first symptom of insanity was noticed about 3 years ago; neglected her work and became very apathetic.  Neglected her children and occasionally wandered from home.  Lately has become quite violent at times.  Has threatened her family and neighbors and has threatened to shoot.  Imagines that people are talking about her.  Several times lately has broken her neighbor’s window.
Dec 1, 1915.  Patient was removed today by her husband against the advice of the Supt.  Paroled.
Mar 24, 1916.  Discharged unimproved.
See page 458 (in pencil).  Was readmitted.

Standard form attached:  Dec 1, 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [J.G. Boughman], Signed [husband, marked with an X].”

Additional notes:
Readmitted a month later, but with no further information.  Listed as being at DSH in 1940 census.  She died at Farnhurst on 4/26/1944.  Last name spelled various ways in census records and death records.


On certificate of:
Drs. James L. France and P.W. Tomlilnson

History and clinical notes:
History:  Officers who bring patient know nothing of her history.  Certificate states that she has contemplated suicide.  That the disease is increasing.  That the probable cause is domestic trouble and religious enthusiasm.
Jan 1, 1916.  Patient very reticent and melancholy, sits by herself and seldom speaks to any one.  Is very thin and anemic.
Feb 1.  Has steadily lost flesh and strength since her admission.  Has a severe cough.  Rales over both lungs.  Is suffering from pulmonary tuberculosis.
Mar 1.  Has been in bed for some days.  Takes but little nourishment.
Apr 1.  Is steadily failing.
Apr 27, 1916.  This a.m. very weak; has refused all nourishment.  Died at 3:45 p.m.  Phthisis pul.

History:  Officers who bring patient know nothing of her history.  Certificate states that she has contemplated suicide.  That the disease is increasing.  That the probable cause is domestic trouble and religious enthusiasm.
Jan 1, 1916.  Patient very reticent and melancholy, sits by herself and seldom speaks to any one.  Is very thin and anemic.
Feb 1.  Has steadily lost flesh and strength since her admission.  Has a severe cough.  Rales over both lungs.  Is suffering from pulmonary tuberculosis.
Mar 1.  Has been in bed for some days.  Takes but little nourishment.
Apr 1.  Is steadily failing.
Apr 27, 1916.  This a.m. very weak; has refused all nourishment.  Died at 3:45 p.m.  Phthisis pul.


History and clinical notes:
History:  Patient brought by police but no history obtainable – history states that present trouble began 6 years ago.
[No further entries].

Final disposition:
Still in hospital.  No entries beyond initial history.

Additional notes:
Buried at DSH, Grave #689.  Stayed in DSH most of her life.  Died 5/4/1962.


History and clinical notes:
History:  Brought to hospital Dec 8th, 1915, but papers did not arrive until today (Dec 17, 1915).  A former patient, for previous history, see Book VI, page 484.  Has been drinking to excess for several weeks.
Jan 15, 1916.  Is very noisy and profane, curses his fellow patients and orders them about.
Jan 31.  Had some trouble with attendant Bartge, who struck him (Townsend) over the eye producing a contused wound, Attendant Bartge immediately dismissed.
Feb 2.  Is an instigator of trouble, teases his fellow patients.
Jun 15.  Is profane and troublesome, kicks commodes over and then rubs contents on floor.
Nov 18, 1916.  Paroled.
Jul 16, 1917.  Discharged recovered.

Additional notes:
Attendant dismissed for hitting this patient.


History and clinical notes:
History:  Has been employed by DuPonts for past 45 years and has always been a steady worker; on Dec 18th 1915 he started to drink and today he became violent and attempted to kill himself.  Was very nervous when admitted.
Dec 30, 1916 [actually 1915].  Says, he was “held up” by two men and they forced poison down his throat.
Jan 17, 1916.  Was visited by his family today and they say there is no foundation for the above statement; they also state that he has been averaging 1 quart of whiskey per diem.
Jan 21.  Very much improved and now denies that he was held up and poison forced down his throat.
Jan 23, 1916.  Paroled.
Aug 12, 1916.  Discharged recovered.

Additional notes:
Died 8/15/1916 of typhoid fever in Delaware Hospital.  Buried in St. Joseph's Cemetery.


History and clinical notes:
History:  First showed signs of mental derangement on Dec 1st, 1915; tears his clothes and bed linen and tried to use a knife on his daughter.  Is very feeble and had to be assisted up the stairs.
Feb 2, 1916.  Confined to bed, has a poor appetite and is untidy, has oedema of ankles and puffiness of eyelids; heart shows marked involvement of valvular system.
Mar 4.  Very weak, takes small amount of liquid nourishment and is in a stuporous state.
Mar 9, 1916.  [Died].  Val. disease of heart.  Chr. Interstitial nephritis

Final disposition:
Died of valvular disease of the heart and chronic interstitial nephritis


History and clinical notes:
History:  Patient was insane about 6 years ago but recovered in about 6 months.  This attack started about 1 month ago.  Her house was burned down and this appears to be the cause of the present attack.  Wanders from home and imagines that she owns a great deal of property.  Has gone to other people’s houses and threatened to turn them out if they did not pay her the rent.  Is gradually getting worse.
May 10, 1918.  Patient getting worse.  At times very talkative; at times very violent.
Jul 25.  No change in patient’s mental condition.
Sep 2.  Her legs and eyelids swollen, upon examination and urine analysis found nephritis.
Jan 10, 1919.  Physically and mentally getting worse.
Aug 15.  Patient very weak.  Kept in bed.
Sept 9, 1919.  Patient died this morning at 12:45 a.m.  Chronic interstitial nephritis.


History and clinical notes:
History:  Brought by police 12-28-15 but papers did not arrive until today, 12-29-15.  Patient was acting in disorderly manner and when officer and a private citizen attempted to arrest him, he stabbed both of them, but wounds were not considered vital.  Had scalp wounds when admitted.
Jan 25, 1916.  Has occasional epileptic attacks.
Feb 2.  Very well behaved and respectful between attacks (epileptic).
Mar 15.  Is quick tempered and quarrels with fellow patients.
Jun 15.  No change since last report.
Oct 2, 1916.  Condition unchanged.
[No further entries].

Final disposition:
Still in hospital.  No further entries.    Died 8/1/1921 at DSH.


History and clinical notes:
History:  Brought by officers who could furnish no history.  Patient complained of headache and begged for a drink of water, says his mother is dead but father is living, but do not know his whereabouts.
Jan 1, 1916.  Gave the supposed address of his father and a letter was sent today.
Jan 3.  Is noisy, cries out and swears, always complaining about his head.  Temp. ranging from 100.5° to 103.2° -- is emaciating rapidly.
Jan 8.  Letter returned from Pittsburg (sic) today.  P.O. Clerk #14 claiming he was not at address given and was not listed in Directory.
Jan 12.  Worse today and frequently cries out (“Cephalic cry”) as though in great pain.
Jan 13, 1916.  Died.  Meningitis (tubercular).  4:15 a.m.


On certificate of:
Drs. Jacob C. Knowles and Anna C. Shippley

History and clinical notes:
History:  Brought by relatives to hospital 10:40 p.m.  A former patient, for previous history see Book VII, page 218.  Was bewildered when admitted and would not talk.
Jan 25, 1916.  Is stupid at times and at others is inclined to be unruly.
Feb 2.  Some improvement since last report, works about ward and is not as slovenly.
Jun 1.  Has just recovered from parotitis.
Oct 2.  Some mental improvement and anxious to go home.
Jun 12, 1917.  Is quiet and well behaved, works in laundry.
[No further entries].

Additional notes:
At DSH in 1930 census.  Died in 1953, buried in Maryland.


History and clinical notes:
History:  Was taken to Del. Hosp. a few days ago, unconscious and a temperature of 103°.  He seemed to improve, temp dropped to normal and he was allowed to get out of bed; yesterday (1-15-16) he became very noisy and violent and attempted to attack the nurses.  When admitted, his voice was very husky and he was somewhat bewildered.
Jan 25, 1916.  Is noisy and talkative, frequently says “I want to see Miss Lottie Edwards”; most of the time he is incoherent; is not violent, but very restless.
Mar 15.  Quiet and respectful, is rational but feeble minded.
Mar 17.  Had 11 epileptic seizures this a.m., gave Hyd. Chlor. Gr xxx per rectum.
Mar 20.  Attacks have abated but is very weak.
Jun 25.  Is up and about ward but no mental change.
Jun 12, 1917.  No mental change since last report.
Jan, 1918.  No change in patient’s mental condition.  Is about the ward, but very weak.
May 19.  Patient very weak; put in bed, refuses to take any food.  Had many epileptic convulsions.
May 21.  Patient’s condition worse, many convulsions.
May 22, 1918.  Patient died in status epilepticus 6:15 p.m.


History and clinical notes:
History:  Brought to hospital Jan 16-1916 but papers did not arrive until today (Jan 17, 1916).  A former patient, during her previous admission her husband insisted that a plastic operation (sic) on cervix and perineum be performed and she was removed to Del. Hosp. for same.  Following the operation, she was taken to her home where she has been up to present and has shown no improvement.  For previous history, see Book VII, page 260.
[No further entries].


History and clinical notes:
History:  Brought by Constable from Newark, Del.  No history obtainable.
Jan 22, 1916.  Very noisy for past two nights.
Jan 31.  Marked improvement since last report, eats and sleeps well.
Mar 15.  Is quiet but very morose at times.
Oct 2.  Is not so well physically and has lost flesh.
Aug 1, 1917.  No change in mental condition.
Jan 9, 1918.  Eloped.
Jan 10, 1918.  Patient returned today.  Was found in the hay loft of the County Hospital.
Oct 19.  Patient came down with influenza today.
Oct 20.  Very much worse today.  Will not keep himself covered.
Oct 22.  Lobar pneumonia very marked this a.m.
Oct 26, 1918.  Patient continued to fail and died this a.m. 10:45.  Lobar pneumonia.


History and clinical notes:
History:  Brought by police who say that patient is continually talking about automobiles and says he is an expert mechanic.  Is restless and says he cannot sleep, commitment states that he has been drinking and overindulgence sexually.
Jan 25, 1916.  Boisterous and very profane, demands his discharge and says “I am Chief Black.”
Jan 31.  Some improvement since last report; does some work about the wards and is not so talkative.
Feb 2.  Transferred to Wd. C. and is rational at all times.
Feb 5, 1916.  Paroled.
Mar 16, 1916.  Returned today, has been in Mrs. Walter’s Private Hospital for past two weeks but became unmanageable.
Apr 20.  Very much better, quiet at all times.
May 13, 1916.  Paroled.
Aug 12, 1916.  Discharged improved.

Additional notes:
Died 12/31/1957.  Was married and had one son who died in 1990.  Had another son 3 years younger than first son.  Have descendants who lived in Ohio.


History and clinical notes:
History:  Had La Grippe 3 weeks ago and since then he has been acting strangely, is bewildered, incoherent, and untidy at times.  Is unable to walk without assistance.
Jan 25, 1916.  Difficult to keep him in bed, was very restless during the night.
Jan 31.  Is very restless and is it necessary to use a restraining sheet to keep him in bed.
Feb 8.  Confined to bed, kidneys inactive, placed on Liq. Ferri et Ammon. Acchat. (??).
Apr 1.  Is losing flesh, oedema of feet and ankles, voids small amounts of urine.
Apr 15.  Rapidly growing weaker, in a stuporous state.
Apr 22, 1916.  Died.  Chr. interstitial nephritis.


History and clinical notes:
History:  A former patient, was discharged Dec 1915.  For previous history, see Book VII, page 327.  Has been drinking to excess and imagines electric instruments and phonographs prevent him from sleeping.
Feb 2, 1916.  Claims his mind if alright but says, my sister, who sent me here, is crazy.
Feb 4.  Transferred to Wd. C.; is rational and well behaved.
Feb 16, 1916.  Paroled.
Aug 12, 1916.  Discharged recovered.


History and clinical notes:
History:  Patient has been engaged as a Captain of a steam ship owned by the Du Ponts; about a year ago he lost his position and since that time he has become mentally as well as physically enfeebled.
Feb 2, 1916.  Very restless and is constantly insisting that he be given his cap, stating he has an important engagement, tore his bed linens into shreds last night.
Feb 3.  Very stupid, was placed in bed, excreting small quantities of urine, skin very dry and hot, temp 104°.
Feb 4.  In a semi-conscious condition; marked aenemia, temp 104° F.  Urinous odor to breath and rapidly growing weaker.
Feb 7.  Very weak today, unable to take medication or nourishment.
Feb 8, 1916.  Died.  Chronic interstitial nephritis.


History and clinical notes:
History:  Brought to hospital Feb 3, 1916, but papers did not arrive until today Feb. 4, 1916.  A former patient on two occasions.  For previous history, see Book VI, page 23.  Has been restless and violent, having frequent epileptic attacks.
Oct 2, 1916.  No change since admission, has frequent epileptic attacks.
[No further entries].


History and clinical notes:
History:  Has only been in Wilmington for past two months, prior to that time he was in New York engaged in the Coal business.  Brothers who bring patient state that present trouble began two years ago when they noticed a change in his actions.  Last October he had a convulsion and was confined to bed for 3 weeks, following which they noticed his gait was unsteady, tremulous tongue, articulation indistinct and marked impairment of vision.  Had a convulsion one week ago, is not violent, but is very noisy at times, refuses food and is constipated; breath very foul.
Feb 11.  Refused to eat this a.m. and cries when any one comes near him, saying “don’t hurt me, I’ll cry if you do.”
Mar 10.  Had a convulsion this afternoon lasting from 2:10 to 2:30.
May 27.  Had a convulsion today, very severe, and is in a semi-conscious condition.
May 28.  Condition unchanged, does not take nourishment.
Jun 1.  Rapidly failing, is unable to swallow, pulse 160, resp. 36.
Jun 3, 1916.  Died.  General paralysis of the insane.

Final disposition:
Died of general paralysis of the insane.


On certificate of:
Drs. G. Frank Jones and Joseph P. Waples

History and clinical notes:
History:  Has been acting in a peculiar [no noun] and was arrested, confined to Georgetown Jail and later transferred to Sussex Co. Almshouse.  Is very irritable at times and recently threatened to kill someone with a knife.
Mar 15, 1916.  No change since admission, has a tremulous tongue and hesitating speech.
Jul 15.  Is confined to bed and occasionally has a convulsion; has lost flesh and does not sleep well.
Aug 20.  Had two convulsions today – very severe.
Aug 25.  In a semi-conscious state and unable to take nourishment; having a number of convulsions.
Aug 28, 1916.  Died.  General paralysis of the insane.


History and clinical notes:
History:  Relatives state that she was apparently alright until 3 days ago, at which time she became greatly excited, ran out in the street; tried to preach and attempted to disrobe.  Has not lived with her husband since her first child was born, but has had two since by other men.  Has periods of excitement and attempted to kill her baby.
Mar 20, 1916.  Patient very noisy and troublesome, will not eat, has quite a number of sores on leg and buttock that look suspicious.
Apr 1.  Has not improved.  Has to be kept restrained.  Eruption on legs and back yield but little to treatment.
May 1.  Has been steadily losing flesh; considerable puffiness around eye lids and face.  Has a very sallow color.
Jun 1.  Steady failing, passes large quantities of urine.  Is suffering from diabetes.
Jun 16.  Very much weaker this a.m.
Jun 24, 1916.  Died very suddenly at 4 p.m.  Diabetes mellitus.


On certificate of:
Drs. J.W. Clifton and Charles G. Harmonson

History and clinical notes:
History:  Present trouble began Nov. 1915 when they sold the farm on which they had lived for many years; shortly after moving from farm she became restless, could not sleep at night and constantly worrying about different matters.  When admitted, she said “I have often heard of Farnhurst, but never knew it was such an awful place; these cackling women will drive me crazy.”
Feb 18, 1916.  Very violent and disturbed since she came here.  Was transferred from Cottage to Ward B, but was so hard to care for that she had to be taken back to Cottage.
Feb 20.  No improvement.  Had to be strapped to seat as she was very restless and annoyed the other patients.
Feb 23, 1916.  Very much disturbed this a.m.  Was strapped in her room.  At a few minutes of eight the attendant saw her.  At a quarter past eight, Supt., while making his rounds, opened the door and found her missing.  She had slipped out of her restraint, took the loose pin out of hinges of door and pried off the lock on window guard and escaped.  Eloped.
The morning train going south arriving here at 8:32 a.m. struck a woman near McFarlin’s house.  Upon investigation it was found to be Mrs. Yorke.  The remains were taken to Wil. by the north-bound train.
Mar 24, 1916.  Discharged – unimproved.  [Yes, it really says this].

Attached note:  Handwritten on lined paper, no date.  “On the morning of Feb 23rd, 1916, about 7:45, I saw Mrs. Yorke in her room and secured her to a stationary chair with a locked strap.  I tightened as much as possible so that I thought it would be impossible for her to get out of it.  I was the last one of the attendants to see her alive.”  Signed [Florence Brittingham].  Witness [Lydia Wyatt].

Attached typed letter on plain paper, letterhead “Officer of Coroner, New Castle County, 502 W. Seventh St., Wilmington, Del.  March 3, 1916 191_.  Verdict in the Case of Eva. York. At Coroners.Inquest.  Eva, York, came to her death on Feb 23, 1916, about one half mile north of Farnhurst Station, caused by being accidentally struck by Train No, 43 of the P,B,_&,W,R,R Co, Delaware Div, at 827,A,M, on Feb 23, 1916. while trespassing, on said Co Property.”  Signed [Francis H. Lattomus] Coroner, Newcastle, Co.  Impressed with the seal of the coroner (his name, State of Delaware, New Castle County).  

[All odd punctuation recorded faithfully from the original].

Final disposition:
Died after eloping; was hit by southbound train.


History and clinical notes:
History:  Brought to hospital by officers, who could furnish no history; while standing in the hall he told the officers “I’m not any more crazy than you are, how long will I have to act crazy.”  Says he came from Connecticut three days ago but would tell me more tomorrow after having a night’s rest and a glass of milk.
Feb 25, 1916.  Was visited by his son today and taken back to Connecticut.  Paroled.
Mar 24, 1916.  Discharged unimproved.

Additional notes:
Taken back to Connecticut by his son.  Died in 1928 and buried in Mount St. Peter Cemetery, Derby, Connecticut.


History and clinical notes:
History:  A few months ago was struck by an automobile and received a head injury but nothing strange in his actions were noticed until one week ago when he became very irritable with his wife, and threatened her on several occasions, imagines he has gonorrhea and is taking numerous kinds of medicine.  Was quiet when admitted but rather unsteady in his gait.
Mar 15, 1916.  Some physical, but no mental, improvement.
Apr 17.  Developed “measles” today.
Jun 20.  Is very much improved, works about ward and is eager to go home.
Jul 8, 1916.  Paroled.
Oct 19, 1916.  Discharged improved.

Additional notes:
Seems to have recovered fine.  In 1920 and 1930 censuses he is living with his wife.  In the 1930 census he is listed as a salesman at a cigar store.  Died 1/10/1939 in Bronx Veterans' Administration facility.


History and clinical notes:
History:  Brought to hospital Feb 20, 1916 but papers did not arrive until today Feb 22., 1916.  Is noisy and violent at times.  No cause assigned for present trouble.
[No further entries].

Final disposition:
Still in hospital.  Only info is entry note.

Additional notes:
In 1930 census she was at DSH.  Died at DSH 1/1/1940 of coronary occlusion.


History and clinical notes:
History:  Had a “stroke” about 3.5 years ago and a second one about a year ago, is able to walk with the aid of a cane but cannot dress or undress himself and is very untidy.  Son states that he abused the young grandchildren and at times upsets the stove.
Mar 15, 1916.  Very quiet since admission, is confined to bed but occasionally attempts to get up.
May 29.  No improvement since last report.
Jul 24.  Developed a “stroke” today and is rapidly failing.
Jul 27, 1916.  Died.  Cerebral apoplexy; arterio-sclerosis.


History and clinical notes:
History:  Patient was brot (sic) by husband Feb 20 – Papers were not signed by Trustees.  Certificate was not returned until this a.m.
[No further entries].

Final disposition:
Still in hospital.  No info at all.  Died 10/13/1936.

Additional notes:
Buried at DSH, Grave #467.  In Cemetery Book she is listed as Anna, and is said to be from Pennsylvania.


History and clinical notes:
History:  Officers who brot patient does not know any particulars in regard to his insanity.
Mar 15, 1916.  Very noisy and violent most of the time, does not speak English but is constantly muttering in Polish.
Jul 1.  Has developed a partial paralysis involving left arm and leg.
Jul 12.  Is untidy and has large trophic sores on hips.
Jul 18.  Temp. 104 and some dullness over base of left lung.
Jul 21, 1916.  Died – cerebral apoplexy.


On certificate of:
Drs. M.F. Corkran (sic) and P.W. Tomlinson

History and clinical notes:
History:  Husband states that she was always peculiar and had a very quick temper, was always good to the children but irritable with them.  Accuses husband of various acts and is always running away from home.  Says she knew where she was coming and was willing to remain for awhile, if we could benefit her.
Jun 1, 1916.  Has been very quiet and orderly since she came here altho at times acts very peculiar and frequently says that people are down on her, especially her husband.
Jul 1, 1916.  Still very orderly.  Helps with the attendants.  Was visited by her mother today who removed her against the advice of the Supt.  Paroled.
Oct 19, 1916.  Discharged recovered.

Standard form attached:  Jul 1, 1916.  “I hereby remove my daughter from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [mother].”

Additional notes:
Died 10/4/1949 at the State Welfare Home.


History and clinical notes:
History:  First admitted here June 4, 1904.  Disch. Recovered Sept 12, 1904.  Second admission admitted June 6, 1906.  Disch. Recovered Apr 19, 1907.  Officers who brot patient know but little of his history except that he has gradually grown worse since he was first attacked.
Mar 15, 1916.  Very noisy since admission.
Mar 30.  Placed a table in his room against window and in an attempt to climb upon table, he fell, producing lacerated wounds of chin and supra-orbital ridge.  Is very noisy and violent.
Oct 2.  Very noisy most of the time, is also untidy and destructive of clothing.
Oct 15.  Very violent and noisy, is in constant restraint and was placed in bed today.
Oct 28.  Still in bed and very weak and even thought he was passing away but rallied later in the evening.
Nov 10.  Still in bed and require narcotic to keep him from disturbing patients at night.
Nov 26, 1916.  Has been noisy and troublesome since last note and has been in bed.  Had a sudden sinking spell tonight and died at 6:40 p.m.  Result of acute mania.


History and clinical notes:
History:  Has been an inmate of New County Co. Hosp. for several months and lately has become noisy and violent and also made two attempts at suicide.
Oct 2, 1916.  Has been quiet since admission.
Jan, 1918.  Has been very quiet and feeble minded since he came here.  Has been helping in light work about the ward every day.
May 2, 1918.  .  No change in any respect, after eating a healthy dinner today, complained of newer pain in gastric and cardiac region and placed in bed and remedies administered without effect.  Died an hour after attack, 8 p.m.  Acute indigestion.


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hospital for past 18 months, has occasional attacks of epilepsy during which he is very violent, has threatened to kill those about him and has also made attempts to assault women.  Is very “light fingered” and will steal anything.
Mar 13, 1916.  Had several violent epileptic attacks yesterday.  Brom. Por. G xxy per rectum.
Mar 20.  Had 20 convulsions yesterday and is showing signs of exhaustion.
Apr 1.  Had 176 attacks from 5:30 a.m. until 9 p.m.
Apr 4.  Rapidly growing weaker and having frequent attacks.
Apr 6, 1916.  Died.  Status epilepticus.


On certificate of:
Drs. John W. Clifton and Edward S. Dwight

History and clinical notes:
History:  Present trouble began two years ago following closely the death of her husband; since that time she has lived alone, has delusions of a persecutory nature and rather garrulous.  When talking, she tosses her head back, eyes upturned and says “God will care for us.”
May, 1918.  No change in patient’s mental condition.
Aug, 1919.  No change in patient’s mental condition, but suffering from dysentery.
Sep 10.  Patient physically well.
Nov 22.  Patient suffering from lobar pneumonia.
Dec 3.  Complications of pleurisy [ill.].
Dec 6, 1919.  Patient died at 1:10 p.m.  Lobar pneumonia (13 days), contr. Pleurisy.


History and clinical notes:
History:  Had a “stroke” April 3, 1915, affecting right side, he was confined to bed seven weeks and was unable to talk.  Has fair use of leg but uses arm very little.  Patient is restless and continually moving about, stubborn at times and inclined to violence.  Father and mother have always enjoyed good health and do not know of any mental or nervous affections in ancestry.
May 12, 1916.  Is sometimes destructive to clothing and bites his arms and legs.
Jun 14.  Very little change since last report.
Oct 2.  No change since last report.
Mar 15, 1917.  Memory impaired, is incontinent, destructive, and has convulsions frequently.
Jun 18.  Is very destructive, memory impaired, incontinent, has been suffering from hemorrhoids, has convulsions frequently.
Apr, 1918.  No change in patient’s mental condition.  Patient transferred to T.B. as he was suffering from tuberculosis of lungs.
Nov, 1919.  Patient has an attack of epidemic influenza.
Jan, 1920.  Patient is very weak, has to be kept in bed.
May, 1920.  Mentally and physically getting worse.
Jun 5, 1920.  Patient died this morning at 3:30 a.m.  Phthisis pulmonalis (2 years 2 months).

Additional notes:
Ledger says he is married, but clearly not.


History and clinical notes:
History:  Patient has been losing flesh for sometime and has a mitral murmur, when admitted he said “This is the crazy house and they are going to chain me to the floor until I am dead; won’t you give me time to prepare my soul before I die?”  No other history.
Apr 25, 1916.  Some physical improvement, but no mental change.
May 20.  Marked mental and physical improvement, is quiet and respectful.
Jun 24, 1916.  Paroled.
Oct 19, 1916.  Discharged recovered.

Additional notes:
Was living with his mother when first admitted to DSH.  Died /21/1920.


History and clinical notes:
History:  Has been acting peculiar for past two and half years, would wander away from home and follow her son to work and refuse to leave until he would take her home.  Is not noisy or violent and sleeps well at night.
Jan, 1918.  No change in patient’s mental and physical condition.
May 20.  The occipital part of patient’s head swollen.
May 27.  Multiple abscesses of the occipital part of patient’s head, two largish (??) incisions, cleaned the suppuration.  Patient is very weak.
May 31, 1918.  Another abscess on the left hand incised (??).
[No further entries].


History and clinical notes:
History:  Worked for P.R.R. until 2 years ago, when he was retired and pensioned; since that time he has been acting peculiarly, at times inclined to be violent and has made threats to kill members of his family.  Is very restless at times.
Apr 25, 1916.  Very noisy and destructive to clothing.
May 20.  No change since last report.
Jun 14.  Is not so well physically and was placed in bed.
Oct 2.  Some physical improvement but is noisy and untidy.
Mar 15, 1917.  Disoriented to time and place, incoherent, very talkative and noisy, is destructive, uncleanly, and untidy.
Nov 13.  Is very incoherent, noisy, and destructive, is very feeble and uncleanly.
Nov 1 [date makes no sense].  No change in mental condition since last report.
Dec 16.  Patient is very much weaker and is kept in bed; is very destructive, untidy, and uncleanly.
Jan 1, 1918.  Is in a comatose condition part of the time during the day, and very noisy at night, refuses food and is much weaker.
Jan 3, 1918.  Died.


History and clinical notes:
History:  Has been serving one year at Workhouse for assault (sentence completed) but for past 2.5 months has been very troublesome and always wanting to fight.  No other special history.
Apr 30, 1916.  Is better behaved, but at times becomes irritable when he asks to be allowed to go home and is refused.
Jun 14.  Condition about the same as when last reported.
Oct 2.  Some improvement and more inclined to obey rules.
Mar 15, 1917.  Is quiet and fairly well behaved, insists on going home.
Jun 12.  His manner and attitude is good, has been transferred to Ward 2 where he is usefully employed.
Jun 16, 1917.  Paroled.
Oct 20, 1917.  Discharged recovered


History and clinical notes:
History:  Present trouble dates back three years and closely followed the death of several members of her family.  Is very depressed at times.  No history of attempted suicide.
[No further entries].


History and clinical notes:
History:  No history other than patient is violent and threatened to kill his wife with a razor; also fought with the police while being brought to hospital.
Mar 30, 1916.  Confined to bed, has a valvular lesion, eats very little and is very stupid.
Apr 3.  Rapidly growing weaker and refuses nourishment.
Apr 7, 1916.  Died.  Val. Dis. of heart.


History and clinical notes:
History:  Has been drinking to excess and acting in a peculiar manner, cursed his wife and he says she struck him producing a contusion of eye.  He also says “he has been at Blockley and Norristown Asylum.”
Mar 30, 1916.  Was very noisy last night and imagined he saw all sorts of objects moving about the room.
Apr 4.  Very much better and is rational at all times.
Apr 8, 1916.  Paroled.
Aug 12, 1916.  Discharged recovered.

Additional notes:
Died in Philadelphia of skull fracture after falling in street, November 8, 1916.


History and clinical notes:
History:  No history other than patient has been a heavy drinker and lately has been depressed, also threatened suicide.  Does not live with his wife.
Apr 2, 1916.  Refused to eat, marked depression, infection of/on stitch abscesses; had to be “tubed.”
Apr 20.  Allowed to get up today, is rational and eating his regular meals.
May 17.  Is working on excavation for new building.
May 23, 1916.  Paroled.
Aug 12, 1916.  Discharged recovered.


History and clinical notes:
History:  Brought by officer – no history obtainable.  When admitted she was noisy and said “Chief Black kills people and allowed people to nearly kill me.”
[No further entries].

Additional notes:
Still at DSH in 1940 census.  Died at DSH 8/22/1959, buried in Spiral Cemeter, #665.


On certificate of:
Drs. George McKelway and James F. Massey

History and clinical notes:
History:  Has had epilepsy for past 31 years and attacks becoming more frequent lately.  Mother became insane at age 80 and a sister of patient died in DSH.
May 22, 1916.  Had a convulsion today, fell on floor, producing a lacerated wound over right eye.
Jun 14.  On account of falling frequently, he was placed in bed, has lost some flesh.
Oct 2.  Confined to bed and is very untidy.
Mar 15, 1917.  Has been having convulsions frequently, is kept in bed, uncleanly and untidy.
Jun 12.  Memory and judgment impaired, is incontinent, has convulsions which are epileptic in character, eats and sleeps well.
Nov 13.  No change in mental or physical condition.
Jan, 1918.  Frequently (sic) convulsions, very weak, kept in bed.
May 21, 1918.  Patient died in status epilepticus.  1 p.m.


History and clinical notes:
History:  Has been acting strangely for past 10 days – has a baby 5 months old.  Mother insane and at present in Cherry Hill Asylum, Maryland.  Husband states that she wanders from home and gets confused, is noisy at times.
[No further entries].


History and clinical notes:
History:  No other history than patient has been peculiar for past month, wanders about and seems to have no idea what she is doing and is very feeble.
Jan, 1917.  Patient very noisy at times, very violent, kept in restraint, physically very weak.
Jan, 1918.  No change in her mental condition; physically very weak.
May, 1918.  Had hemiplegia, kept in bed, weak.
Oct 29, 1918.  Patient died at 12:30 a.m.  Apoplexy.


On certificate of:
Drs. William Marshall, Jr., and Samuel M.D. Marshall

History and clinical notes:
History:  Has been in poor health for past year, has been worrying over the fact, at times he is noisy and inclined to be violent.  Is somewhat emaciated, imagines he has gonorrhea and numerous other maladies.
May 30, 1916.  Very little change since last report.
Jul 25.  No mental improvement, has numerous imaginary complaints.
Oct 2.  No improvement, is very disagreeable at times.
Nov 13, 1917.  Is depressed, troublesome at times, eats and sleeps well.
Jan, 1918.  Patient very weak, coughs a great deal, slight increase of temperature in the evenings.  No appetite.
May, 1918.  Failing health.  Very week.  Temperature very irregular.  Pulse always increased in proportion to fever.  Marked dullness on and above clavicles.  Bronchial breathing.  Respiratory heart murmur.  Pat. transferred to T.B.
Jul 18.  Patient getting very weak.
Jul 23, 1918.  Patient died at 11:15 a.m. from tuberculosis of lungs.  Phthisis pulmonalis.


History and clinical notes:
HHistory:  [Illegible – covered by paper] for past 12 years, apparently well prior to that time, has “spells” about 2 or 3 times a month at which time she is irritable.  Father and mother both healthy.
May 25, 1916.  Has occasional epileptic attacks but during the interim she is well behaved.
Jun 20.  No change since last report.
Jun 24, 1916.  Paroled.
Died at home 6/24/1916 [the day she was paroled].

Standard form attached:  Jun 24, 1916.  “I hereby remove my daughter from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [mother].”

Final disposition:
Paroled and died at home later that day.


On certificate of:
Drs. Irvine M. Flinn and Elwood I. Rogers

History and clinical notes:
History:  Was a former patient and was removed against advice of Supt.  For previous history, see Book VII page 394.
[No further entries].

Final disposition:
Still in hospital.  No further entries.  Name spelled differently from previous admission.

Additional notes:
Died 4/26/1944 at DSH.  Apparently was there continuously from this admission.


History and clinical notes:
History:  Patient had La Grippe 2 months ago, from which he seemed not to have fully recovered; one week ago he became very depressed and also had periods of excitement, says “I’m a living devil.”  Has been eating very little and is emaciated.
May 5, 1916.  Refuses to eat, lies upon floor, and attendants are compelled to carry him to meals; was “tubed” this a.m.
May 6.  Very weak and confined to bed, vomited immediately after being fed.
May 7, 1916.  Died.  Exhaustion from acute melancholia and inanition.

Final disposition:
Died of exhaustion from acute melancholia and inanition


History and clinical notes:
History:  Patient has always been of a morbid disposition.  Twenty five years also had an attack of melancholia which lasted 2 years.  At the time she set fire to herself and was severely burned.  After she recovered from the burns she gradually got better mentally, altho she had never been entirely right since.  About 12 weeks ago again became very much depressed and has gradually grown worse.  Has delusions characteristic of this disease.  Has been at the Homeopathic Hosp. for 3 or 4 weeks, but is steadily losing flesh and strength.

Additional notes:
In DSH for 1920 and 1930 censuses.  She died at DSH on 7/16/1933.  Buried at W&B Cemetery.


History and clinical notes:
History:  Parties who bring patient know but little of history.  Says he had a slight stroke of apoplexy due to arterio-sclerosis.  On admission very talkative, tongue appears thick and articulation difficult.  Very loud talker.  Is not vicious.  Appears to appreciate that he needs treatment.
May 30, 1916.  Is greatly confused and talks about R.R. signals, frequently drawing sketches of same.
Jun 14.  Very much improved, is quiet and rational most of the time.
Jul 25.  Wants to stay in bed and is depressed.
Aug 3.  Is up today and in better spirits.
Oct 2.  Is very depressed at times and spends a good part of his time in bed.
Dec 20, 1916.  Was taken home today by his wife against the advice of the Superintendent.  Paroled.
Jul 16, 1917.  Discharged improved.

Standard form attached:  Dec 20, 1916.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [wife].”

Additional notes:
Died in Elsmere, 1937, buried in Silverbrook.


History and clinical notes:
History:  Has been peculiar for past year, neglects her children and household duties, also wanders from home.  Has not been violent but is noisy at times.
May 20, 1916.  Has been very much disturbed since her admission, requiring restraint.  Quite incoherent in her conversation.
May 25.  Wrist (right) very much inflamed from using restraint.
May 26.  Wrist, very much inflamed, was opened this a.m.
Jun 1.  Wrist almost well.  Patient very rational and much improved in every respect.
Jun 18, 1916.  Was allowed to go home on parole.
Oct 10, 1916.  Discharged improved.

Additional notes:
She had a tough life, giving birth to many children (11-14 depending on source).   Including a set of twin boys as her first two, one of whom died when he was two.  She apparently never came back to DSH.  She died 11/26/1932 in Pennsylvania, and was brought back to Delaware for burial.  Photo available on ancestry.com


History and clinical notes:
History:  Was a former patient, for previous history see Book VI, page 451.  Patient has an account at Wil. Savings Fund and frequently draws from 50 to 100 dollars and loses the money in some manner and then accuses others of taking it.  Is not violent.
Jun 14, 1916.  Is quiet at all times but occasionally becomes bewildered, says he has no money and does not know what became of it.
Aug 4.  No change since last report.
Oct 2.  Bewildered at times and asks “what has become of my money?”
Mar 15, 1917.  Memory and judgment impaired, has many delusions, is disoriented to time and place, is quiet and well behaved.
Nov 13.  Disoriented to time, place, and person, is delusional.  Is rather feeble, but eats and sleeps well.
Nov 13, 1918.  Patient getting very weak, suffering from chronic valvular heart disease, put to bed, liquid diet.
Jan 20, 1919.  Patient died at 3:15 p.m.  Chronic valvular heart disease (9 months).


History and clinical notes:
History:  Has been acting peculiarly for past year and does not live with her husband.  Imagined she was going to be married to Dr. Bell and thought she was going to a clergyman when brought to the hospital.
Jan 17, 1918.  Fairly quiet since she came here.  At times has a violent temper and will strike those around her; swears a great deal during these attacks.
Jun 8, 1918.  Very little change.  Attacks not quite so frequent as formerly.  Was visited by her daughter today who removed her.  Paroled.
Oct 16, 1918.  Discharged improved.


History and clinical notes:
History:  Was found on Newport Pike a few days ago and when found it was thought she had been assaulted, being in a stuporous state and unable to talk.  When arraigned before court it was learned she had stolen some clothing from her employer but no one seemed to know how or what produced the condition she was found in.  When admitted, she would answer questions and was quiet.
Jun 17, 1916.  Has been very quiet and orderly since her admission.  Has worked very well on the wards.  Was visited by her husband today who removed her.  Paroled.
Oct 19, 1916.  Discharged recovered.

Additional notes:
She apparently recovered, and died in 1945.  Had two children.


On certificate of:
Drs. Francis L. Springer and L. Heisler Bell

History and clinical notes:
History:  Has been peculiar for past two years, is very stupid and unable to dress or undress herself.  Is very quiet.  Could not be cared for at home.
May 5, 1918.  Patient has been in bed for a few months; she can not walk, very unclean.  She does not talk; makes some noise.  At times was destructive; physically getting weaker.
Mar, 1920.  Patient has very bad decubitis.  Mentally and physically getting worse.
Aug 25.  Patient semiconscious; cannot swallow, had cerebral embolism.
Aug 28, 1920.  Patient died this evening at 7:45 p.m.  Cerebral embolism (3 days), Contr. Decubitus (5 months).

Final disposition:
Died of cerebral embolism and contributing cause decubitus.


History and clinical notes:
History:  Has been a man of good habits and always worked steady until Jan. 1916; since that time he has not been employed and has worried constantly, attempted suicide by gas.  Is rational in his conversation and well behaved.  Brought to hospital 5-28-16.
Jun 14, 1916.  Marked improvement; is not so depressed but complains that he does not rest well at night.
Jun 17, 1916.  Paroled.
Oct 19, 1916.  Discharged Rec.

Additional notes:
He died of "melancholia" on 10/5/1917, in Wilmington.  Is buried at Riverview.


History and clinical notes:
History:  Has been acting in a peculiar manner for past two years; is bewildered and walks about all night, at times is very irritable.
Jun 14, 1916.  Confined to bed for last 4 days, is slightly weaker and does not eat much; makes frequent inquiries about his watch and money.
Jul 14.  Is growing very feeble and more demented.
Aug 4.  Is emaciating rapidly and is very untidy.
Aug 9, 1916.  Died.  Chronic interstitial nephritis.


History and clinical notes:
History:  A former patient, for previous history see Book VII, page 364.  Has been drinking to excess and stopped 3 days ago.  Was very morose when admitted.
Jun 14, 1916.  Was very nervous for first few days but is not resting well at night.
Jun 30.  Very much improved, is eating and resting well.
Jul 15, 1916.  Paroled.
Oct 19, 1916.  Discharged recovered.


History and clinical notes:
History:  Was a former patient in this institution.  Has been drinking to excess and it is thought he has been taking drugs.  Was very excitable when admitted and incoherent in his conversation.  For previous history, see Book VI, page 494.
Jun 14, 1916.  Quiet since admission and works in dining room.
Jun 20.  Attempted to elope today.
Aug 1.  Is not so nervous but very talkative.
Oct 2.  No change since last report.
Mar 15, 1917.  Is very talkative, has some delusions, was taken out of the dining room because he was too noisy.
Nov 13.  Is very talkative, has many delusions, is working in the dining room.
Nov 28, 1917.  Was visited today by his mother who took him home against the advice of the Superintendent.  Paroled.
May 14, 1916.  Discharged improved.

Standard form attached:  July 28, 1916.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [mother].”

Additional notes:
In 1920 census he was at DSH.  He died on March 1, 1941, in Wilmington.


History and clinical notes:
History:  Has always been kept at home but his mother is getting old and in poor health and is not able to care for him.  At times he is very stubborn and resists, calls attention to his diamond? Pin and also his ring and new shoes.
Aug 4, 1916.  No change since admission.
Oct 2.  Is well behaved, gives us no trouble.
Nov 13, 1917.  Memory very poor, disoriented to time, laughs in a foolish manner, very irrelevant in conversation, physical condition good.
[No further entries].

History:  Has always been kept at home but his mother is getting old and in poor health and is not able to care for him.  At times he is very stubborn and resists, calls attention to his diamond? Pin and also his ring and new shoes.
Aug 4, 1916.  No change since admission.
Oct 2.  Is well behaved, gives us no trouble.
Nov 13, 1917.  Memory very poor, disoriented to time, laughs in a foolish manner, very irrelevant in conversation, physical condition good.
[No further entries].

Additional notes:
At DSH for 1920 and 1930 censuses.  He died at DSH on 2/10/1932 and is buried in Lombardy Cemetery.  COD says he was born in Germany.


History and clinical notes:
History:  Has been acting in a peculiar manner since Nov. 1915; his wife states that he has on several occasions struck her and is very cross and irritable, scolds the cows and chickens, also tears his clothes.  Quiet when admitted and seems content when told he was in a hospital for treatment.  Apparently in good physical health.
Oct 2, 1916.  Is very morose and has lost flesh, sleeps well but has a poor appetite.
Mar 15, 1917.  Is very destructive at times, has some delusions, is depressed; eats and sleeps well.
Nov 13.  No change in mental or physical condition.
Jan, 1918.  No change in patient’s condition.
Jul 20.  Patient getting very weak physically as result of gastroenteritis.
Aug 18, 1918.  Patient is slightly improving, but still very weak.  His wife and son came and took him home against the wish and advice of the Superintendent.  Paroled unimproved.
Jan 17, 1919.  Discharged unimproved.

Standard form attached:  Aug 18, 1918.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Dr. M.A. Tarumianz], Signed [wife].”

Additional notes:
Died 2/29/1920 of general paresis in Milford, Delaware.  Is buried in Slaughter Beach.


On certificate of:
Drs. Julius Dodd and William Wertenbaker

History and clinical notes:
History:  Was brought from “Blockley” June 16, 1916 but papers did not arrive until today [June 17].  Had La Grippe early in Feb. from which he did not fully recover, about that time his wife was employed in Phila., and he went from Lewes, Del. to visit her during which time he again became ill and was sent to Phila. Hosp., he was greatly depressed and had attempted suicide by drinking . Tr. Iodine.  When admitted to DSH he was depressed and fretful.
Jun 27, 1916.  Is not so depressed, and is eating more.
Jul 10.  Some improvement since last report.
Jul 21, 1916.  His parents requested his removal and he was delivered to the care of Dr. Hiram Burton at Wilmington, 3:30 p.m.  Paroled.
Oct 29, 1916.  Discharged recovered.

Standard form attached:  Jul 21, 1916.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [H.R. Burton], Signed [mother].”

Additional notes:
He died 4/25/1920 of TB in Pennsylvania, with his mother.  COD says he was a soldier.


On certificate of:
Drs. William H. Kraemer and L. Heisler Ball

History and clinical notes:
History:  Brought from N.C.Co. Workhouse where he has been undergoing sentence of 18 months for larceny.  No other history.
Jun 25, 1916.  Very stupid at times and rather contrary.
Jul 14.  Is restless and irritable at times.
Aug 1.  No improvement since admission; is nervous and fretful.
Oct 2.  No change since last report.
Mar 15, 1917.  Is depressed, has some delusions, is stubborn and resistive.
Nov 13, 1917.  No change in mental or physical condition.
[No further entries].

Additional notes:
5X8 card -- died 6/11/1965; diagn. 22.1, schizophrenia, hebephrenic type.


On certificate of:
Drs. P.W. Tomlinson and George W.K. Forrest

History and clinical notes:
History:  Officers know nothing of his history.  When taken on the ward became very violent.
Jun 21, 1916.  Very violent during the night.  A former patient, wad discharged improved July 18, 1913.  For previous history, see Book VI, 452.
Jun 23.  Violent constantly, beats his chest with his hands and is noisy; takes only small amount of nourishment.
Jun 24.  Rapidly growing weaker and cannot take nourishment.
Jun 25, 1916.  Died.  Exhaustion from acute mania, epilepsy.


History and clinical notes:
History:  Could not be care for at home; would wander away and get lost, is not violent.  Has a brother insane.
Jul 5, 1916.  Confined to bed, is very stupid and untidy.
Jul 14.  Rapidly growing worse; can only take liquid nourishment in small quantities.
Jul 26.  Refuses food and is rapidly sinking.
Aug 1, 1916.  Died.  Vascular disease of the heart.


On certificate of:
Drs. P.W. Tomlinson and William E. Sherwood

History and clinical notes:
History:  Brother who bring patient states that he was apparently well until four days ago when he suddenly became very nervous and incoherent in his conversation, imagines he has a number of patents and continually talks about these; boasts of his ability with his fists and cries “that he is not insane.”
Jun 27, 1916.  Quiet for past twelve hours and is more rational.
Jul 5.  Very much better, is well behaved and anxious to go home.
Jul 8, 1916.  Paroled.
Oct 19, 1916.  Discharged recovered.

Standard form attached:  July 8, 1916.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Davies], Signed [mother].”

Additional notes:
Was readmitted to DSH on 6/14/1918 and died there on 8/3/1918 of TB.  Buried at Silverbrook.


On certificate of:
Drs. Samuel M. Marshall and J. Lynn Pratt

History and clinical notes:
History:  Officer states that she has been a steady drinker for years.  About one month ago began to neglect her work and act peculiar – wanders from house, etc.
Aug 1, 1916.  Has been noisy and troublesome ever since her admission and very incoherent in her conversation.  Has to be restrained occasionally to prevent her interfering with other patients.
Sep 1.  No improvement mentally or physically.
Oct 1.  No special change.  Slight puffiness of lower limbs.
Oct 6.  Was placed in bed today as she has not taken food for two days.
Oct 8.  Is taking food now in sufficient quantity.
Oct 18.  Refused food today and was placed on a milk diet.
Oct 20, 1916.  Was seen by physician at 4 p.m., no marked change.  At 5:15 pm patient died quietly.  Acute nephritis.  Aortic insufficiency with acute nephritis complication.

Final disposition:
Died of acute nephritis and aortic insufficiency.


History and clinical notes:
History:  Was brought to police station (Wil.) on June 29, 1916; was very violent and attempted to chew the bars on the cells, was very dirty when admitted, also very nervous.  No history obtainable.
Jul 14, 1916.  Very much improved, is rational and rests well.
Jul 22, 1916.  Was visited by his brother today, who states that he has been a heavy drinker since he was 14 years old.  Paroled.
Oct 19, 1916.  Discharged recovered.

Additional notes:
Died in 1918, buried St. James Episcopal Church Cemetery.


History and clinical notes:
History:  Has been drinking to excess, but no other history obtainable.
Jul 14, 1916.  Very much improved, is quiet, rational, and sleeps well at night.
Jul 23.  Condition about the same as when last reported.
Jul 29, 1916.  Paroled.
Oct 19, 1916.  Discharged recovered.


On certificate of:
Drs. P.W. Tomlinson and J. Burton Rutherford

History and clinical notes:
History:  Brought to institution on July 3, 1916; papers arrived July 4, 1916.  Has been an inmate on 5 occasions.  For previous history, see Book VII, page 378.
Jul 29, 1916.  Has been quiet and rational since admission.
Aug 2, 1916.  Paroled.
Sep 1, 1916.  Was returned today by daughter who states that she wanders from home and at times threatens her children.
Jan, 1917.  Patient’s condition very much improving.
Jan, 1918.  No change in patient’s condition.  She is working around the dining room.
May 28, 1918.  Her son came to take her home.  She is very much improved.  She was taken home against the wish and advice of the Supt.  Paroled.
Oct 16, 1918.  Discharged improved.

Standard form attached:  May 28, 1918.  “I hereby remove my mother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Dr. M.A. Tarumianz], Signed [son].”

Also attached, ½ sheet of memo paper with letterhead of Dr. Hancker, Supt., Delaware State Hospital at Farnhurst.  Upper left: Wm. H. Hancker, M.D., Superintendent.  Upper right: Visiting days, Mondays, Wednesday and Saturdays 2 to 5 p.m.  Centered: Delaware State Hospital at Farnhurst.  Below left: All letters in regards to patients should be addressed to superintendent.  D. & A. Phone 1001.  Below right:  Farnhurst, Del., _________ [space for date].  Dates May 28, 1918.  Handwritten note: “I William C. White is (sic) permitted to take Mrs. Sarah R. White from the State Hospital and swears that he will remove her from the state of Delaware and that she will not be returned at any time to this hospital.”  Signed by the son, William C. White.  Marked with the imprinted seal of “John C. Bouchard, Notary Public, Delaware State Hospital, Farnhurst.  Appointed Nov. 15th 1917.  Term of Two Years.”

Additional notes:
Returned later, Volume VIII.  Died at DSH 11/19/1933, buried in Silverbrook.


History and clinical notes:
History:  Brought from N.C.Co. Hospital, has epilepsy and at times (before and after attacks) is noisy and violent.  Was a former patient at DSH.
Jul 14, 1916.  No change since admission, has had no attacks.
Jul 23.  Condition remains unchanged – no attacks.
Jul 24.  Transferred to Wd. 2.
Jul 25.  Threatened to injure attendant if he did not “turn him out” and was returned to Ward 4.
Aug 3.  Had 3 convulsions today.
Oct 2.  Very troublesome and is constantly restrained.
Jan 12, 1917.  Is talkative and troublesome at times, insists on going home, says he is most dead (sic) and will only live a few days, has convulsions occasionally.
Aug 1.  Is delusional, is very troublesome and talkative.
Aug 31, 1917.  Eloped.
Sep 29, 1917.  Returned today.  Was arrested in Middletown and returned by officers.
Nov 13.  Is very stubborn and resistive, violent at times, often makes threats against Drs. and attendants.  Is in continuous restraint.
Jul 15, 1918.  Patient tried to elope, put in steel restraint.  Very violent, always fighting with nurses.
Oct 13.  Patient suffering from epidemic influenza.
Oct 16.  Patient suffering from complication of lobar pneumonia.  It is almost impossible to keep him in bed.  Very restless.
Oct 22, 1918.  Patient died at 8 p.m.  Lobar pneumonia, as contributed by epidemic influenza.

Final disposition:
Died of lobar pneumonia (epidemic influenza).


History and clinical notes:
History:  Present trouble began 10 days ago when he became depressed and attempted suicide by cutting his throat.  No cause assigned for so doing.
Jul 14, 1916.  No improvement, is very morse [morose] and has but little to say.
Oct 2.  Is delusional at times but always quiet and respectful.
Mar 15, 1917.  Has some delusions, his manner and attitude is good, works about the ward.
Nov 13.  Is quiet and well-behaved, memory and judgment good.  No delusions or hallucinations elicited; is usefully employed about the ward.
[No further entries].

Additional notes:
Died 2/28/1921.  Buried in Greenwood Cemetery, Pa.


History and clinical notes:
History:  Brought by officers who could furnish no history.  Is constantly read[ing] a book entitled – Life of Billy Sunday.  Is somewhat depressed.
Jul 23, 1916.  Is not so depressed and rests well at night.
Aug 1.  Somewhat excited today but not violent.
Oct 2.  Condition unchanged.
Dec 1, 1917[1916].  Patient is quiet, manner and attitude good.
Jan 30, 1917.  Paroled.
Jul 16, 1917.  Discharged recovered.

Additional notes:
Died 9/1/1916 at Farnhurst.  Billy Sunday was a famous baseball player and evangelist of the times.  See http://billyandmasunday.blogspot.com/2007/04/billys-legacy.html


History and clinical notes:
History:  Father of patient states that he had “convulsions” when a child, but he “growed out” of them and they did not return until Jan 22, 1916, since which time he has not taken any food, was very week when admitted.
Jan 31, 1916.  Unable to move bowels by aid of catheter and enema had to be given, with good results.
Feb 2.  Eats very little and is very restless, bowels constipated.
Feb 5.  Has had severe convulsions, would not take food or medicine and received rectal alimentation.
Feb 7.  Growing weaker and still refuses food.
Feb 8, 1916.  Took a small amount of milk today.  Died.  Status epilepticus.  Epilepsy.


On certificate of:
Drs. J. Roscoe Elliott and Niles Westcott

History and clinical notes:
History:  Officer who brings patient states that he knows but little about him other than he is violent during attacks, breaks windows and furniture.
Jul 23, 1916.  Noisy and violent at times.
Jul 29.  Has occasional epileptiform attacks.
Sep 20.  Is a good worker and always talking about going home.  Has occasional epileptic attacks.
Oct 2.  No change since last report.
Jan 28, 1917.  Has been very violent and is in continuous restraint; tries to escape at night and is very troublesome.
Mar 15.  Is still in continuous restraint, has occasional epileptic attacks.
Nov 13, 1917.  Is quiet and well behaved, at times is violent, has convulsions occasionally, is in continuous restraint.
[No further entries].

Additional notes:
Two men of this name died at DSH, one 12/15/1934 and the other on 6/6/1949.


History and clinical notes:
History:  Was recently operated upon at Del. Hosp. for appendicitis and wound has not entirely closed yet.  After leaving hospital he was very nervous and talked about the sweet nurses at the hospital and purchased several cheap rings which he was going to present to the nurses.  Is quite talkative and says “I’m suffering from St. Vitus’ Dance.”  Was a patient in DSH in 1903.  For previous history see Book IV, page 426.
Aug 1, 1916.  Is very talkative, but otherwise well behaved, incision entirely healed.
Aug 25.  Very much better, is rational and eager to go home.
Sep 7, 1916.  Paroled.
Feb 6, 1917.  Discharged recovered.

Additional notes:
He was apparently fine for the rest of his life.  Never married.  Died in 1940.


On certificate of:
Drs. J. Roscoe Elliott and Robert Ellegood

History and clinical notes:
History:  A congenital imbecile and has always been cared for at home, but officer states that he no longer has anyone to care for him; is quiet but untidy.
Aug 25, 1916.  No change since admission, is usually very quiet.
Oct 2.  Condition about the same as when last reported.
Oct 28.  Has been in bed for sometime, is unable to care for himself, appetite poor.
Nov 2.  Patient is gradually growing weaker, refuses food, is unresponsive, pulse very weak.
Nov 3, 1916.  a.m.  Gradually growing weaker, will probably die today.  Died.  Lobar pneumonia.

Additional notes:
His father had died in 1911, his mother died in 1913.  He had surviving siblings, but I guess they weren't willing or able to care for him.


History and clinical notes:
History:  Brought by officer, but no history obtainable.  Quiet when admitted.
Aug 1, 1916.  Quiet and respectful, works about ward and is rational.
Aug 15.  Marked improvement and is an industrious worker.
Aug 21, 1916.  Paroled.
Feb 6, 1917.  Discharged recovered.


History and clinical notes:
History:  Brought from N.C.Co. Workhouse, where he has been undergoing sentence for shooting a police officer in Wilmington about 3 years ago; almost immediately following arrest he manifested signs of mental alienation, imagines he is to be castrated and has delusions of persecution.  When admitted he was sullen and had nothing to say.
Jul 29, 1916.  Asked to have restraint removed and says he never harmed anyone in his life.
Oct 2.  Quiet but bears watching and is in restraint.
Jan 12, 1917.  Has many delusions; is in continuous restraint, always complains of some illness, is well oriented to time, place, and person.
Nov 13, 1917.  No change since last report.
[No further entries].

Additional notes:
Buried at DSH, Grave #443. NOTE:  The pages 497-498 were deliberately removed from the ledger book.  The patient numbers continue uninterrupted.   At DSH for 1930 census.  Died at DSH 5/27/1935.


History and clinical notes:
History:  Has been acting peculiar for past 2 months, delusions of grandiose character.  Wasserman +4.  When admitted he was cheerful, took in his surrounds, and said “this will be a good place to stay for the summer.”
Jul 29, 1916.  Says “I am worth 50 million dollars” and owns thousands of acres of land in Delaware.
Aug 13.  Had a convulsion last night and is very stupid today.
Aug 15.  Brighter this morning.
Aug 20.  Having convulsions in rapid succession and is taking little nourishment.
Aug 24.  Rapidly growing weaker, unable to use left arm or leg.
Aug 26.  Removed to his home (via County Ambulance) by his father and Dr. H.C. Hickman.
Aug 26, 1916.  Paroled.
Oct 19, 1916.  Discharged unimproved.

Final disposition:
Discharged unimproved; taken away by his father in an ambulance when it was clear he was dying

Additional notes:
Died 8/30/1916; of heart failure consequent to syphilis.  Buried in Felton.


History and clinical notes:
History:  Brought by officers, no history obtainable.  Is rather feeble.
Aug 1, 1916.  Very restless and noisy, this a.m. required restraint.
Aug 5.  More tractable this a.m.  Glands of neck much enlarged, especially all on left side.  Parotid very much so.
Aug 6.  Swelling on left side very much increased, extending up to malar bone and back of ear.  Very hard.
Aug 10.  No reduction of swelling noticed.  Below left ear has begun to [illegible – looks like “poiset”].
Aug 11.  Abscess was opened this a.m. about ½ to a cup full of pus – tuberculous in character.  Has taken but little nourishment for several days.  Has been given predigested beef but has a great deal of difficulty in swallowing.
Aug 13.  No improvement; very much weaker.
Aug 15, 1916.  Has gradually failed and died at 11:20 a.m. [next line says 11:30 a.m.]  General tuberculosis.


History and clinical notes:
History:  No history obtainable but has probably been drinking to excess, was very nervous when admitted and clothes untidy.
Jul 29, 1916.  Very much improved, eats and sleeps well but at times slightly nervous.
Aug 1, 1916.  Marked improvement – is rational and eager to go home.
Aug 3, 1916.  Paroled.
Oct 19, 1916.  Discharged recovered.

Additional notes:
Died at the Homeopathic Hospital, occupation listed as "huckster".  Buried at Old Swedes.


History and clinical notes:
History:  Was brought to institution on July 25, 1916 but papers did not arrive until today, July 27, 1916.  Was “picked up” by Chester, Penna. Police while acting in a peculiar manner; his relatives were notified and they immediately sent after him and brought him direct to DSH.  Has been a patient on two former occasions and both times, removed against advice of Supt.  See book VI, page 455.
Oct 1, 1916.  No change since admission, is quiet and gives us no trouble.
Oct 18, 1916.  Paroled.
Feb 6, 1917.  Discharged unimproved.

Standard form attached:  Oct 18 1916.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [T.H. Harris], Signed [father].”

Additional notes:
Readmitted 4/19/1933, died at DSH, buried in Spiral Cemetery, #572.


Form:
acute mania, manic depression, manic type

History and clinical notes:
History:  Has been acting peculiar for past 5 years, was in University Hosp., Phila. for a short time under observation of Dr. Rhein.  Home condition are poor, husband drinks and abuses her because she spends most of her time in bed.
Aug 1, 1916.  Very restless and talkative since her arrival.
Aug 20.  Very much better in every respect.
Sep 3, 1916.  Was visited today by her husband who removed her.  Paroled.
Feb 6, 1917.  Discharged unimproved.

Additional notes:
Died 12/6/1918, buried in Catholic Cemetery.


History and clinical notes:
History: Had a stroke 2 years ago and since that time his mind has been gradually growing feeble.  No other history.
Sep 16, 1916.  Is quiet and was transferred to J.J.B.W. [Note: John J. Black Ward].
Oct 1, 1916.  No change since last report.
Mar 3, 1917.  Is quiet and well behaved.
Oct 26.  Is quiet and gives no trouble.
May 15, 1918.  No change in his mental condition, physically getting worse.  Patient unable to walk.
Jan, 1919.  Physically and mentally getting worse.
Sep 4.  Patient had a stroke this afternoon.
Sep 6.  Difficulty in swallowing.
Sep 18, 1919.  Patient died this morning at 12:15 a.m. of cerebral apoplexy, 13 days, contr. Arteriosclerosis, + 3 years 1 month, 18 days.


History and clinical notes:
History:  Was struck by an automobile about 5 weeks ago and has not been well since; no signs of fracture but is very forgetful and bewildered at times.  Quiet and rational when admitted.
Aug 4, 1916.  Is quiet but complains of headache and at times wanders from room to room.
Oct 1.  Noisy, untidy and is very weak, confined to bed.
Oct 19, 1916.  Was removed by relatives today in ambulance.  Discharged unimproved.

Additional notes:
Died at home 10/13/1916.  Buried in Delaware City.


History and clinical notes:
History:  Brought from police station, Wilmington; officer states he had some sort of “a fit.”
Aug 4, 1916.  Very noisy, attempts to sing most of the time.
Aug 27.  Is not so noisy, very little change mentally.
Aug 31.  Marked change today; was visited by friends and is entirely rational.
Sep 2, 1916.  Paroled.
Feb 6, 1917.  Discharged improved.


History and clinical notes:
History:  Brought from N.C.Co. Hosp.  No history obtainable.
Aug 27, 1916.  Eats and sleeps well and has given no trouble since admission.
Sep 16.  Is very quiet and was transferred to J.J.B.W.
Oct 1.  Condition unchanged.
Mar 24, 1917.  Is delusional, memory impaired, is usually quiet but troublesome at times.
Jun 20.  No change since last report.
Oct 26, 1917.  Is delusional, is very abusive while being shaved; is usually quiet.

Additional notes:
Died at DSH 7/2/1926, buried in Spiral Cemetery #356.


History and clinical notes:
History:  Brought from N.C.Co. Hosp.  No history obtainable.  Is very untidy but quiet.
Aug 27, 1916.  No change since admission.
Sep 1, 1916.  Has had epileptic convulsions during the night and is in Status today.  Died in status epilepticus.


History and clinical notes:
History:  Brought from N.C.Co. Hosp.  No history obtainable.  Has a fracture of middle 1/3 of humerus (R) but will not permit dressings to remain in place; union has taken place but position is faulty.
Sep 25, 1916.  No mental change; is able to use arm.  
Oct 1.  No change since last report.
Dec 28.  Untidy and troublesome at times, struck a patient today, and was transferred to a violent ward.
Mar 3, 1917.  Is incoherent, sings and is very talkative, untidy and troublesome at times.
Apr 1.  Eats very little and is failing physically.
Apr 27, 1917.  Has been rapidly growing weaker and died today at 6:30 a.m.  Died of general paresis.


History and clinical notes:
History:  Brought to hospital July 29, 1916 but owing to absence from city of Messrs. Kurtz and Cappelle (sic), certificate could not be signed and papers did not arrive until today (Aug 5, 1916).  Had a severe nervous attack one year ago from which she made a fair recovery but closely following this attack her husband died after a lingering illness and since that time she has not been well.  Is nervous and constantly picking threads out of her dresses, says she has committed a great sin and the Lord is punishing her.
Sep 1, 1916.  No improvement.  Is very restless at all times.  Walks the floor constantly and moans and talk to herself a great deal.
Jan, 1917.  No change whatever.
Dec 1, 1917.  Very little change since she came her; was removed by her brother-in-law today.  Paroled unimproved.
Oct 16, 1918.  Discharged unimproved.

Additional notes:
Died 8/10/1929, buried next to her husband Nelson in Wiilm & Brandywine Cem.


History and clinical notes:
History:  Has been failing mentally for past 9 years, at times does not seem able to recognize members of her family.  Wanders away from home.
Aug 13, 1916.  Very restless and extremely hard to care for.  Resists all attempts to care for her.  At times noisy.  Daughter visited her today and removed her.  Paroled.
Feb 6, 1917.  Discharged unimproved.


History and clinical notes:
History:  Father states that he (son) was always robust, athletic, and etc. until 18 months ago when he suddenly became dull, did not want to go out of the house, would not work and avoided company.  Father also says he has caught him masturbating.  Is morose at times.
Aug 27, 1916.  No marked change since admission.
Oct 1.  Is very morose and sits with head inclined.
Dec 28, 1916.  Is still depressed and untidy, was removed from the institution today by his step-father and mother, against the will of the Superintendent.  Paroled.
Jul 16, 1917.  Discharged unimproved.

Standard form attached:  Dec 28, 1916.  “I hereby remove my step-son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [J.W. McClellan], Signed [step-father and mother].”

Additional notes:
Died 1/24/1917 of pulmonary tb; buried in West Chester, NY.


History and clinical notes:
History:  A former patient under name of Emma Tole, married since discharged from hospital.  For previous history see Book VII page 166.
Aug 15, 1916.  Has been in bed almost continuously since her admission.  Respirations have been labored and there has been some tenderness over abdomen.  Heart action very irregular.
Aug 30.  No marked change.  Occasionally during past few days has [illegible words].  
Sep 2.  Respirations quite labored this p.m.  Heart action still irregular.
Sep 3, 1916.  Patient died suddenly at 2:30 a.m.  of valvular disease of the heart.


History and clinical notes:
History:  Has been acting peculiar for past 4 weeks, jumped out of second story window today and when asked why she did so she said “I was afraid somebody was after me.”  Had a contusion of left eye.
No further entries.


On certificate of:
Drs. Joseph C. Knowles and Anna C. Shipley

History and clinical notes:
History:  Very little history obtainable, but said he could not be cared for at home, unable to walk and is untidy.  Present condition supposed to have been brought on by grief, following death of his wife.
Aug 27, 1916.  Very untidy and confined to bed, difficulty in articulating.
Oct 1.  Confined to bed and very untidy – no mental change.
Dec 31.  Is very untidy and takes very little food and is gradually growing weaker.
Jan 4, 1917.  Died, valvular disease of the heart.


History and clinical notes:
History:  Has been in Mrs. Walters Private Hosp. since Aug 14, 1916 but could not be cared for longer.  Is rather weak, at times noisy and does not eat or sleep well.
Aug 18, 1916.  Very violent – so much so that she has to be restrained in bed.  Was very weak when she came.
Aug 20.  Very much excited and restless.  Has taken but little nourishment occasionally a small quantity of milk.
Aug 23.  Very much weaker.  Heart’s action very irregular and weak.
Aug 24, 1916.  Patient has been in comatose state for 24 hours.  Died 1:55 p.m.  Valvular disease of the heart.


History and clinical notes:
History:  Relatives state that she has been insane for past four years.  Lately has been very much worse.  Had to be carried into the Hospital.  Certificate states that she has attempted suicide.  Details of case could not be secured; relatives left as soon as she was placed on ward.
Sep 7, 1916.  Patient was allowed to go home today as there has been no indications of insanity.  Paroled; not insane.
Feb 6, 1917.  Discharged – not insane.

Additional notes:
1910, was living with her brother; 1920 was living with husband and nephew; died 11/23/1933 of vhd; buried in St. James Cem.


History and clinical notes:
History:  Brought by officers but no history obtainable.  Father was insane.
Sep 20, 1916.  Condition unchanged but has given no trouble since admission.
Jun 20, 1917.  Is delusional; has no insight into his condition; is usually quiet and well behaved.
Oct 26.  At times is profoundly depressed, Rhomberg sign present, pupils do not react to light and accommodations, eats and sleeps well.
Jan 16, 1918.  Patient has been in bed for some time and is very weak, eats very poorly, is profoundly depressed.
Feb 20, 1918.  Patient has been gradually growing weaker and died today 1:55 p.m.  Died from general paralysis of the insane.

Final disposition:
Died from general paralysis of the insane.  Romberg Sign is a test of balance with your eyes closed.


On certificate of:
Drs. J. Roscoe Elliott and E.H.F. Farlon (?)

History and clinical notes:
History:  No history other than present trouble followed immediately after attending a Camp meeting when he manifested some religious excitement.  Is quiet and rational at times and usually talks in a whisper.
Sep 10, 1916.  Is more inclined to talk and says “The people I lived with tried to poison me.”
Sep 20.  Denies above statement and is more rational.
Oct 1.  Condition remains about the same.
Nov 11, 1916.  Has steadily improved since last note.  His mother was here today and presented a letter from the Home Missionary Society, which allows her to remove him from the hospital.  Paroled.
Feb 6, 1917.  Discharged improved.

Letter attached:  Typed letter, letter head paper.  “The Home Missionary Society of the City of Philadelphia; For the Relief of the Poor and Care of Destitute Children.  Organized 1835.  Chartered 1845.  Unsectarian.  Sustained by the Charitable.  Geo. H. Stuart, Jr., President, The Provident Life & Trust Co., Treasurer, Samuel T. Kerr Secretary,., Rev. W. Arthur Warner, Superintendent.  Office: 533 Arch Street.”  Philadelphia November 11, 1916.  “Dr. William Hancker, State Institution for the Insane, Farmhurst (sic), Del.  Dear Sir: -- Will you kindly permit the bearer, Mrs. Statuti, to take Linden home with her this afternoon?  Thanking you for your interest in the boy, I am, Very truly yours, Lucy B. Abend, Children’s Department.  LBA:SLH.”

Additional notes:
He lived a long life, marrying, and having 3 children by the 1940 census.  He died in 1962.


History and clinical notes:
History:  Officers know but little of his history.  About 3 weeks ago began to take any automobile that he could find on the street or elsewhere.  Run around the city and then leave it.  Says he can’t help taking them.
Sep 15, 1916.  Is much better but still nervous, does not rest well at night.
Sep 25.  Very much better, eats and sleeps well.
Sep 30, 1916.  Paroled
Feb 6, 1917.  Discharged improved.

Newspaper clipping enclosed:  “Sanity Test for Cabot after Pranks.  Man who jumped into river believed to be mentally unbalanced.  “Water fine” when he took the plunge.  “Believed to be demented, Clement Cabot, aged 24 years, of No. 200 South Adams Street, is now in custody awaiting examination by Dr. George W.K. Forrest as to his sanity.  Cabot was taken into custody Sunday night at Eighth and Market Streets by Officers Charles Kane and McKeown after he had created considerable excitement by trying to drive off with three or four automobiles.  He was given a preliminary examination yesterday and held for observation and a second examination.  Charges against him are held up pending this examination.
	One week ago, Cabot, while a passenger on a Wilson Line boat jumped into the Delaware River as the steamer was nearing the wharf at Philadelphia.  He was rescued by members of the crew and turned over to the police.  They notified relatives her who brought the young man to this city.  Last night when asked why he had jumped overboard, Cabot said he did not know, but that he had had a good swim and the water was fine the day he took the plunge.
	Last night he climbed into an automobile standing in front of the Hotel Wilmington and tried to start it.  When he failed, he asked a man nearby to help him, saying he owned the car.  While the man was trying to help him out, thinking he did own the machine, the real owner rushed out from a nearby restaurant and wanted to know what Cabot was doing in the machine.
	Cabot then walked away, and later got into an automobile standing in front of Ainscow’s Café.  He was twisting and turning the steering wheel and declaring that he could not get the car going.  He had attracted a big crowd of people and finally the police arrived and arrested him.  When asked where his license was, he said he left it home, and when asked how many cars he owned along Market Street, he replied two.
	He told the police he was going on the stage next week and made other remarks which confirmed them in the belief that he is mentally unbalanced.”

Additional notes:
Died at DSH 3/24/1923 of general paralysis from syphilis.  From findagrave: Birth: 	Oct. 251888. 
Valley Forge
Montgomery County
Pennsylvania, USA
Death: 	Mar. 24, 1923
Farnhurst
New Castle County
Delaware, USA

Clemens was the son of Frank and Hedwig (Kykaczewski) Cabott. His parents were born in Poland. Clemens was born in Port Kennedy, a former industrial village located where route 422 crosses the Schuylkill River near Valley Forge in Upper Merion Township, Pa. Clemens was a morocco leather worker. His birthday is shown as October 18 on his death certificate, and as October 25 on his 1917 draft registration card. In 1917 he resided at 604 West 5th St.
 
 
Burial:
Cathedral Cemetery 
Wilmington
New Castle County
Delaware, USA
Plot: 1B BK-CP/WS LT-19 GR-4A


History and clinical notes:
History:  No history other than patient is noisy, violent and could not be cared for at home.
Sep 20, 1916.  Patient very much disturbed at all times.
Oct 2.  Was visited by her relatives today who removed her.  Paroled.
Feb 6, 1917.  Discharged unimproved.


History and clinical notes:
History:  Has been a RR conductor for many years and has always enjoyed good health, recently he took a very active interest in a political campaign and immediately following he showed signs of mental alienation.  Has been very noisy, violent, and profane.  Brought to hospital Sunday Sept. 3, 1916, papers arrived today 9-7-16.
Sep 15, 1916.  Marked improvement, is up and about ward but rather talkative.
Sep 21.  Continues to improve and is eager to go home.
Sep 29, 1916.  Paroled.
Feb 6, 1917.  Discharged recovered.

Additional notes:
He died 3/4/1924, of liver cancer and Chronic Bright's disease; buried in St. Georges cemetery.


History and clinical notes:
History:  Patient has been a steady drinker since he went to Spanish Amer. War.  At times he will go for a year or so without imbibing and then he will drink to excess.  Present attack started August 1st and he has been drinking steadily since.
Sep 18, 1916.  Is rational, works about ward and is very respectful.
Sep 22, 1916.  Paroled.
Feb 6, 1917.  Discharged not insane.


History and clinical notes:
History:  Patient was admitted first Jul 6, 1908; was classified at that time as an imbecile as he had always been more or less weak minded altho he was able to work at his trade.  Has been addicted to drink for years.  Attacks occurred irregularly.  Two weeks ago was began (sic) to drink to excess and couldn’t be cared for at home.  For former history see Book V, pg. 479.
Oct 1, 1916.  Some improvement but is still nervous and has a poor appetite.
Nov 22, 1916.  Paroled.
Mar 9, 1917.  Returned today by officers.  Has been disturbed since he left here and attempted to kill his sister by striking her with a brick.
Jun 20.  Memory impaired, no insight into his condition, struck an attendant on the ward and has been transferred to ward D. Is usually quiet and well behaved, physical condition good.
Oct 26.  No change in mental or physical condition since last report.
Apr 15, 1919.  No change in patient’s mental condition.
May 31.  While taking walk with the patients he escaped.  Paroled.
May 31, 1919.  Patient brought back at 10 p.m.

Standard form attached:  Nov 22 1916.  “I hereby remove my brother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [sister].”

Additional notes:
Died at Farnhurst, 3/6/1946 at the age of 74 of a cerebral hemorrhage.  Buried at Cathedral Cemetery.


History and clinical notes:
History:  Officers who bring patient know nothing of his history except that he had been drinking and had been arrested.
Sep 18, 1916.  Is rational and says, “I’ve been on a “jag” but no more for me.”
Sep 21, 1916.  Paroled.
Feb 6, 1917.  Discharged recovered.


History and clinical notes:
History:  Has been an inmate of Kent Co. Almshouse for a short time but was violent at times and could not be properly cared for.  Was quiet when admitted, but his gait was uncertain.
Oct 1, 1916.  Some improvement since admission, is quiet, eats and sleeps well.
Jun 1, 1918.  Upon examination found that patient has the following symptoms: general tremor, extreme miosis (sic), exaggerated knee jerks, quadriceps clonus, ankle clonus.  Observed considerable rigidity of muscles.  At times contractures.  Profound weakening of the muscles of the whole body.
Mar 1, 1919.  Patient mentally and physically getting worse.  Progressive enfeeblement of mind and paresis of body.  Patient speechless, filthy, helpless.  Put to bed.
Mar 3.  Patient lies in bed motionless, grinding his teeth.  Difficulty in swallowing due to weakness I the muscles of deglutition.  Wets and soils his bed.  Contractures developing.
Mar 11.  Patient had convulsive seizures over 24 hours.
Mar 12.  Scarcely can swallow food, lies motionless.
Mar 13, 1919.  Patient died at 5 pm.  General paralysis of the insane.


History and clinical notes:
History:  Has been blind and quite deaf for past 13 years, about one year ago his mind became affected but his family cared for him at home until the present when his wife became ill and could no longer care for him.  Is noisy at times but as a rule sleeps well at night.
Oct 1, 1916.  Very noisy and talkative at times, frequently calls for “Maggie.”  [Note: his wife].
Oct 9.  Confined to bed, unable to void urine, is catheterized every 6 to 8 hours, some oedema of feet and ankles.
Oct 15.  Growing weaker, only takes a small quantity of milk daily; heart muscles getting weak.
Oct 21.  In a semi-conscious state, skin clammy, stertorous breathing.
Oct 22, 1916.  Died – aortic insufficiency and acute nephritis.

Final disposition:
Died of aortic insufficiency and acute nephritis.

Additional notes:
His wife was caring for him at home until she fell ill.  Died 10/22/1916, buried at Riverview.


History and clinical notes:
History:  Brought by officers, was in a highly nervous state, twitching, snuffing, coughing and picking at his shirt; patient said “I’ve been using heroin” and when asked where he obtained it, he replied, “I can get all I want in Wilmington or Philadelphia, if I have the money to pay for it.”
Oct 1, 1916.  Very nervous but rational and says “no more dope for me.”
Oct 7, 1916.  Paroled.
Feb 6, 1917.  Discharged recovered.


History and clinical notes:
History:  Brought from Delaware Hosp., Wilmington, Del. where he had been undergoing treatment for past few days but became so noisy that he could not be cared for.  Had delusions of grandeur.  Had syphilis a few years ago.
Oct 10, 1916.  Has been very much excited and restless since he came here, runs up and down the hall and once or twice has attempted to fight when asked to do anything.
Oct 20.  More quiet and orderly, does not seem to realize that anything has been wrong with him.
Nov 11.  Has improved somewhat, but at times somewhat cross.  Was visited today by wife and removed him from the hospital against the will of the Supt.  Paroled.
Nov 20, 1916.  Returned.  Became very violent at home and his family could not care for him.
Dec 14.  Had convulsion today, which was epileptic in character.
Mar 3, 1917.  Is violent at times, has some delusions of grandeur.  Is in continuous restraint.
Jun 20.  No improvement, is incoherent, violent at times, is in continuous restraint, has convulsions frequently.
Oct 26.  Is confined to bed, memory very poor, has convulsions frequently.
Dec 5, 1917.  Has been very weak for several days and died today from general paralysis of the insane.  Died.

Standard form attached:  Nov 11, 1916.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [wife].”

Final disposition:
Died from general paralysis of the insane.


History and clinical notes:
History:  Son states that his father has been insane for past three years.  That he has been steadily getting worse.  In untidy, and pays no attention to calls of nature.  Wanders from home and talks very incoherently at times.  General health has failed lately.
Dec 1, 1916.  Has been quiet and orderly since admission.
Dec 14.  Has been quiet and well-behaved since admission, slept and ate well.  Died this morning rather suddenly, and did not complain of anything.
Dec 14, 1916.  Died of aortic stenosis.


Insane Relatives:
two sisters, one died here, another recovered

History and clinical notes:
History:  No special history obtainable but patient states that she had two sisters in DSH, one died and the other recovered.  See Book IV (4), page 368.
Jan 1, 1917.  Patient has been very noisy and troublesome ever since she came.
Mar 1.  Still very violent, noisy, and untidy.  Has to be restrained constantly to a chair.  Has steadily lost flesh and strength.
Aug 10.  No improvement whatsoever.
Sep 15.  Had a slight sinking spell today, pulse very irregular and dicrotic.
Sep 25, 1917.  Was noisy last night as usual.  This morning when day attendants went on duty found patient very weak.  Physician was called and found that patient was sinking rapidly, pulse hardly perceptible.  Died at 11:45 a.m.  Died of valvular disease of the heart.


History and clinical notes:
History:  Patient has been in the Workhouse for past 6 months (term expires in a few days).  Has been very noisy, vicious, and hard to control every since she has been in jail.  Very troublesome at night.  Details of the history not available.  Upon examination found a deep scar on right shoulder, possibly from a burning.
Jan, 1917.  No improvement in her mental condition; but upon examination found a tumor on her right shoulder, deep seated, very hard, diagnosis osteosarcoma.
Jan, 1918.  Patient getting very weak; mentally no improvement.
Nov 26, 1918.  Patient died at 6 pm.  Of osteosarcoma.


History and clinical notes:
History:  Brought by officer and enroute she broke a window in auto and also bit officer on the hand.  Patient said she assaulted Dr. Bell for making an indecent proposal to her and said we are in league with Dr. Bell.  Has not lived with her parents for several years.
Oct 19, 1916.  Patient was somewhat depressed when she came here, although for the last few days she has been somewhat more subdued.  Was visited today by relatives who removed her to Pittsburgh.  Paroled.
Feb 6, 1917.  Discharged improved.

Additional notes:
Apparently never married, had no children.  1930 census she was living as a boarder with unrelated folks.  From findagrave.com: Birth: 	Oct. 28, 1880
Jefferson
Allegheny County
Pennsylvania, USA
Death: 	Aug. 18, 1942
Jefferson
Allegheny County
Pennsylvania, USA

 
Family links: 
 Parents:
  John Work Snee (1832 - 1908)
  Margaret J. Huffman Snee (1837 - 1915)
 
 Siblings:
  Alfred W. Snee (1861 - 1918)*
  Harry Hamel Snee (1865 - 1933)*
  David A. Snee (1871 - 1927)*
  Sylvester J Snee (1876 - 1934)*
  Colena B Snee (1880 - 1942).  Died in 1942, buried in Pennsylvania.


On certificate of:
Drs. P.W. Tomlinson and Frank Roop Smith

History and clinical notes:
History:  Patient has been losing flesh for past 3 months, is very nervous at times.  Is an inveterate cigarette smoker and also masturbates, thought he was going to be shot when admitted.
Oct 18, 1916.  Removed by wife [sister] against advice of Supt.  Paroled.
Jul 16, 1917.  Discharged unimproved.

Standard form attached:  Oct 18, 1916.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [sister].”

Additional notes:
It was his sister Annie, not his wife, who removed him AMA.  He died at Farnhurst on 10/23/1951 of heart disease.  He had been at Farnhurst since 9/5/1925.  He is buried in Cathedral Cem., Wilm.


History and clinical notes:
History:  When patient was admitted face was bruised and both eyes were blacked.  Said he had been drinking.
Nov 4, 1916.  His wife removed him.  Paroled.
Feb 6, 1917.  Discharged recovered.


History and clinical notes:
History:  Has been an inveterate cigarette smoker and is very nervous.
Oct 20, 1916.  Continually saying “I’m alright but something is wrong with my head.”
Mar 3, 1917.  Is depressed, has no insight into his condition, says there is nothing wrong with him, is cleanly but untidy.  His physical condition is good.
Jun 20.  No change since last report.
Jun 30, 1917.  Was visited by his father and mother who took him home against the will of the Supt.  Paroled.
Jun 28, 1917.  Was returned today by Capt. Cannon of Milford, Del.  Patient had recently joined the military company and was found to be mentally incompetent and our “receipt” of a letter from the Supt. was returned.
Jul 30.  Was taken home today by his father.
Aug 11, 1917.  Returned today, could not be cared for at home.
Oct 26, 1917.  Memory very poor; acts very foolish, is cleanly but very untidy.
No further entries.

Standard form attached:  Jun 25, 1917.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [none], Signed [both mother and father].”

Final disposition:
Still in hospital.  Had been returned after being taken out AMA.  Never left again.

Additional notes:
Died at DSH on 9/2/1946 of pulmonary and kidney tb and heart disease.  Buried at Riverview.


History and clinical notes:
History:  Had a similar attack 4 or 5 years ago and recovered; present attack began 6 mo. ago; is very melancholy and will not talk.
Mar 3, 1917.  His mental condition is somewhat improved.  Is quiet and fairly well-behaved, has some delusions of grandeur and is irrelevant in conversation, also has some delusions about religion.
Jun 20.  Patient’s mental condition is somewhat improved; still has some delusions of grandeur, irrelevant in conversation, is quiet and well-behaved.
Oct 26.  Patient is profoundly depressed, is in a comatose condition at times, eats very poorly and is growing quite feeble.
Nov 8.  Is confined to bed, does not talk, appetite fair.
Dec 16, 1917.  Has been gradually growing weaker for some time.  Was unable to take nourishment today.  Died 3:00 today.  General paralysis of the insane.


History and clinical notes:
History:  Patient has been worrying over an accident which befell her husband in which he lost an eye.  Was noisy when admitted and attempted to escape.
Nov 8, 1916.  Has been noisy and troublesome since her admission.  Fights the attendants every opportunity she gets.  Has at times refused food for 3 or 4 days and has been in constant restraint since she came here.  Was visited by her husband today who removed her against Supt. advice.  Paroled.
Nov 9.  Was returned today by relatives who state that they could not care for her.  That she was very violent and that she broke the windows and was very destructive.
Dec 1.  Very noisy, violent, and destructive since she returned.
Jan 1, 1917.  No improvement; very hard to care for.
Feb 1.  No change.
Mar 1.  Still very troublesome.
Apr 1.  A little better for past few days.
Apr 17.  Was visited by her sister today, was allowed to go home on parole.  Paroled.
Oct 20, 1917.  Discharged improved.

Standard form attached:  Nov 8, 1916.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”

Additional notes:
Died 10/8/1917, a few months after leaving hospital for the second time.  No details about cause of death.  Buried in Cathedral Cemetery, Wilm.


Complications:
old fractured hip, can't walk, arteriosclerosis

History and clinical notes:
History:  Certificate states that she broke her hip about six years ago and that she has been unable to walk since.  Insanity manifested about 17 days ago.  Since that time has attempted suicide twice lately by taking poison.  Occasionally is noisy and troublesome.
Nov 1, 1916.  Has an old fracture of hip, leg quite distorted.  Very restless; sits on the floor and pushes herself along.  Has also a bad rectovaginal fistula, evidently of a long duration.
Dec 1.  Has been in bed almost constantly, takes her food and is very much more quiet than she was at admission.
Dec 30.  Very marked change this a.m.  Became unconscious and did not appear able to use her arms.  Was visited by husband in the afternoon.
Dec 31.  A little brighter this a.m.  but again, relaxed into unconsciousness in the afternoon.
Jan 1, 1917.  Patient slowly failed and died at 5:45 p.m.  Cerebral embolism.


History and clinical notes:
History:  Officers who bring patient are ignorant of the history of the case.
Mar 3, 1917.  Disoriented to time and place, has some delusions, no insight into his condition, memory and judgment impaired, sings, laughs, and acts very foolish.  Physical condition is good.
Jun 20.  No change since last report.
Oct 26.  Memory impaired, has no insight into his condition, disoriented to time and place, is untidy, laughs in a foolish manner, physical condition good.
No further entries.

Additional notes:
Never left the hospital.  Died in Farnhurst on 8/7/1960 after 43 years + at DSH.  Buried in Jewish Comm. Cem.  Died of cerebral edema and left cerebral infarction.  Son of Jacob and Anna.  Relative named Adolph.  Was a brush maker.


History and clinical notes:
History:  Had attacks of epilepsy which were rather pronounced during childhood, has occasional attacks but not so frequent as when she was young.  Dr. Riggini (??) states that patient and her husband do not get along well but he did not know upon which one to place the blame.  Is very morose at times.
Nov 8, 1916.  Has shown no indication of insanity since she came here.  Very quiet and orderly.  Told the attendant that he (her husband) abused her and treated her like a dog.  Was visited by her husband today who removed her.  Paroled.
Feb 6, 1917.  Discharged unimproved.

Final disposition:
Discharged unimproved.  Taken away by husband AMA.


On certificate of:
Drs. James S. Cobb and Edward S. Dewight (?)

History and clinical notes:
History:  Patient was brought here by son, who states that first symptoms of insanity were noticed about three months ago (difficult to read).  She was by herself, no one to care for her, she became very morbid at first and frequently wandered from home without any clothes on, has been steadily growing worse and as she has no relatives in the state she was brought to this institution.  On admission she was very feeble and had to be assisted to the ward.
Dec 1, 1916.  Has been in bed since her admission.  Is very weak.  This a.m. became suddenly worse.  Heart very irregular.
Jan 1, 1917.  Still in bed, very weak at times.
Jan 9., 1917.  Early this a.m. became very much worse, unconscious and stertorous breathing, continued to fail and died at 8:45 a.m. of Valvular Disease of the Heart.


History and clinical notes:
History:  Patient was brought here by an officer, who states that she quarreled with her husband Nov 4th, said she would have nothing more to do with him.  On Sunday Nov 5th, she dressed her children and threw them in the Delaware River; she then jumped in herself, the water was very shallow and she was later taken out.  She was taken to the Delaware Hospital, Wilmington, and discharged from there Nov 6th.  She has never been violent or given trouble in any way.
Jan 1, 1917.  Very little change since admission.  Very depressed and seldom talks to any one.
Feb 1.  Has improved somewhat since last note.  Works on the ward and is more cheerful.  Patient is 4 or 5 months pregnant.
Apr 17.  Very much better in every respect.
Jun 8, 1917.  Was visited by her husband today who removed her.  Paroled.
Oct 20, 1917.  Discharged recovered.

Additional notes:
Died in 1958, buried in Pennsylvania., Bucks County, Perkasie.  Irene Stopka. Killed her two daughters, tried to commit suicide.  Got better.  Husband took her back, they had 5 more kids, including two daughters named after the ones she drowned.  She lived a long life, has many descendants.


History and clinical notes:
History:  Patient brought here by Dr. G.H. Riggins, who states that she had been depressed about 5 years, following an operation for stenosis of the cervix in which an excision was done.  About one week ago she became very much worse and could not be managed at home.
Dec 1, 1916.  Very irritable and cross at all times.  Says she is not insane and threatens those who brot her here.  Will not assist in any kind of work.  Keeps by herself a great deal of the time.
Jan 8, 1917.  Was visited by her mother and father today who removed here very much against the advice of the Supt.  Paroled.
Jul 16, 1917.  Discharged unimproved.

Standard form attached:  Jan 8, 1917.  “I hereby remove my daughter from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [father].”

Additional notes:
Lola V.  Buried in Odd Fellows, Seaford.


On certificate of:
Frs. Mitchell Greenwood and P.W. Tomlinson

History and clinical notes:
History:  Brought by Mr. F.A. Davis, who states that patient has been acting queer about one month and has been growing much worse during the last few days; he has been unable to attend to his business.  Is very jealous of his wife and this seems to worry him.  Talks about being crazy and says he should be dead.  Has always been quiet and has never given any trouble at home.
Dec 8, 1916.  Has been gradually growing weaker since admission; was taken home today and probably will not live but a very short time.  Paroled.
Feb 6, 1917.  Discharged unimproved.

Additional notes:
Died 12/12/1916 of syphilis.  Buried in the Wilmington & Brandywine Cemetery.


Insane Relatives:
three mat. Cousins, 2 mat. Aunts, 1 pat. Grandparent

History and clinical notes:
History:  Brought by father who states that patient has been forging notes and taking things that did not belong to him for about one year, would not stay home and rambled from one place to another.  Works but very little and uses tobacco to an excess.  Was formerly in the psychopathic ward of the Philadelphia Hospital.
Mar 3, 1917.  Has been quiet and fairly well behaved since admission.  No delusions and his memory and judgment is fair.  Had an attack of rheumatism and has been in bed several days, but is much better today.
Mar 17, 1917.  Was visited today by his father, who took him home against the advice of the Supt..  Paroled.
Jul 16, 1917.  Discharged unimproved.

Standard form attached:  Mar 17, 1917.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [J.H. McClellan], Signed [father].”

Additional notes:
Lived with parents in 1930 census.  Died in 1962, buried in Carey's Cemetery in Frankford, Del.  Middle name Taylor.


Insane Relatives:
one daughter here, the other very nervous

History and clinical notes:
History:  The patient is mother of Mrs. M. Smith now in this institution.  This attack started about 1 year ago.  She began to neglect her household duties.  Since her daughter became insane she has gradually grown worse.  Lately has talked of suicide and has become very much depressed.  Says that her husband who has been dead for a number of years is alive and walking the streets.  Has been refusing food lately and has not taken anything for two or three days.  Has been losing flesh.  Died.


History and clinical notes:
History:  Officers who bring patient are ignorant of the history of the case.
Dec 9, 1916.  Has been quiet and orderly since admission and was allowed to go home today.  Paroled.
Jul 16, 1917.  Discharged recovered.


History and clinical notes:
History:  Brought by Mr. Fossett who states that he knowns nothing of the history of the case.
Jan 2, 1917.  Patient’s mental condition is somewhat improved, has been transferred to Ward 2.
Mar 3.  His manner and attitude is good, memory and judgment fair, no delusions or hallucinations, works about the ward.
Mar 13, 1917.  Patient is entirely well both mentally and physically, was allowed to go out on parole today.  Paroled.
Jul 16, 1917.  Discharged recovered.

Additional notes:
Died 11/4/1932, buried in Wilmington & Brandywine Cemetery.


History and clinical notes:
History:  Brought by wife, who states that about six years ago, patient became very forgetful, nervous, and could not feed himself or care for himself in any way, was incoherent and had some auditory hallucinations.  Has gradually been growing worse since that time, sometimes he does not recognize members of his family.  Has never been violent or destructive.
Dec 12, 1916.  Has been very quiet and orderly since admission.  Was visited today by his son, who took him home.  Paroled.
Feb 6, 1917.  Discharged unimproved.

Standard form attached:  Dec 12, 1916.  “I hereby remove my father from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [son].”

Additional notes:
Died 1/9/1917, shortly after he left DSH.  Died of cerebral hemorrhage, buried in Riverniew.


History and clinical notes:
History:  Brought by son who states that patient has been acting queer for about two years.  Wandered away from home once and has been troublesome since that time.  Is destructive at times and often hides his hat and shoes; has been growing worse rapidly.  Is incoherent and rather talkative.
Dec 15, 1916.  Has been incoherent, noisy and troublesome since admission.
Dec 25.  No change mentally, is rapidly growing weaker and has been confined to bed.
Jan 1, 1917.  Has refused all food for two or three days and died this p.m.  Died of chronic interstitial nephritis.


History and clinical notes:
History: Brought by Hester Waters, who states that patient has had convulsions since early childhood and has convulsions daily now and is usually disturbed for sometime after having convulsions.  Does not sleep well and is noisy at times.
Mar 3, 1917.  His mental condition is somewhat improved.  Has gained considerable weight since admission.  Is stubborn and resistive at times, is usually quiet and works about the ward.
Jan 18.  Is usually quiet and works about the ward, has convulsions occasionally, is stubborn and resistive at times.
Oct 26, 1917.  No change in mental or physical condition since last note.

Additional notes:
Died at Farnhurst, 5/22/1932.  Buried at DSH, Grave #405.


History and clinical notes:
History:  Brought by wife who states that patient has been in a depressed condition about four months.  Has delusions of persecution, refuses to eat his food at times, says his food is poisoned.  Is usually quiet and well behaved.  Gives a history of taking Bromides for several years.
Mar 6, 1917.  Has been quiet since admission, seems depressed, has marked delusions of persecution.  Insists on his wife leaving the hospital when she visits him, says he is afraid she will be murdered here.
Jun 18.  No change in mental condition since last note.
Jul 1.  Patient has been loosing (sic) rapidly in weight, eats very little, no mental change mentally (sic).
Jul 10.  Has been kept in bed, as he is unable to go (to) the dining room, is suffering from TB of intestines.
Jul 21, 1917.  Has been gradually growing weaker, took very little food, and died today at 7:50 pm.  Died of tuberculosis of intestines and pulmonary TB.


History and clinical notes:
History:  Brought from New Castle County Almshouse by Mr. Fossett, who states that he knows nothing of the history of the case.
Feb 4, 1917.  Has been in bed almost constantly since admission.  Very noisy and has been in restraint; during last 10 days has been quiet and was taken out of restraint, took her food fairly well.  Died.  Valvular heart disease.


History and clinical notes:
History:  Brought from New Castle Almshouse by Mr. Fossett, who states that he knows nothing of the history of the case.
May 10, 1918.  Upon examination found that patient has carcinoma of the right mammary gland in form of scirrhous (sic); mentally no change.
Jan 25, 1919.  Glandular enlargement in the axilla.
May 28.  The skin is destroyed, an ulcer has formed and around this ulcer the skin is red and filled with cancerous nodules.
Jan 5, 1920.  Marked cachexia.  Patient is getting weaker.
Feb 4.  Patient died this morning at 9:50. a.m.  Carcinoma of the breast.  Duration 1year, 8 months, 25 days.

Additional notes:
NOTE:  80593133 and 80603134 are mother and daughter; both brought by Stuart Hopkins on 12/13/1916.  Mother senile, daughter MR.  In 1910 census, the two were living in Northeast, Maryland.  Just the two of them, ages 75 and 41.  Names spelled Margete and Hannah.  In 1900 census, it was Margaret and her two daughters, including Hannah and her two daughters.


History and clinical notes:
History:  Officer who brings patient knows nothing of the history of the case.
Dec 27, 1916.  Has been quiet and orderly since admission; was visited today by his wife, who was allowed to take him home.  Paroled.
Jul 16, 1917.  Discharged recovered.

Additional notes:
Died of tuberculosis; buried at Cathedral Cemetery.


History and clinical notes:
History:  Patient has always been a heavy drinker and has been very immoral.  First symptoms about 1 year ago – would not work and was drunk almost constantly.  Certificate states that he has had syphilis and that the disease is paresis.  Has a bad sore on left elbow due to burn.  Is quite emaciated as lately he has refused food.
Dec 21, 1916.  Was critically ill on admission, refused food, and was unable to care for himself; has been gradually growing weaker and died this morning.  Died from exhaustion of general paresis.


History and clinical notes:
History:  Brought by brother who states that patient has always been forgetful.  Had first attack about 18 years ago, often ran away from home and made threats of suicide.  Is irrelevant in conversation and has delusions of persecution.  Has never been noisy, violent, or destructive.
Mar 6, 1917.  Is cheerful at times, at other times is depressed and talks very little; his memory is fair.  Is quiet, cleanly, and well behaved.
Jun 18.  No change in mental condition since last note.
Oct 26.  Memory fair, seems depressed at times, is usefully employed in dining room.

Additional notes:
Form dated July 2, 1920.  Negative Wasserman.  At DSH until his death on 6/22/1941.  Died of heart disease, buried at Silverbrook.


History and clinical notes:
History:  Has had convulsions which are epileptic in character for 10 years, usually has convulsions at night and is quiet in the daytime.  Is incoherent in her replies and often undresses herself several times during the night.  Has been cared for at the Home for Homeless and Destitute Children and has given no trouble.

Additional notes:
She was at DSH in 1920, 1930, and 1940 censuses.  She died there 1/6/1945 and is buried at DSH, Grave #564.


History and clinical notes:
History:  Patient’s child was run over by a trolley car and killed 3 years ago; she was a witness of the accident.  For a long time was very melancholy and depressed.  One month ago had a child and since that time has been quite disturbed at times.  Relatives were afraid that she might injure her children as she neglected them, and at time very irritable which was not usual with her.  Has lost flesh.
Apr 25, 1917.  Patient has remained in the same condition mentally since she came here.  Was removed from the Hospital today against advice of Supt.  Paroled unimproved.
Oct 20, 1917.  Discharged unimproved.

Standard form attached:  Apr 25, 1917.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [blank], Signed [husband].”

Additional notes:
Died at DSH in 1933 of pulmonary TB, after having been there since 1921.


History and clinical notes:
History:  Has been admitted to the New Castle Co. Hospital several times, when admitted the last time became very noisy, destructive and violent at times.  Is incoherent and rather surly.  Has no friends or relatives.
Mar 6, 1917.  His mental condition is somewhat improved, memory and judgment fair, has good insight into his condition.  Is quiet and was transferred to Ward 2.
Apr 2.  Has been depressed and rather resistive during past week, eloped today and attempted to drown himself in the Christiana Creek.  Also made threats against those who captured him.  Was returned to Ward 4.
Apr 20, 1917.  Has been quiet and well behaved since he eloped April 2nd and was allowed to go home today.  Paroled.
Oct 20, 1917.  Discharged recovered.

Additional notes:
Died on 5/22/1922.  Buried in the Cemetery in the Woods, fromNCCH/Almshouse.


History and clinical notes:
History:  Officer who brings patient knows nothing of the history of the case.
Mar 6, 1917.  His mental condition is somewhat improved.  Is quiet and works about the ward, says he had too much religion when he came and never expects to be possessed with the “spirit” again.  His physical condition is good.
Jun 18.  Is troublesome and incoherent at times, has many delusions about religion.\
Oct 26.  Is delusional, very troublesome at times, is in continuous restraint.
May 20, 1918.  No change in patient’s mental condition.
Jan 1920.  Has the same delusions about religion.
Mar 12.  Patient has an attack of influenza.
Mar 16.  Patient has complications of lobar pneumonia [illegible].
Mar 22, 1920.  Patient died this morning at 10 a.m.  Lobar pneumonia, 7 days.


History and clinical notes:
History:  Officers who bring patient state that he has been very violent and attempted suicide about two months ago by cutting his throat.
Mar 6, 1917.  Is stubborn and resistive at times, has had several attacks of rheumatism, but is improving.
Jun 18.  Patient’s mental condition is somewhat improved, but still has some delusions, says that everybody gives him a shock with electricity.  Is stubborn at times, but is usually quiet and well behaved.
Oct 26.  No change in mental or physical condition since last report.
Jun 1918.  No change in patient’s condition.
Jun 24, 1918.  Patient has been out working, when eloped, went to Wilmington, 920 W. 6th St., the same night brought back.


History and clinical notes:
History:  Brought by Dr. J.B. Stubbs, who states that patient had convulsions at the age of 5 or 6 years.  His mental condition has always been poor.  At present he does not sleep well, is always constipated, seems to have some delusions, is quiet and fairly well behaved, used alcohol to an excess.
Mar 7, 1917.  Seems depressed, tried to climb the walls in the ward and was kept in restraint for several days.  At the present time is quiet and fairly well behaved.
Jun 18.  Is depressed, incoherent at time, is untidy.
Aug 1.  Mental condition is somewhat improved, physical condition good.
Oct 24, 1917.  Patient has gained considerable weight.  Is in good mental condition.  Was visited today by his mother, who took him home.  Paroled.
May 14, 1918.  Discharged recovered.

Additional notes:
5X8 card says he was transferred to Marion Nat'l San., Ind. 3/4/21.  Died 7/21/1923 in the US Veterans Hospital of Oteen, N.C. of TB.  Sent back to Delaware for burial.  He had registered for WWI draft on June 5, 1918.


History and clinical notes:
History:  Brought by husband who states that patient has been acting queer for several years, after wandering from home and one time remained away two days and two nights.  Is destructive at times, does not recognize her friends at times.  Has some delusions and is often excited at night.
Mar 1, 1917.  Very talkative at times and quite restless.  Is not very strong.
Apr 17.  Was placed in bed today to keep her from being injured by other patients as she is constantly interfering with them.
Jul 17.  Still in bed.  Mutters a great deal, cannot understand what she says.  Has been suffering from nephritis ever since she came here.
Sep 17.  Still in bed and very much weaker.
Nov 17.  No improvement.  Has steadily lost flesh and strength; still confined to bed.
Nov 25, 1917.  Patient has continued to fail and died at 4 am.  Chronic interstitial nephritis.


History and clinical notes:
History:  Patient was arrested 2 years ago for shooting a man; was given a 3 year sentence.  Still has 18 months to serve.  Ever since he was arrested has been acting peculiar.  At times is very violent, tears his clothing and is noisy.  While again he is very quiet and orderly.  Has attempted suicide by cutting his wrists and neck with a piece of glass.
Mar 7, 1917.  Is very stubborn and resistive, violent at times, has some delusions.  Is in continuous restraint.
Jun 18.  Patient’s mental condition is improved, he is quiet, manner and attitude good.
Jul 2, 1917.  Has been quiet and well behaved; was visited today by his friends, who took him home.  Paroled.
Oct 20, 1917.  Discharged recovered.

Additional notes:
Died at DSH on 5/24/1921, buried at DSH, Grave #323.


History and clinical notes:
History:  Brought by officer who states that he knows nothing of the history of the case.
Mar 10, 1917.  Has been quiet and well behaved since admission, memory impaired, manner and attitude good.  Is cleanly and tidy.
Apr 19.  Patient’s brother states that he had been drinking previous to six months ago, and averaged about one quart per day.  Had a fall about six months ago, and was said to have a fracture of skull but recovered.  A diagnosis of paresis was made by Drs. of Wilmington.
Oct 26.  Has many delusions, conversation irrelevant, is rather surly at times; is cleanly and tidy.
Jan 1919.  Very cross and irritated.  Full of delusions.
Sep 1919.  Has been failing of late, placed in bed today.
Oct 1.  Very much worse.  Kidneys are diseased.
Oct 9, 1919.  Patient died at 5:20 a.m.  Died of chronic interstitial nephritis.


History and clinical notes:
History:  Brought by Mrs. Clough, who states that patient’s condition has been stationary for 25 years.  Is always quiet and well behaved, has never been violent.  Is incoherent and mentality very poor, has been very deaf for several years.
Aug 2, 1918.  Patient has oedema of legs, upon examination of patient’s urine found albumin and casts, put on special diet.
Jan, 1919.  No change in patient’s mental condition, physically getting worse.
Aug 2.  Patient kept in bed, condition very critical.
Aug 7, 1920.  Patient died at 3:05 p.m.  Chronic interstitial nephritis, 2 years and 5 days.

Final disposition:
Died of chronic interstitial nephritis, 2 years and 5 days.


History and clinical notes:
History:  Son states that his father has worried a great deal for some time on account of his Negro tenants leaving and not paying their rents.  Last Saturday the first symptoms of insanity was noticed – began to talk a great deal about religion and refused to eat and in fact has taken no food with the exception of a cup of coffee since that time.  Bowels have not moved for several days.  He also stated that his father was suffering from some kidney trouble.  On admission, patient was very feeble and tottering.  Has been failing rapidly physically for several days.
Feb 12, 1917.  Has been very noisy and troublesome since admission, but very feeble and gradually grew weaker and died today.  Died of interstitial nephritis.


History and clinical notes:
History:  Man who brings patient did not get off train, as he was on his way to Wilmington; therefore no history was obtained.
Mar 10, 1917.  Has been very stubborn and resistive since admission; has some delusions, is incoherent at times, is in continuous restraint.
Jun 18.  Patient’s mental condition is somewhat improved, is rather stubborn and resistive.
Oct 26, 1917.  Is rather surly at times, is usually quiet and well behaved, seems rather depressed.

Final disposition:
Still in hospital.  Was put of train at Farnhurst Stn.


History and clinical notes:
History:  Left in the hall by nurse from New Castle Almshouse.  For former history, see Book VI, page 396.

Additional notes:
Was at DSH until her death on 4/18/1955 of heart disease.


History and clinical notes:
History:  Officers who bring patient could not furnish any history of the case.
Mar 10, 1917.  Has made great improvement both mentally and physically since admission.  His memory and judgment is good, manner and attitude good, was transferred to Ward Two and is usefully employed about the ward.
Mar 13, 1917.  Patient has entirely recovered and was allowed to go out on parole today.  Paroled.
Jul 16, 1917.  Discharged recovered.

Additional notes:
Died of a skull fracture, 12/22/1927.  Buried in Milford, Md.


History and clinical notes:
History:  Officers who brot patient know nothing of his history.
Mar 13, 1917.  His mental condition is somewhat improved; is still depressed, is usually quiet, has some delusions.
Jun 18.  Is usually quiet, conversation irrelevant at times, physical condition good.
Oct 26.  No change in mental or physical condition since last report.
Jan, 1918.  No change in patient’s condition.
Apr 20.  Patient’s right knee swollen.
May 24, 1918.  Abscess of right knee opened by a longit. Incision.  Very large suppuration.
No further entries.

Additional notes:
1930 census, still in DSH.  Died at DSH 1/8/1957.  Buried in Spiral Cemetery, #649.  Was at DSH for almost 40 years.


History and clinical notes:
History:  Weak minded three months.  Last Sunday a week had a slight attack; lost consciousness for about two hours, since that time has been very noisy and troublesome, would not himself (sic – perhaps “was not himself”?) tears his clothes.  Last night was unconscious about one hour, is very noisy at night, takes only liquid food.
Feb 24, 1917.  Was in a critical condition on admission; took very little food and soon became very weak and died today, 5:20 a.m.  Died of Pachymeningitis.


History and clinical notes:
History:  Brought by officers who know nothing of the history of the case.
Mar 13, 1917.  Patient is disoriented to time, place, and person.  Is catatonic, uncleanly and untidy; is unable to walk alone and is kept in bed, eats very little, liquid diet only.
Mar 25, 1917.  Has been gradually growing weaker, has been very rigid (opistatinous??) for two weeks and died today.  Died of Pachymeningitis.

Additional notes:
Buried in Spiral Cemetery, Grave #271.  Burial record says he is 32 years old.


History and clinical notes:
History:  Officers who bring patient know nothing of the history of the case.
Mar 13, 1917.  Seems depressed, has delusions of persecution, has never been violent, is usually quiet.  Physical condition good.
Jun 18.  Patient has improved mentally, is quiet and well behaved, no delusions or hallucinations elicited; has gained in weight since admission.
Oct 26, 1917.  No change in mental or physical condition since last . . . .
No further entries.


History and clinical notes:
History:  Relatives state that she had a slight “stroke” about 3 months ago.  Was unconscious but a short time.  Talk a little incoherent for a few days but rapidly regained her usual health.  Five days ago had another slight attack.  Since that time, she has been somewhat hard to control and is at times noisy at night.
Mar 1, 1917.  Very restless, follows the nurses among the ward most of the time.
Mar 23.  At 5 p.m., patient fell to floor in convulsions.  On examination the spasms were confined to the left side and right side was paralyzed.  Convulsions continued until 10 p.m.
Mar 24.  This a.m. recognized her daughter.
Mar 31.  No change mentally; her physical condition slightly improved; was visited today by her relatives who took her home against the advice of the Supt.  
Mar 30, 1917.  Paroled.  [Note issue with date].
Jul 16, 1917.  Discharged unimproved.

Standard form attached:  March 30/31, 1917.  “I hereby remove my mother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [J.H. McClellan], Signed [son].”

Additional notes:
Died 1/3/1919 of cerebral apoplexy, buried in Silverbrook.


History and clinical notes:
History:  Some time ago, patient’s wife was left $16,000.  He has spent that amount since that time.  5 days ago he became very troublesome and destructive.  Has been drinking very heavily recently and his condition rapidly growing worse.
Mar 13, 1917.  Patient has improved both mentally and physically.  His manner and attitude is good.
Mar 21, 1917.  Has been rational for some time and was allowed to go home today.  Paroled.
Jul 16, 1917.  Discharged recovered.

Additional notes:
Died 2/25/1945 of myocarditis and rectal cancer.


History and clinical notes:
History:  For former history see Case Book 6, page 10 (Ruth Griffin).
Mar 1, 1917.  Has been very quiet and orderly since admission.  Lately has been working in the Laundry.
Mar 3, 1917.  Friends visited her and removed her.  Paroled.
Jul 16, 1917.  Discharged recovered.

Additional notes:
Readmitted to DSH 6/6/1928, died at DSH 11/30/1945.  Buried at Mt. Zion.


History and clinical notes:
History:  Brought by officers who state that they know nothing of the history of the case.  
Mar 13, 1917.  Is very noisy, talks continually, has many delusions of grandeur, insists on going home, says he is only here on a visit.
Apr 1.  Is very noisy and troublesome, is gradually growing weaker.
Apr 11, 1917.  Has been noisy and talkative until early today, we he became very weak and died 1:15 pm.  Died.


History and clinical notes:
History:  No history obtained.
Mar 13, 1917.  Has improved both mentally and physically since admission.  Is quiet and well behaved, has no delusions and is cleanly and tidy.
Mar 24, 1917.  Mental and physical condition good, was allowed to go home today.  Paroled.
Jul 16, 1917.  Discharged not insane.

Additional notes:
Died 5/16/1942, buried in Spiral Cemetery, Grave #533.


History and clinical notes:
History:  Brought by father, who states that he has been drinking heavily for several months and about two weeks ago began to have hallucinations, did not sleep at night, rambled about the house and father could not care for him.
Mar 13, 1917.  Patient has been rational since admission.  Has no delusions or hallucinations, his manner and attitude is good, eats and sleeps well.
Mar 24, 1917.  Patient has improved physically and has been rational since admission and was allowed to go home today.  Paroled.
Jul 16, 1917.  Discharged not insane.

Additional notes:
Died at NCCH/Almshouse on 8/24/1926 of TB.  Buried in Cherry Hill, Md.


History and clinical notes:
History:  Patient was talkative for a few weeks, had skin eruptions which disappeared after treatment.
Jun, 1918.  Patient’s mental and physical condition improved.
Jun 22, 1918.  Her brother took her home as patient was recovered.  Rec.
Oct 16, 1918.  Discharged recovered.

Additional notes:
First name Sarah A.  Buried at Cathedral.


History and clinical notes:
History:  Husband states that one of her children died last April and since that time has been very much depressed.  Since last August has seldom spoken to any one unless she gets crossed in any way, when she becomes very irritable and cross.  Her appetite has been fairly good and she has rested well at night.  Patient looks anaemic and poorly nourished.
Mar 1, 1917.  Patient very melancholy and depressed when first admitted.  Is very much better in every respect.
Jun 1.  Is talkative and assists in light work.  Very much better.
Jun 18, 1917.  Was visited by her husband today who removed her.  Paroled.
Oct 20, 1917.  Discharged recovered.

Additional notes:
Child died.  Never had any more kids.  Died 11/14/1968, buried in St. Johnstown Cemetery.


History and clinical notes:
History:  Patient has been at P. & S. Hospital.  Is suffering from locomotor ataxia probably due to syphilis.  Is perfectly helpless.  Had to be carried up stairs.  No history obtainable.
Jun 18, 1917.  Has been confined to bed since admission, being unable to stand.  His mental condition is somewhat improved.  Memory impaired, is cleanly and tidy, conversation irrelevant at times.
Aug 1, 1917.  Patient has improved both mentally and physically, no delusions or hallucinations, eats and sleeps well.
Sep 25, 1917.  Manner and attitude good, is able to walk about the ward and dress himself.  Was allowed to go home today.  Paroled.
May 14, 1918.  Discharged recovered.


History and clinical notes:
History:  Brought by husband who states that patient has been acting queer for one year and has been gradually growing worse; says the devil is after her, often cries but is usually quiet.  Has hypochondriacal delusions, was excited very much on admission.
Mar 27, 1917.  Very restless since admission, constantly asks to go home.  Was visited by her husband today who removed her against the advice of the Supt.  He states that he was going to take her to a private institution at Stamford, Conn. where she was formerly confined.  Paroled.
Jul 16, 1917.  Discharged unimproved.

Standard form attached:  Mar 27, 1917.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [Wm. H. Hancker], Signed [husband].”

Additional notes:
Died on 7/22/1945 of esophageal cancer, buried at Mt. Lebanon, Pennsylvania.


History and clinical notes:
History:  Brought by officers who know nothing of the history of the case.
Apr 2, 1917.  Was visited today by his wife who states that patient became insane while on his way to Wilmington from Montana.
Jun 18.  Patient speaks very little English, has been very talkative at other times very quiet and well behaved, cries often and is depressed.  Is cleanly and tidy, physical condition good.
Oct 26.  No change in mental or physical condition since last report.
May, 1918.  Patient transferred to Cottage, very quiet, still having delusions of persecution, and he thinks somebody is watching him here and that he was being watched since he left Switzerland.
Sep 15, 1918.  Patient improving very nicely.
Oct 1.  Patient works in the kitchen, doing very nicely.
Jan, 1919.  Patient works still in the kitchen, goes to town once or twice, no trouble at all.  Very pleasant.
May 15, 1919.  Patient went to Phila. to meet his wife and arrange for the trip to Switzerland.  Paroled.  Recovered.
Jun 4, 1919.  Patient sailed for Switzerland on “Ladonia” (Latonia?).
Dec 30, 1919.  Discharged recovered.

Newspaper article attached:  “Loses mind again while on trip to Wilmington”
Paul Andre, aged 66 years, who arrived here late last night with his wife from Chester, Montana, accompanied by railroad detectives, being deranged mentally, was committed to the State Hospital for the Insane today.  The aged man had been in a hospital in Montana for the same trouble, and after recovering temporarily he started for this city to visit a daughter living near Ninth and Jefferson Streets.
Andre came to this country from Switzerland nine months ago with his wife, to visit his son in Montana, and while there he became insane.
According to the railroad officials the aged man became insane while bound for this city, and had to be guarded by railroad officials to prevent him from harming his aged wife.  The local police were indignant at the railroad authorities bringing the aged man here to become a patient at a Delaware Hospital, when he had been under treatment in an institution in another State.”

Note attached , nice paper, folded, with “Wilmington, Del.” printed at the top.  Hand-written in ink.  “Dear Dr. Hancker, The post card I sent father yesterday just missed him this morning.  We are sending father back to come and fetch his little belongings; as father has an interview with the French Consul tomorrow morning in Philadelphia.  They got the permit and we hope you will be so kind and let him come now; to be understood he won’t be back any more.  Thanking you for the many favors rendered to father in great appreciation of this, I remain, Yours very truly, Mrs. H.C. Ullmann.”

Additional notes:
5X8 card says Albert Andre; Daughter Elise Alice Anderes, married Henry C. Ullman, who both died in 1931 and are buried in Riverview.  Albert Anderes is correct name.


History and clinical notes:
History:  Father does not know anything about the acute attack.  Patient had typhoid fever about six weeks ago, recovered, and went to Wilmington to secure work.  The indications are that he has been drinking to excess.  Talks a great deal about the war, about bursting shells, etc.
Apr 5, 1917.  Has improved both mentally and physically, is quiet and well behaved, was visited today by his mother who took him home.  Paroled.
Oct 20, 1917.  Discharged recovered.


History and clinical notes:
History:  Has been in the Delaware Hospital, Wilmington, about two or three weeks, has a history of having convulsions before her admission there; she was very talkative, disturbed all the patients on the ward and became very troublesome; her son died while there but she could not realize that he had died.
No further entries. [Was still in DSH in 1920]

Additional notes:
1920 census, still in DSH.  There is an Anna Minniman who died 6/23/1936 and is buried in Cathedral Cem., Wilm.  Probably her.


History and clinical notes:
History:  About one week ago went into a grocery store and made an attack upon his wife, who had just gone into the store.  Quiet on admission and gave no trouble.  
Jun 18, 1917.  Has been very talkative and troublesome since admissions; is in continuous restraint, violent at times, has some delusions, insists on going home.
Aug 23, 1917.  Is very violent and troublesome, delusional, is in continuous restraint.
Oct 26, 1917.  No change in mental or physical condition since last report.
No further entries.

Additional notes:
1930 US census - still at DSH.  By 1942 is out of hospital, living in Claymont, through 1955.  Died 6/5/1957, buried in Cathedral Cem.


History and clinical notes:
History:  Brought by officers who state that patient came to Wilmington recently from Baltimore.  Has been drinking, no other history given.
Apr 14, 1917.  Has been rational for several days.  Mental and physical condition good, was allowed to go home today.  Paroled.
Oct 20, 1917.  Discharged not insane.

Additional notes:
Readmitted 12/21/1942, died 7/11/1943.  Last name spelled Breuer?  Buried in Lombardy.


History and clinical notes:
History:  Husband states that patient was operated on in Sept. 1916, both ovaries and uterus removed, appendix removed in Oct. 1916.  Had first symptoms one year ago, depressed and melancholia, religious delusions, refused to eat at times, sleeps well at night, has lost flesh.
Apr 10, 1917.  Has been noisy day and night since admission.  Has been constipated since admission.  Has been gradually growing weaker.  Was visited today by her husband who took her home.  Paroled.
Oct 20, 1917.  Discharged unimproved.

Additional notes:
Middle initial O.  Died 4/15/1917 of uterine cancer.  Buried in Crystal Springs, Mississippi.


History and clinical notes:
History:  No history obtained.
May 1, 1917.  On first being admitted patient was placed in bed and had to be restrained as she was very violent and noisy.  Today she is somewhat more subdued.  Is up and about the ward.
May 10.  Has steadily improved since last note.  State that she does not remember coming to the institution or what caused her trouble.
May 14, 1917.  Was allowed to go away by herself.  Paroled.
Oct 20, 1917.  Discharged recovered.

Additional notes:
Apparently went on to live a long, healthy life.  Died 4/5/1955, buried in Silverbrook.


History and clinical notes:
History:  Office who brings patient knows nothing of the history of the case, except that he had been drinking.  [Odd – description of notes was written out and then lined out sometime later and the entry rewritten below, as follows].
Apr 19, 1917.  Was in a critical condition when admitted, took but very little food and gradually grew weaker and died today from acute alcoholism.  
Apr 19, 1917.  Died of acute alcoholism.


History and clinical notes:
History:  Nurse of St. Mary’s Hospital, Philadelphia, brot patient.  He states that patient is suffering from dementia paralytica and that it is due to syphilis and that he has been in St. Mary’s for three weeks but is growing weaker.  Very feeble when admitted, could hardly walk.
Jun 18, 1917.  Has been very troublesome since admission, is destructive, untidy, and uncleanly, has many delusions of grandeur, is incontinent.
Aug 2, 1917.  Memory and judgment impaired, has many delusions, is very destructive, is in continuous restraint, uncleanly and untidy.
Oct 26.  Is delusional, destructive, untidy, and uncleanly.
Jan 15, 1920.  Mentally and physically getting worse.
Feb 14.  The examination of the specimen of blood show the presence of a positive Wasserman.
Apr 25.  Patient speechless, helpless, and filthy; progressive enfeeblement of mind and paresis of the body.  Kept in bed.
May 25.  Patient had convulsive seizure for over 18 hours.
May 28, 19120.  Patient died this afternoon at 3:20 p.m.
May 28, 1920.  Died, general paralysis of the insane from personal knowledge, 3 years, 1 month, 1 day.


History and clinical notes:
History:  No history obtained.  Visited by his family who states that was sick in Feb. about 3 weeks, heard telephone messages.  Left work Apr 10th and he gradually [ill.] worse, jumped out of 2nd story window.  Had delusions of persecution.  Has drank steadily for a number of years.
Apr 20, 1917.  Has improved both mentally and physically.
Jun 6, 1917.  Was visited today by his wife and was allowed to take him home.  Paroled.
Oct 20, 1917.  Discharged recovered.

Additional notes:
Died 9/28/1952 of cancer.  Buried in Silverbrook.


History and clinical notes:
History:  Friends state that patient became depressed about 8 months ago.  Neglected her housework duties and wandered frequently from home.  During last week has become very much worse, says she wants a home and wants personal friends to protect her; imagines someone is going to injure her and has threatened to commit suicide.  Lately has not slept or ate well.
No further entries.

Additional notes:
1940 census, still in DSH, but apparently also died in 1940.


History and clinical notes:
History:  Officers who bring patient state that he has been depressed for some time and has been worrying about some love affair.
Jun 18, 1917.  Has been quiet and well behaved since admission.  No delusions elicited at the present time.  Is usefully employed in dining room.
Aug 23.  His manner and attitude is good, no delusions elicited, gained in weight; physical condition good.
Oct 26, 1917.  No change

Additional notes:
Died at DSH, 3/27/1953.  Buried in Spiral Cemetery, Grave #621.


History and clinical notes:
History:  Has come from a family of criminals.  Was committed to Work House 3 years ago.  Time is out next August.  Has been very troublesome while there.  Often secreted old pieces of tin or beads or knife in order to get out.  No complete history of the case could be had.
Jun 18, 1917.  Has been quiet and well behaved since admission.  No delusions or hallucinations elicited; physical condition good.
Aug 22.  Is quiet and well behaved, memory good.  No delusions or hallucinations elicited.
Oct 13.  Is in good physical and mental condition.  Was notified today by Warden Cross that his time had expired at the Work House and was allowed to go home.  
Oct 13, 1917.  Paroled.
May 14, 1918.  Discharged recovered.

Additional notes:
Very odd case.  Supposedly, his widow Linda Quailes died 7/17/1943, which means he must have died earlier.


History and clinical notes:
History:  Brother of patient states that patient has had delusions of persecution of a more or less marked character for past 6 months.  Lately has become much worse, states that she is married to a Lord Hardy and that he left her immediately after marriage and that she has not seen him since.  Also states that all her relatives are down on her and that the English Press comment(ed) unfavorable on her marriage to a Lord.  Was brot to the institution yesterday, by nurse Duncan of the Delaware Hospital from Philadelphia where she was living with some of her relatives in Philadelphia.  Was examined today, May 13, by the doctors.
No further entries.

Additional notes:
1940 census, still in DSH.  Died in Governor Bacon Health Center on 9/23/1951.  Alternate last name Hardy.  Buried at Silverbrook.  Her brother was a career newspaper man, worked for the Baltimore Sun.


History and clinical notes:
History:  Brought by officer who states that patient has been very talkative and troublesome for three weeks.  Laughs and talks continually, is uncleanly and untidy at times, patient has a father (Chas. Spicer) in this hospital.  She does not sleep well and eats very poorly.
Aug, 1917.  Patient improving, sleeps well, doesn’t talk so much, helps in work.
Nov, 1917.  Very much improved, behaves normally.  Is in good mental condition.
Nov 30, 1917.  Paroled.
May 14, 1918.  Discharged  recovered.

Additional notes:
Readmitted 3/3/1922 under last name Scott, died 4/2/1922 of TB.  Buried at Mt. Olive.


History and clinical notes:
History:  Patient has been serving a 9 month sentence in the New Castle Co. Work House, and his time will expire in a very short time.  He is very uncleanly and untidy, eats his food from the floor.  Is talkative and incoherent.
Jun 18, 1917.  Is very untidy and destructive, memory and judgment impaired.  Is delusional, eats and sleeps well.
Oct 26, 1917.  Is somewhat improved mentally, works about the ward and is in good physical condition.
Jan, 1918.  Patient mentally and physically improving very nicely, working around the ward and outside.
Sep.  Patient mentally and physically improving very much.
Sep 10, 1918.  During some work outside, eloped.  Paroled.
Jan 17, 1919.  Discharged recovered.


History and clinical notes:
History:  Brought by officers who state that patient has been very talkative and troublesome for three days.  Had a fight on street yesterday and received slight laceration on hand.
Jun 18, 1917.  Memory and judgment impaired, is very talkative, has many delusions.  Wanders about the ward and insists on going home.
Aug 22.  Is very talkative, has some delusions, is quiet and well behaved, has improved both mentally and physically.
Oct 26.  No change in mental or physical condition since last report.
Feb 16, 1919.  Patient had a stroke, left side, due to cerebral hemorrhage.
Feb 19.  Patient very weak, cannot swallow.
Feb 21, 1919.  Died at 9:30 a.m.  Cerebral apoplexy (5 days), contr. atherosclerosis.


History and clinical notes:
History:  Has been serving a sentence in the Work House and has served his entire sentence.  Has been insane since his admission since his admission (sic – phrase repeated) to Work House.
Jun 18, 1917.  Is profoundly depressed, refuses to eat at times, has many delusions about religion, talks very little.
Aug 16.  Oriented to time, place, and person, memory and judgment fair, is quiet and well behaved.
Aug 25, 1917.  His manner and attitude is good, memory good, has gained in weight and show much improvement physically.  Was allowed to go home today.  Paroled.
May 14, 1918.  Discharged recovered.


History and clinical notes:
History:  Brought by Dr. Kraemer who states that patient has been in N.C. Co. Work House about 10 days, having been brought there from police station, where he had been held for being intoxicated.  Everything possible has been done for his recovery, but he has not improved.
Jul 1, 1917.  Is noisy, violent, and very troublesome, is incoherent, incontinent, is in continuous restraint.
Aug 16, 1917.  Is violent, noisy, untidy, and troublesome, does not sleep well, he is losing in weight and is growing very weak, is kept in bed.
Aug 30.  Still extremely restless.  Heart’s action has been entirely irregular since he came here.  Very weak and feeble.
Sep 5, 1917.  Very low this evening.
Sep 6, 1917.  Patient failed rapidly and died at 6:45 p.m.  Valvular disease of the heart.


History and clinical notes:
History:  History given by Dr. Flinn, who states that patient won’t eat with family, goes out without telling anyone, sits around all day, and says she expect to sit the remainder of her life.  Can’t get along with sister and locks father up in the house, beat her mother severely, won’t eat food cooked by anyone else, will not allow her hands to get wet, and wears rubber gloves while washing handkerchiefs.  Wore rubber gloves to the Drs. office, says her sister pays her 75 cents per day.
No further entries!

Additional notes:
1940 census, still in DSH.  Died 11/26/1962, buried in Cathedral Cem.


History and clinical notes:
History:  No history obtained.
Aug 16, 1917.  Memory and judgment impaired, is usually quiet and well behaved.
Oct 26.  Seems depressed, is quiet and fairly well behaved, physical condition good.
Jan, 1918.  Patient’s mental condition improving nicely.  Works around the ward and outside.
Jul, 1918.  Patient is improving very much, works in the dining room and outside.
Aug 25, 1918.  While out working this morning at 6 o’clock, eloped.  Paroled improved.
Jan 17, 1919.  Discharged recovered.


History and clinical notes:
History:  Patient has been acting very peculiar for some time and has been very troublesome for the past week and relatives could not control her.
Jan, 1918.  Patient slightly improving, works around the ward and at times acts very silly.
Aug 10, 1918.  Patient’s husband came and took her home against the advice of the Superintendent, as improved.  Paroled improved.
Jan 17, 1919.  Discharged recovered.


History and clinical notes:
History:  No history obtained.  Her husband stated that she was using alcohol for over 3 months, was often drunk.  For three weeks she was very violent, tearing clothes.  Has one miscarriage, two babies died when few months old.
Jul, 1917.  Patient very violent, in restraint.
Jan, 1918.  Patient had frequently epileptic fits.
Mar, 1918.  Patient improving mentally and physically slightly.
Jun, 1918.  Very quiet, works around the ward, wants to go home.
Jul 20.  No change in patient’s condition.
Aug 3, 1918.  Patient’s husband took her home against the advice of the Sup.  Paroled improved.
Jan 17, 1919.  Discharged improved.

Additional notes:
Died at DSH 9/10/1942, buried in Spiral Cemetery, #538.


History and clinical notes:
History:  For former history see case book VI, page 107.  Patient eloped Aug 25, 1916.  Discharged Feb 6, 1917.  
Aug 16, 1917.  Is delusional, is usually quiet and fairly well-behaved.
Oct 26, 1917.  No change in mental or physical condition since last note.
No further entries.

Additional notes:
Died 2/8/1949.  Buried in Spiral Cemetery, Grave #598.


History and clinical notes:
History:  Patient became somewhat depressed about three months ago, has had delusions of persecution during the last two months, said people were after her.  Last night got corn knife and cut her husband in face and arm, required 14 sutures.  Does not know what she is doing, gradually growing worse.
No further entries.

Additional notes:
1930 census -- still at DSH.  Died at DSH on 5/9/1935.  Buried in Laurel.


History and clinical notes:
History:  No history obtained.
Jul 14, 1917.  Seems depressed, has some delusions, memory fair, he has somewhat improved both mentally and physically.
Aug 2.  Patient is well oriented, memory and judgment good, no delusions or hallucinations elicited, has been usefully employed in dining room, is cleanly and tidy.
Aug 16, 1917.  Was taken away today by police to answer charge of non-support.  Paroled.
May 14, 1918.  Discharged recovered.


History and clinical notes:
History:  Brought from New Castle Co. Almshouse, but no history could be obtained.
Jul 14, 1917.  Was visited today by friends who state that she attempted suicide by taking carbolic acid.
Jul 13.  Very much excited ever since arrival, noisy and incoherent in her talk.  Was given calomel as her bowels were much constipated.  Has to be tied to bed.
Jul 14.  Bowels moved fully during the night – still very noisy and troublesome.
Jul 21.  Temperature 100° this a.m., left lung somewhat consolidated.
Jul 23.  a.m.  both lungs somewhat involved.
Jul 23 p.m.  very much worse this p.m.
Jul 24, 1917.  Died at 4 a.m.


History and clinical notes:
History:  No history obtained.
Jul 20, 1917.  Is delusional and talkative, troublesome at times, is cleanly and tidy.
Aug 16.  Has improved both mentally and physically, no delusions or hallucinations elicited, his memory for present and past events good.  Is a good worker.
Sep 1.  His manner and attitude is good, is well oriented.  Physical condition good.
Sep 11, 1917.  Was allowed to go home today; his fare was paid to Pottstown, PA.  Discharged.


History and clinical notes:
History:  Patient brought by Dr. Davies, who states that she has been in Mrs. Waltham’s Hospital, about two months, had been suffering from an abscess of the breast.  Has not been well mentally since she was taken to the hospital.  She has no one to care for her.
Jan, 1919.  No change in patient’s mental condition, physically she is getting weaker.
Jan, 1920.  Physically and mentally getting worse.
Oct 10, 1920.  Patient died this morning at 5:45 a.m.  Fatty degeneration of heart, from pers. kn., 3 years and 2 months.


History and clinical notes:
History:  Patient was operated on 5 weeks ago for hydrocele at the Delaware Hospital, Wil.  For some time he has been using vulgar and profane language.  Has many delusions of persecution, threatened to kill himself, thought his house was burned, thinks he is going to be arrested, has been a constant drinker, does not sleep well.
Aug 16, 1917.  Has many delusions and hallucinations, refuses to eat at times, says his food is poisoned, is cleanly and tidy.
Oct 26.  Has many aurial [aural?] and visual hallucinations, says his food is poisoned, is depressed and talks very little, eats fairly well.
Jan 1, 1918.  Patient became very ill yesterday and fell off of the bench.  Today he has a very rapid, intermittent pulse, temp 101, eats very little.  Has many delusions and thinks he is being poisoned.
Jan 3, 1918.  Has been unconscious since last night and died this p.m. 12:30 of valvular disease of the heart.


History and clinical notes:
History:  Father states that for past five years patient has been acting strangely, laughs in a foolish manner, does not work, says there is money deposited in the bank for him and goes there for it.  Often leaves home without saying where he is going, once had an injury while away and refused to tell how it happened.  Seems depressed, once remained several days in bed; his physical condition has always been good, sleeps and eats well.
Aug 16, 1917.  Is well oriented, quiet and well behaved, has many delusions, talks very little, every day he says This is the day I’m to go home.”  Is cleanly and tidy.
Oct 26.  No change since (sic) mental or physical condition since last note.
May 4, 1918.  Was removed by his father against the advice of the Supt.  Paroled.
Jul 12, 1918.  Was returned by father today who stated that he could not care for him.  Would stand around the house, would not work and the neighbors became afraid of him.
May 26, 1919.  Patient was again removed from Hospt. against advice of Supt., by his father.  Paroled.
May 31, 1919.  Patient brought back by his father.
Sep 6.  Patient visited by his father and taken home against the wish and advice of the Supt.  Paroled unimproved.
Dec 20, 1919.  Patient brought back by his father.
Apr 30, 1925.  Died.

Two of the standard forms attached:  May 26, 1919/September 6, 1919.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [William H. Hancker], Signed [father].”


History and clinical notes:
History:  Patient has been very nervous since 1904.  Has been teaching school for several years and has been nervous all her life, has been growing worse during the past two months, sleeps very little, often screams, and is very violent, tears her clothing, attempted suicide.  Was operated on in 1901, an oöphorectomy was done.
Aug 1, 1917.  Has been very restless since admission, at times yells out loud.  Has to be frequently tied in bed to keep her quiet.  Her conversation is perfectly rational at all times, say she cannot help acting as she does at times.
Aug 10.  For past few days has been much more quiet and subdued, complains of undefined pains, first in one place and then another.
Aug 14, 1917.  Was visited by her relatives today who removed her.  Paroled.
May 14, 1918.  Discharged improved.

Additional notes:
She died 11/9/1917, of "paresis" according to certificate of death.  Buried in W&B.


History and clinical notes:
History:  Patient was discharged from the above Hospital July 16, 1917.  For former history see case book VIII, page 80.
Aug 16, 1917.  Has been quiet and well behaved since admission, no delusions or hallucinations elicited; has never had convulsions since he has been in the institution.
Sep 1.  Is quiet and well behaved.
Sep 17, 1917.  His manner and attitude is good; was allowed to go home today.  Paroled.
May 14, 1918.  Discharged not insane.


Form:
psychosis with mental deficiency, paranoid type

History and clinical notes:
History:  Patient brought from Central Islip Hospital, New York, on July 23, 1917, tho papers did not arrive until today (July 27).  Former history see case book VII, page 82.
Aug 16, 1917.  Is delusional, memory impaired, orientation good, manner and attitude good, cleanly and tidy.
Oct 26.  No change in mental or physical condition since last note.
Oct 19, 1920.  Patient has been working in the kitchen for past 6 months.  This afternoon while taking a walk patient escaped.  Eloped.  Paroled unimproved.

Typed note on letterhead paper:  Form 54-Med. Dec. 1916.  State of New York – Central Islip State Hospital Notes.  Hospital No. 13364.  Name:  WASHINGTON, Edward, Identification No. (blank).  A B S T R A C T July 17, 1917.  Admitted July 4, 1917, from Bellevue Hospital.  Bellevue states that patient was brought from the Second Precinct.  He had stopt (sic) a policeman on the street and asked the way to the ferry; said that any ferry would do.  Patient had no coat or hat on; said he had been in a hospital for the insane.  No relatives in New York City.  Physically, he was in fair general health; showed some arterio-sclerosis.  Mentally he was elated, happy, talkative, talked in a rambling, flighty, disconnected manner; at times seemed confused and memory seemed impaired.  On admission to C.I.S.H. he was found to be a well-nourished adult male; no particular abnormalities.  At the time of his mental examination he was elated and talkative, exprest (sic) a general feeling of well-being.  Occasionally commented on things seen and heard about him; said he felt happy and satisfied, and at times he reacted to auditory hallucinations.  Said he heard voices coming from the chair and from the inside of his chest.  He said he was 57 years of age, born in Philadelphia; father and mother born in Ireland, both dead.  He is single and has had but very little education.  In fact, he can only read.  Roman Catholic by religion.  Constitutional makeup unascertained, but he appears somewhat simple and childish; heredity denied.  Claims he has always been very moderate in the use of alcoholic beverages.  Admitted that he had been a resident of the state hospital at Trenton, N.J., also one at Farnhurst, Del., that he was also in a hospital for the insane at Schuylkill, County, Pa., and that he recently eloped from there.  He was fairly well oriented; memory seemed to show no particular impairment.  Following his admission, he continued somewhat over-active, talkative, at times playful and mischevious (sic); exprest (sic) a general feeling of well-being; at times commented on things seen and heard about him; neat and tidy concerning his personal appearance.  Diagnosis.  Manic depressive – hypomania.  O’N.” [at bottom left corner]


History and clinical notes:
History:  History given by Dr. Davies, who states that patient had syphilis about 7 years ago.  Is very noisy and profane, violent at times, eats everything he is allowed to have, seems depressed at time.
Aug 16, 1917.  Memory impaired, is delusional and very talkative, irrelevant in communications; is very unsteady in his gait, insists on going home.
Sep 26.  Noisy and troublesome, no change mentally, is growing weaker, is uncleanly and untidy.
Oct 9.  Patient has been rapidly growing weaker for past two days and died today at 1:40 p.m.  General paralysis of the insane.
Oct 9, 1917.  Died.


Form:
psychosis with epilepsy, epileptic deterioration

History and clinical notes:
History:  Brought by mother who states that patient’s mental condition has been unchanged since a child and has had convulsions since birth.  He is gradually growing worse; eats and sleeps well.
Aug 17, 1917.  Memory impaired, is destructive and untidy, has convulsions frequently, noisy at times.
Sep 1.  Wanders about the ward, is incontinent, eats and sleeps well.
Sep 18, 1917.  Has been having convulsions continuous today, is destructive and untidy, does not eat well and is growing rather weak.  Was visited today by his mother who took him home.  Paroled.
May 14, 1918.  Discharged unimproved.

Additional notes:
Died 5/19/1918.  Buried in Riverview with his parents.


History and clinical notes:
History:  History given by nephew, who states that patient received a blow on his head about three years ago, was unconscious for 12 hours, since that time his memory has been impaired, wanders away from home, takes off his clothing, has some ideas about electricity, eats well but does not sleep well.
Aug 17, 1917.  Is quiet and well-behaved, memory fair, no delusions or hallucinations elicited, is rather feeble, eats and sleeps well.
Oct 26.  No change in mental or physical condition since last note.
Nov 4.  Fell from bench today and fractured his thigh, was transferred to infirmary, is very weak and takes very little food.
Nov 8, 1917.  Has been very restless and could not be kept quiet in bed; died this p.m. of cerebral embolism, 4:00 pm.  Died.


History and clinical notes:
History:  No history obtained.
Sep 1, 1917.  Very violent and noisy since she came here.  Is quite weak and has to be kept in bed.  Bed sores have appeared on both buttocks.
Sep 10.  Very weak and feeble; bed sores are extending, will not yield to treatment.  Will only take liquid nourishment and regurgitates this.  Vomits a great deal after drinking water or milk, excreted from stomach very offensive.
Sep 20.  Very much weaker, pulse very feeble, cannot retain any nourishment.
Sep 25, 1917.  Has failed continually and died at 8:40 this p.m.  Died of chronic gastritis.


History and clinical notes:
History:  Three or four years ago patient had an attack of typhoid fever.  About 2 years ago patient began to act a little peculiar, neglected his work and one day ran away from home and was gone 2 or 3 weeks.  When he landed at the Phil Hospt was not home about one month ago ran away again and enlisted but his actions were so peculiar that he was sent home.  Lately smokes cigarettes a great deal and drink liquor whenever he gets the opportunity.  This is unlike his previous habits.  Has threatened to kill his mother and his brother.  Lately very cross and irritable to every one.
Sep 17, 1917.  Has been quiet and well behaved since admission, memory and judgment good, is very cleanly and tidy.  Was visited today by his father, who took him home against the advice of the Superintendent.  Paroled.
May 14, 1918.  Discharged unimproved.

Additional notes:
1930 census, back at DSH.  Died there on 10/22/1955 of uremia, chronic nephritis, and broncho-pneumonia.  Buried in Cathedral Cemetery.


History and clinical notes:
History:  Father states that patient is very destructive, has delusions of persecution, is usually quiet, eats and sleeps well.  For previous history see case book VII, page 145.
Oct 26, 1917.  Seems depressed, talks very little, memory impaired, is quiet and well behaved, physical condition good.

Additional notes:
Died June 8, 1929 at DSH.  Died of TB, diagnosis of dementia praecox contributing.  Buried at Riverview.


History and clinical notes:
History:  Officers know nothing of his history except that he has been drinking very heavy of late and that last night he was very noisy.
Sep 17, 1917.  Has been quiet and well behaved since admission.  Has never had any delusions or hallucinations.  Was allowed to go home today.  Paroled.
May 14, 1918.  Discharged, not insane.


History and clinical notes:
History:  History given by officers who state that patient has been drinking for some time and was taken to police station.  Has delusions and hallucinations.
Sep 6, 1917.  Is delusions, says someone is after him; is very talkative.
Sep 22, 1917.  His manner and attitude is good, memory and judgment good, no delusions or hallucinations elicited; is usefully employed on the ward.  Was allowed to go home today.  Paroled.
May 14, 1918.  Discharged recovered.

Additional notes:
Died at DSH 6/9/1934.  Anglicized name on death card.  Another Anglicized version of similar name, person died 3/11/1946.


History and clinical notes:
History:  Wife states that patient often wanders away from home, is delusional and very talkative at times, this condition began about one month ago.  Had been drinking for some time, jumped out of window while at home and was taken to the Homeopathic Hospital, Wilmington, Del.
Sep 25, 1917.  Has been confined to his bed since admission.  Is depressed, refuses food at times.  Rowling’s sign positive, pupils do not react to light and accom.
Oct 7, 1917.  Has been gradually growing weaker and has been in a comatose condition for several days, died today of General Paralysis of the Insane, at 9:15 a.m.  Died.


History and clinical notes:
History:  Patient is a pensioner.  One year ago his mind gradually became feeble and he has gradually grown more helpless.  Wanders away from home aimlessly and his relatives are afraid that some accident might happen to him.  Otherwise they would have tried to care for him at home.
Sep 29, 1917.  Memory impaired.  Is delusional, wanders about the ward, talkative and very troublesome.
Oct 3, 1917.  Patient died suddenly this p.m., was apparently well in a.m.  Died at 4:30 p.m.  Died of aortic insufficiency.


History and clinical notes:
History:  For previous history see case book VII, page 244.
Nov 1, 1918 [actually 1917].  Patient has been very restless since she came here and there has been no improvement since she came here.  Patient claims that she is pregnant and that she has been this way for 5 months.
Apr 15, 1918.  Patient delivered a fine, healthy female child.  Mother and child doing nicely.
Apr 17.  Mother very much disturbed and attempted to abuse of child (restrained) [sic].  
Aug 19, 1918.  At the instigation (the child (christened Margaret)) of Father Lanny the child was taken today to a Catholic Institution in New York by Mrs. Frank Lewis, 2212 Wash. St. Wil. Del.

Standard form attached:  Aug 25, 1918.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [William H. Hancker], Signed [Giuseppe Giordano].”

Final disposition:
Taken out by husband AMA after newborn child was sent away to NY.


History and clinical notes:
History:  Was former patient in this institution, being discharged on June 16, 1917.  For former history see case book VIII page 94.  Husband states that patient has not taken bath since leaving the institution March 27, 1917, refused to do any work while at home and would not care for her children.  Has been in private institution.
Feb 4, 1918.  Was taken away by husband against advice of Supt.  Paroled unimproved.
Oct 6, 1918.  Discharged improved.


History and clinical notes:
History:  Patient was found on the streets of Wilmington on Oct 8th with a razor, looking for N.Y. notables.  Wil. papers state that patient, when found, was looking for Theodore Roosevelt and was on his way to N.Y.
Oct 26, 1917.  Is very talkative, has some delusions, is rather surly at times, laughs in a foolish manner and rambles about the ward; is rather surly at times.
Jan 18.  No improvement.  Cross and irritated at all times.
Oct 10, 1918.  Patient is suffering from influenza; temperature high.
Oct 15.  No improvement, will not keep himself covered in bed.
Oct 18.  Is very low.  Pneumonia has developed.
Oct 21, 1918.  Patient continued to fail and died at 1:30 a.m.  Lobar pneumonia.

Newspaper article: “Negro on Way to See Col. Roosevelt Was Insane – When Alonzo Gaffney, the Negro who was given a hearing in Municipal Court Tuesday on a charge of carrying concealed a deadly weapon was called again yesterday.  Captain Kelleher reported that the medical inspection of the man by Police Surgeon Forest developed that he was insane.  Gaffney, when arrested said he was on his way “to see Col. Roosevelt and the other crowned heads.”  He had a razor with him, but whether to carve or shave these celebrities did not develop.”

Final disposition:
Died of lobar pneumonia in the great flu epidemic of 1918.


