# Demographic info and clinical notes

History and clinical notes:
History:  Patient was kicked by a horse about one year ago and has suffered from his injuries since that date, he has worked steadily although not physically able and his standard of health has been greatly lowered.  Has been noisy and required opiates.
May 28, 1908.  Very noisy during the night, tore his bed clothing and broke two window screens, refused to take nourishment and is very much exhausted.
Jun 15.  Very much improved, eats well, works about ward, cheerful and seems satisfied with his surroundings.
Jul 4, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.


History and clinical notes:
History:  Officers know nothing of her history, except that she has always been weak minded & has had epilepsy for years.
Jul 11, 1908.  Has fits occasionally.  Is tractable, and in good health.
Dec 1.  Very irritable and sometimes violent.
Jun 8, 1909.  Very quiet and tractable, physical condition good.
Jul 20, 1910.  Had a chill and confined to bed today.  Lobar pneumonia.
Jul 25.  High fever and very restless.
Jul 27.  Temperature about normal; appetite good.
Aug 2.  Rise of temperature again.
Aug 30.  Still in bed, well marked case now of Pulmonary Tuberculosis.
Sep 20.  Patient still in bed.  Very much weaker.
Oct 10.  Patient failing very fast.  Breath extremely offensive, expectorations profuse.
Oct 12.  Very low today – refuses all nourishment.
Oct 13.  At 12:30 today attendant found her bleeding profusely from nose, before aid could be summoned, patient passed away.
Oct 13, 1910.  12:30 p.m.  Died.  Pulmonary tuberculosis.


History and clinical notes:
History:  A former patient in this institution under date Jan 30th, 1894 and was discharged July 9th, 1894.  For previous history see Book #2.
Aug 15, 1908.  Refuses to eat and has to be fed, has lost considerable flesh.
Aug 25.  Appetite improved, but no change mentally.
Oct 15.  Removed against advice of Supt.
Oct 15, 1908.  Paroled.
Apr 1, 1909.  Discharged unimproved.

Standard form attached, dated Oct 15, 1908.  “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].


On certificate of:
Drs. Irvine M. Flinn and Frank F. Pierson

History and clinical notes:
History:  Imagines his head is filled with electric wires, is noisy and sometimes violent.
Jun 25, 1908.  Very much improved, works about ward and is trustworthy.
Jul 1.  Continues to improve.
Jul 6, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.

Additional notes:
Readmitted on 7/6/1909, stayed until his death on 6/8/1941.  Buried at DSH, Grave #522.


History and clinical notes:
History:  Patient has always been feeble minded and will steal anything, has been in Workhouse several times.
Aug 25, 1908.  Works about ward and is well-behaved.
Oct 19.  Condition unchanged.
Feb 4, 1910.  Is a good worker and usually well behaved.
Jan 1, 1911.  Condition remains unchanged, works about ward.

Additional notes:
1920 and 1930 census have him listed as patient at DSH.  Died 11/1/1939.


History and clinical notes:
History:  Patient very noisy, breath smells of whiskey.  Has been getting gradually worse since loss of husband two months after marriage.
Jun 20.  Patient growing worse; does not retain feeding.  Has grown very emaciated.  She refuses to eat and is confined to bed; very violent at times and has to be strapped in bed.
Jun 28, 1908.  Died 3:30 a.m.  Exhaustion from acute mania.

Additional notes:
Husband died two months after marriage.  She was only 17.  Could not find any more info about her or her husband.


History and clinical notes:
History:  Patient was admitted in Feb., 1904 and discharged June 13, 1904.  History of alcoholism and decided heredity.  This attack caused immediately by death of husband on Tuesday last.  Sister-in-law says that she has not been right since leaving, but husband endured her vagaries and took care of her until his death.  She is very irrational and irresponsible, and has no immediate relatives to look after her.  Is in fair physical condition.  Has been very disturbed since her husband’s death.
Jul 11, 1908.  No change.  Quiet and in good physical condition.
Dec 1.  Is quiet and give no trouble.  Eats well.
Jun 8, 1909.  Very quiet, physical condition good.
Jan 10, 1911.  Very little change since last note.  Very stupid at all times.  Today limbs very much swollen, pitted upon pressure.  Was placed in bed.
Feb 8.  Has been in bed steadily since last note.  Urine full of albumin, limbs still swollen and suffering a great deal from diarrhea.
Feb 15.  Gradually failed & passed away at 8:10 a.m.
Feb 15, 1911.  Died 8:10 a.m.  Acute nephritis.

Additional notes:
Husband took care of her, even though she had "vagaries" but after he died she got worse and there was no one to take care of her.


History and clinical notes:
History:  Has been weak in her mind for two years, wanders away, restless, does not sleep.  Nephew whom she brought up refuses to care for her.  Is in good general health.  Eats well, sleeps poorly, but is very amiable.
Jul 11, 1908.  Very untidy.  Marked delusions, very restless.  Eats well.
Dec *, 1908 [date illegible due to water damage].  In bed all the time.  Feeble, but not as weak as a few weeks ago.  Eats well and is quieter.
Dec 28.  Was much weaker this p.m.  9 p.m. has been comatose for several hours.  
Dec 29.  Died 11:40 p.m.
Dec 29, 1908.  11:40 p.m.  Died.  Senile asthenia.


History and clinical notes:
History:  Patient has persecution delusions, is restless at night, and worries a great deal.  Husband is a laboring man, earning 1.50 per day.  General health good.  Had both ovaries removed six years ago.  Is occasionally suicidal, but has never attacked anybody.  Does not destroy clothing and is clean personally.
Jul 11, 1908.  Patient very untidy.  Has a little fever, sent to bed.
Aug 17.  Somewhat improved, but refuses to talk.
Sep 9, 1908.  Paroled.
Oct 25, 1911.  Paroled.
Nov 27, 1911.  Was returned today by husband, said he could not care for her.
Jun 1, 1916.  No improvement.  Very much disturbed at all times, destructive and untidy.

Standard form attached, Sep 9, 1908.  “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: Blanche [ill.].  Signed [husband].

Additional notes:
May have died in 1921, but impossible to confirm with ancestry.com records.


History and clinical notes:
History:  Patient was brought to hospital at 11 p.m. 6-19-08 without papers, which arrived today 6-20-08.  Patient had been employed on a farm near Farnhurst and wandered away in the morning.  A search was made and he was found about 100 yards away from where he had been ploughing; when questioned as to where he had been and what had happened to him, he would not answer but would point to his forehead.  It is possible that he was overcome by the heat.
Jul 13, 1908.  Paroled.
Jul 30.  Came to hospital this morning; was bewildered and was again admitted.
Oct 19.  Condition remains unchanged, is well behaved and works in dining room.
Feb 4, 1910.  Condition unchanged, works in laundry and is always well behaved.
Oct 11, 1910.  Paroled.
Jun 7, 1911.  Discharged improved.


On certificate of:
Drs. L.A.H. Bishop and C.C.J. Harbordtt (?)

History and clinical notes:
History:  Patient is anaemic and very much emaciated, says she sleeps poorly but eats well when she has someone to cook for her.  Is extremely nervous, irritable and inpatient.
Oct 10, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.

Standard form attached, dated July 8,1908.  “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. Hancker.  Signed [husband].

Additional notes:
Died of myocarditis, 6/9/1923, buried in Lakeside Cemetery, Dover.


History and clinical notes:
History:  Patient very intemperate, has marked delusions, and is unmanageable at home.  Is in a shabby condition, quiet and submissive when admitted.
Jul 8, 1908.  Patient seems quiet rational today.  Has given no trouble and the bewilderment and delusional state are absent.  Eats and sleeps fairly well.
Jul 11.  Patient continues sensible and desires to go home.  Admits that her condition was due to hard drinking for a period of three weeks prior to her admission.
Jul 11, 1908.  Paroled improved.
Apr 1, 1909.  Discharged improved.


History and clinical notes:
History:  Patient has been greatly worried over illness of sister.  She has a delusion that the devil is after her.  Has a habit of undressing herself.  Otherwise is quiet and orderly.  
Jul 11, 1908.  Patient very despondent.  Eats and sleeps fairly well.  Very quiet.
Sep 20.  Patient has had two attacks of heart failure.  Evidently double lesion.  Eats very well.  Mental condition unchanged.
Oct 15.  Patient apparently well at 4 o’clock, had an attack at 4:45 and ceased breathing at 5 p.m.
Oct 15, 1908.  Died 5 p.m.  Valvular disease of heart.


On certificate of:
Drs. W.V. Woods and William P. Wertenbaker

History and clinical notes:
History:  Brought from Penna. Hosp for Insane (“Kirkbride’s”) for past twenty years, has never been violent, thinks she is engaged to physician at Kirkbride’s and has been very busy for past six months putting up her trousseau.
Jul 11, 1908.  Patient very refined, quiet, and amiable.  Gives no trouble.  Has marked delusions of a harmless nature.  Physical health good.
Dec 1, 1908.  Very delusional.  Eats and sleeps well.
Jun 8, 1909.  Very quiet and easily managed.  Eats and sleeps well.
From ancestry.com: 1900 census she was in PA Psych Hosp., 1910, 1920, 1930 census she was in DSH.  No info after 1930.

Final disposition:
Still in hospital.  Doing well.  From ancestry, a person of this name died in 1918 at Farnhurst.


History and clinical notes:
History:  Patient wanders away from home, sometimes she disrobes on the street.  Her husband left her about 1 year ago, claiming she lived with other men and also had a child by a man for whom she kept house.
Jul 11, 1908.  Patient has typhoid fever.  Has been ailing for several days.  Rose spots, typhoid tongue, some tenderness, spleen slightly enlarged, and temperature range 103.2-103.6.
Aug 1.  Recovered from attack of typhoid.
Sep 11, 1908.  Paroled.
Sept 5.  Returned today [dates make no sense].
Apr 6, 1910.  Transferred to T.B. today.
Jun 15, 1911.  Patient has been in cottage but returned to T.B. today in a much weakened condition.
May, 1918.  Patient is very weak.  Spends most of the time in bed.  Hemoptysis [coughing up blood] occurs very often.
Jan, 1919.  [Illegible] examination: Lungs in cavity stage.  Tympanitic percussion.  Wintrice Sign (?): change in percussion by opening and closing the mouth.  Cavernous sounds.  Coarse babbling rales with resonant quality.  Heart sounds transmitted to the cavity.  No change in mental condition.
Mar 24, 1919.  Patient died at 6 a.m.  Phthisis pulmonalis, 10 years.
From ancestry.com: 1910 census she  was in DSH.  Last named spelled with a “y” in census data.  Her three older children survived her, dying in 1987, 1925, and 1988, respectively.  Her youngest child, a daughter, was adopted by another family, and died in 1969.

Additional notes:
Had a child by her employer, so her husband left her and child was put up for ad  option.


History and clinical notes:
History:  Brought by officers who could give no history.  Patient has been out of employment and as a result has worried a great deal.
Sep 8, 1908.  Says his relatives have attempted to poison him.
Jul 25.  Noisy during the night and is afraid some person or persons are going to do him bodily harm.
Aug 28.  Very much improved.
Aug 22, 1908.  Paroled.  [dates make no sense]
Apr 1, 1909.  Discharged recovered.


History and clinical notes:
History:  Patient received a fracture of skull about 3 weeks ago and since that time has been acting strangely.
Jul 15, 1908.  Very much improved since admission and is a good worker.
Oct 19.  Some improvement since admission; works about ward and is well behaved.
May 25, 1909.  Eloped.
May 25, 1909.  Paroled.
Oct 14, 1909.  Discharged recovered.

Additional notes:
Too many people with same name; could not find any more info.


History and clinical notes:
History:  Patient’s mind has been growing feeble for past two years, wanders away from home in search of her children and says they are lost.
Dec 1, 1908.  Patient is quiet and in good physical condition.
Jun 8, 1909.  In good health.  Mental condition unimproved.
Apr, 1913.  Patient still confined to bed, except for about an hour when propped up in chair.  Almost helpless.
Nov 12, 1913.  Had a stroke (cerebral hemorrhage) at 9:40 a.m.  Patient has been gradually failing for the last month.


History and clinical notes:
History:  Brought by officers but could not furnish history, patient says he is worth $35,000.
Aug 25, 1908.  No improvement since admission and still claims his patents are worth millions.
Oct 19.  No improvement, has an idea he will soon be released.
Feb 4, 1910.  Somewhat improved, works in dining room and is more contented.
Jan 1, 1911.  Has delusions of persecution and is unruly at times.

Additional notes:
At DSH for censuses of 1910, 1920, 1930, and 1940.  Died 6/22/1965.  Buried at DSH, Grave #723.


History and clinical notes:
History:  Patient fell from a ladder about 3 or 4 years (ago) and has since walked with difficulty; about 3 weeks (ago) patient began to act strangely and it required the efforts of an attendant to control him.  In poor physical condition when admitted.
Aug 3, 1908.  Rapidly failing, has been unconscious since admission.
Aug 4, 1908.  Died.  Cerebral apoplexy & senile asthenia.

Final disposition:
Died -- cerebral apoplexy and senile asthenia


On certificate of:
Drs. Samuel Rennford (?) and Henry J. Stubbs

History and clinical notes:
History:  Brought from N.C. Co. Workhouse by Mr. Crawford, where he was undergoing sentence for breach of peace, the charge being proffered by his wife, while in workhouse he made at attempt at suicide by cutting wrists and neck.
Aug 25, 1908.  Is inclined to be unruly and refuses to do any work about wards.
Oct 19.  Marked mental and physical decline, does not eat sufficient food and has to be fed, is confined to bed.
Oct 21.  Very much worse today.
Oct 29, 1908.  Died.  Exhaustion from acute mania.


History and clinical notes:
History:  Known to be a tramp and drunkard.  No particular history given, except that he has been demented about a month.
Aug 25, 1908.  No improvement; is very stupid.
Oct 19.  Condition remains unchanged.
Nov 11.  Has a poor appetite and is very stupid.
Jan 2, 1909.  Failing mentally and physically, appetite poor and does not sleep well, has had retention of urine and foecal impaction.
Jan 18.  Received a burn over right inguinal region, caused by his removing stopper from hot water bottle.
Jan 19, 1909.  Died.  Cerebral embolism.


History and clinical notes:
History:  Patient was discharged from this institution recovered Dec 10, 1907.  Persons who brought patient from Laurel left him at depot on arrival of 6:45 p.m. train and again boarded the train.  Certificate states that the present attack began about 2 weeks ago and that at times is violent.
Sep 8, 1908.  No mental change, is quiet but irrational in his conversation.
Feb 4, 1910.  Quite simple, incoherent, sometimes violent.
Jan 1, 1911.  No improvement since last report.
Sep 15.  Has a cough and complains of pain at base of left lung, has friction sounds and unable to take a full breath.
Sep 20.  Coughs and expectoration is profuse; is confined to bed and is emaciating rapidly.  T.B. in sputum.
Nov 2, 1911.  Paroled.
Feb 9, 1912.  Discharged unimproved.

Additional notes:
Brought by friend on train -- they then left immediately.


History and clinical notes:
History:  Patient very disturbed.  Is not violent, but makes so much noise cannot be kept at home.  Has tremor of body, very marked, and does not seem to realize where she is.  In fairly good physical condition.
Dec 1, 1908.  No change in patient since admission; is stupid and quiet.  Eats and sleeps well.
Apr 2, 1909.  Died.  General paresis (exhaustion from).

Final disposition:
Died -- general paresis (exhaustion from)


On certificate of:
Drs. Samuel C. Rumford and P.W. Tomlinson

Form:
senile psychosis, depressed and agitated

History and clinical notes:
History:  Brought from N.C. County Workhouse, where she was undergoing sentence for disorderly conduct; her actions at Workhouse were peculiar and she was examined and pronounced insane; no special history obtainable.  Several bruises and small cuts on body when admitted.
Dec 1, 1908.  Sometimes disturbed and violent, at which time restraint is necessary.  Eats and sleeps well.
Jun 8, 1909.  Very well behaved; is working in the kitchen.
May, 1918.  Patient working around the ward.
Oct, 1918.  Patient had a light attack of epidemic influenza.
Nov, 1918.  Patient complains about loss of appetite, nausea, and attacks of indigestion, headache, marked puffiness of eyelids and swelling of feet and ankles.  Examination: Analysis of urine albuminurea.  Quantity of the urine diminished.  Specific gravity increased.
Dec, 1918.  Patient put to bed.  Strict diet and medical treatment.
Feb.  Edema prominent and persistent.
Jul 20, 1919.  Despite all treatment and diet, dropsy becomes [ill.] worse.
Aug 10.  Uremic symptoms.  Stupor and coma.
Aug 11.  Patient died at 3:45 a.m. this morning.
Aug 11, 1919 at 3:45 a.m.  Died, chronic parenchymatous nephritis, 9 months.

Final disposition:
Died -- chronic parenchymatous nephritis, 9 months.


History and clinical notes:
History:  Patient has been drinking to excess and spent $1,000 during past week, has been acting strangely for past six month.
Sep 8, 1908.  Condition remains unchanged; has been quiet since admission.
Oct 19.  Very much improved since admission, but still shows a marked degree of nervousness; works about ward is quiet and respectful.
Oct 24, 1908.  Removed against advice of Supt.  Paroled.
Apr 1, 1909.  Discharged improved.

Standard form attached, dated Oct 24, 1908.  “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. Hancker
.  Signed [father].

Additional notes:
Died 9/3/1912 in Martinsburg, West Virginia, buried there.  Run over by a B&O train.


History and clinical notes:
History:  Patient has been failing mentally for past six months; imagines people are after him and are going to injure him.  Physical condition poor.
Sep 8, 1908.  Some improvement since admission.  Transferred from D to C Ward.
Oct 19.  Continues to improve, but is still somewhat depressed.
Oct 21, 1908.  Paroled.
Oct 14, 1909.  Discharged improved.

Additional notes:
Living on own with his children in 1920 and 1930 census.  Commited suicide by illuminating gas, 7/27/1936.


History and clinical notes:
History:  W.T. Simpson [friend] who brings patient to Hosp. states that patient has been mentally affected for about 3 months.  About 6 weeks ago became much worse – imagines that everyone is down on him and has threatened to kill his best friends.  Always had an axe handy when anyone visited him.  Wanders from home and at times destroys his clothing.  Has been gradually growing worse and has lost considerable flesh during past 3 months.
Sep 26, 1908.  Rapid mental decline; is untidy.
Oct 19.  Health failing rapidly; mentally very feeble.
Nov 2.  Confined to bed; marked vaso-motor paralysis, takes but little nourishment.
Nov 12, 1908.  Died.  Valvular disease of the heart.


History and clinical notes:
History:  Son-in-law who brings patient to Hosp. states that the first symptoms noticed was about one weeks ago – she became quite noisy early in the morning.  Nothing noticed previous to this time.  Talks very incoherently at times.  Imagines that she is a great personage.  Is steadily growing worse.  This morning was a little inclined to be destructive.  Has a bruise over right eye which son-in-law states was due to a fall.  Very restless.  General health failing.  Has taken but little food for past 2 days.
Dec 1, 1908.  Very delusional, disturbed, and untidy.  Physical health fair.
Feb 6, 1909.  Paroled.
Oct 14, 1909.  Discharged unimproved.

Standard form attached, dated Feb 6, 1909.  “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 he may commit.”  Witness: T.H. Davies.  Signed [daughter]


History and clinical notes:
History:  Constable states that patient was well enough until 3 days ago, when he became bewildered and violent.  Tried to shoot himself this morning but gun was taken away from him before he could use it.  Says he has a misery in his chest.
Sep 26, 1908.  Confined to bed since admission, suffering from pleurisy.
Oct 19.  Is up and about ward, gaining in strength and says he feels very well.
Nov 2.  Paroled.
Apr 1, 1909.  Discharged recovered.

Additional notes:
In 1910 was living on his own, not present in later census.  No death info.


History and clinical notes:
History:  Patient fell against stove when eight months old and received extensive burns of scalp, skull very much deformed and never entirely healed.  Has about one “spell” per week, sometimes more, is cleanly in his habits.
Sep 22, 1908.  Several “spells” during past week.
Feb 4, 1910.  No change since admission; has frequent epileptic attacks of very severe character.
Jan 1, 1911.  Has frequent epileptic seizures and masturbates frequently.
Sep 27, 1912.  Had a pronounced chill today and left apex shows involvement.
Sep 28.  Temp 104°, resp. 40, numerous rales with complete involvement of lung.
Sep 28, 1912.  Died at 3:25 p.m.  Lobar pneumonia.

Additional notes:
Fell against stove as infant and suffered burns and skull fractures; led to epilepsy.


History and clinical notes:
History:  Was a former patient and was removed contrary to advice of Supt.  For previous history, see Book V, page 269.
Sep 26, 1908.  Quiet since admission and has had no epileptic seizures.
Oct 19.  No change since last report.
Nov 9.  Had an epileptic fit today, became violent and required restraint.
Feb 10, 1909.  Has numerous epileptic seizures.
Mar 6.  Status epilepticus for past 3 days.
Mar 20.  Fell in a fit, producing contusion of nose.
Mar 21.  Remain in epileptic state during the night and died at 6 a.m.
Mar 21, 1909.  Died.  Status epilepticus.


History and clinical notes:
History:  Wife died 2 years ago; this worried him a great deal.  About 3 months ago patient got out of work.  After this he became very much depressed, could not sleep, walked the floor and his children frequently had trouble trying to get him to go to bed.  Last Friday concealed a razor and said that he was going to kill himself as he was unable to support his family.  Has always been a good and kind husband and father with no bad traits.  Has failing physically (sic).
Oct 19, 1908.  Some improvement, but still depressed.
Feb 4, 1910.  Does not improve mentally, is always melancholy.
Jan 1, 1911.  No mental change; physical condition fair.
Dec 25, 1916.  Has been taking very little food for several days, looked cyanotic today and has been kept in bed.
Feb 20, 1917.  No improvement, is still in bed and takes very little food.
May 3.  Has been gradually growing weaker and died today 2:15 p.m.
May 3, 1917.  Died.  Chronic interstitial nephritis.

Additional notes:
Depressed over wife's death and financial worries.


History and clinical notes:
History:  Patient has taught school in Del. for past 33 years, has always been a man of good habits.  Father died insane and has a cousin in this hospital at present time.  When patient was admitted he was eager to converse and was unable.  He then attempted to write but could not (Aphasia and Agraphia).
Sep 26, 1908.  Very noisy and sometimes refuses to eat.
Oct 19.  Some improvement in speech since admission, but very incoherent, is very much disturbed at times.
Nov 11.  No improvement since last report.
Dec 20.  Noisy and destructive in regard to clothing and furniture.
Jan 12, 1909.  No improvement since admission, troubled at present with enteritis and is losing flesh rapidly.
Feb 1, 1909.  Died.  Exhaustion from mania (acute).


History and clinical notes:
History:  Patient was arrested in Wilmington and later declared insane.  He claimed he had $2,000,000 to prevent Bryan being elected, and etc.
Oct 19, 1908.  Has been quiet for past week, works about ward and is well behaved.
Nov 4.  Noise and disturbed today, says he is going to shoot Roosevelt, Taft, and Bryan.
May 10, 1909.  Shows some improvement but only of short duration when he again becomes violent and requires restraint.
Jul 16.  While mopping floor this a.m. he suddenly became enraged and forced mop through window.
Jan 6, 1910.  Very surly and sometimes violent.
Feb 4.  Somewhat disturbed for past weeks but has not been unruly.
Apr 4.  Became troublesome a few days and was placed in restraint.
Dec 30, 1910.  Is violent at times and requires restraint.

Additional notes:
Died 4/26/1923 at DSH.  Buried at DSH, Grave #337.


History and clinical notes:
History:  Brought by officers who state that patient had contemplated a trip to Ireland but was disappointed, as a result she became mentally unbalanced.
Dec 6, 1908.  Patient quiet and inoffensive.  [Ill.] offensive vaginal discharge.  Gynecological examination negative.
Jun 9, 1909.  Condition unchanged; very quiet and tractable.
Jul 12.  Very much depressed; physical condition good.
Aug 17.  In bed with an attack of pleurisy.
Aug 18-20.  Recovered.
Oct 15.  In bed with pleurisy, better, but shows no inclination to get out of bed.
Nov 13.  Condition same mentally, [illegible words] health.
Dec 30.  Patient was removed to Tub Hosp today.  Is losing flesh; bad cough with expectoration showing TB.
Jan 31, 1910.  Has just recovered from an attack of hiccoughs which was more or less constant for one week.
Jan, 1912.  No marked change mentally or physically; noisy and troublesome at all times.
Jan, 1914.  Very little alteration in her condition; is fretful and irritable.
Jan, 1915.  Has lost some flesh lately.  Expectorates a great deal.
Jan, 1916.  Has been in bed for a number of months.  Is suffering from Phth. Pul.  Appetite poor and has lost flesh.
Apr 23.  Emaciating rapidly, severe cough with muco-purulent expectoration.
May 1.  Confined to bed; is very weak and unable to take sufficient nourishment.
May 14, 1916.  Died.  Phthisis (pulm).


History and clinical notes:
History:  Patient while walking along a country roadway met a colored girl driving, he asked her to allow him to ride to town, she refused and he attempted to get into wagon; the girl became frightened and screamed, her father who was standing nearby ran into house and procured a shotgun and shot at him (patient) but only a few grains of shot entered the leg; he was taken to County Hospital for treatment and while there became noisy and violent, no doubt due to alcoholism.  Brought to D.S.H. on Sept 24, 1908 but papers did not arrive until following day.
Sep 26, 1908.  Very noisy; has delusions of grandeur and says he is a Christian Scientist.
Oct 19.  No improvement since last report, continues to be noisy and difficult to care for.
Nov 11.  Slight improvement since last report.
May 10, 1909.  Improved since last report, works in dining room but is mentally weak.
Jul 14.  Works in dining room and is well behaved.
Nov 16.  Has been working about stable for past two months but became noisy and abusive and had to be returned to ward.
Feb 4, 1910.  Quiet for past two days, works about ward and is respectful.
Dec 30.  Condition remains unchanged.
Jan 6, 1911.  Noisy and violent, tears his clothes and beats his arms and head against chairs and wall.
Nov 12.  Does not improve and is losing flesh, at present is suffering from Furunculosis.
Jan 10, 1912.  Continues to grow worse, is very untidy and noisy and growing weaker.
Feb 15, 1912.  Died.  Gen. paralysis of Insane.


Form:
manic depression, acute delusional insanity

History and clinical notes:
History: Several weeks ago patient wandered from home in New Castle, was “picked up” in Penna., and sent to Norristown where he remained only a few days and was then brought back to New Castle.  Sometimes he refuses to eat for 3 or 4 days; he also says that a number of people have been killed in New Castle and it could have been prevented had he been at home.  Brought to hospital on Sept 27, 1908; papers did not arrive until Sept 28, 1908.  
Oct 19, 1908.  No improvement; is contrary and only eats when he feels so disposed.
Nov 11.  Says “The Masons” are keeping him confined in asylum.
Feb 18, 1909.  Was visited by son today who removed him against the advice of the Supt.; his mother signing the release document.  While patient was being prepared to go home, attendants found two billiard balls hid in patient’s clothing he said he was going to do someone in.  Supt. then refused to allow him to go home.
Jul 14.  Some improvement in his behavior since last report.
Jan 6, 1910.  Is usually well behaved but on several occasions has threatened to do bodily harm to Night Watch.
Dec 30.  No change since last report.
Oct 15, 1914.  Has failed physically, no improvement mentally.
Mar 9, 1915.  Refuses nourishment, pulse very thready and is in a stupor.
Mar 11.  Discovered hernia, was down and strangulated, patient vomiting and in a comatose state.
Mar 13, 1915.  Died.  Septic infection.  Strangulated hernia.

Final disposition:
Died of septic infection, strangulated hernia.

Additional notes:
Hid billiard balls in his pocket from DSH, so not allowed to go home with son.


History and clinical notes:
History:  Several days ago patient attempted suicide by cutting his throat; was taken to Del. Hosp., when be became violent and had to be committed to D.S.H.
Oct 8, 1908.  Has been quiet and orderly since admission, but very much depressed at all times.  Was removed today by daughter very much against the advice of the Supt., who informed her that patient would be liable to attempt injury to himself again.
Oct 8, 1908.  Paroled.
Nov 19, 1908.  After leaving, committed suicide.

Standard form attached, dated October 7,1908.  “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. Hancker.  Signed [daughter].


History and clinical notes:
History:  Patient very feeble when admitted.  Several months ago he sold a farm for $4,000 and very soon afterward lost all of the money in some transaction and as a result has become mentally unbalanced.
Oct 19, 1908.  No change since admission.
May 10, 1909.  Condition remains about the same as last report, excepting that he is sometimes untidy.
Jul 1.  While moving a mattress, [another patient/name redacted] accidentally knocked [patient] off bench, producing an extra-capsular fracture of right hip – he was immediately transported to infirmary and placed on water bed.
Jul 8.  Rapidly growing weaker and refuses nourishment.
Jul 30, 1909.  Died.  Pulmonary oedema.


History and clinical notes:
History:  Patient has been peculiar for two months or so.  Officer who brings him states that he has always [ill.] a good reputation.  (Patient was brought here on Oct 1st and papers did not arrive until the 3rd).  Lately has neglected his work and for past 3 or 4 weeks his speech has been quite tremulous.  On admission, examination revealed a sore on his penis.  Patient states that he has “run after the women a great deal.”
Oct 4, 1908.  An advanced case of General Paresis.
Oct 12, 1908.  Removed by his relatives to New Jersey.
Oct 12, 1908.  Discharged unimproved.


History and clinical notes:
History:  Little history obtainable, patient has always been healthy until 10 days ago, she had been doing some private nursing and obtained insufficient sleep and recreation.  When admitted she was noisy, but not violent.
Dec 1, 1908.  Patient has had breast and axillary abscesses and has been quite anemic.  Has begun to eat, however, and general health is improving somewhat.  Talks quite rationally now, and seems to realize that she has been deranged mentally.
Dec 3, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.


History and clinical notes:
History:  First symptoms are supposed to have occurred about Oct 1st, 1908.  Patient bought a farm last May and paid more for it than it was worth, eventually being compelled to mortgage it, worked very hard all summer out in the sun all day and every day.  About Oct 1 began to imagine that he was wealthy; wanted to buy everything he saw.  Has been looking for a $500,000 hotel.  Said he was going to be a Hotel man.  Has been gradually getting worse.  Never drank liquor to any extent but lately has been drinking to excess.  Friends state that he had locomotor ataxia 2 years ago.  Patient is very strong robust and is apparently in excellent physical health.
Oct 19, 1908.  Is inclined to be unruly and requires restraint to which he seriously objects; irrational at times in his conversation.
Dec 15, 1908.  Very much improved mentally.
Jan 13, 1909.  Paroled.
Apr 1, 1909.  Discharged recovered.


History and clinical notes:
History:  Brought by officers, who could furnish no history other than patient had knocked over a stove in her own home in an attempt to burn the house, she was arrested and later declared insane.
Dec 1, 1908.  Patient has improved both mentally and physically since admission.
Dec 23, 1908.  Paroled.
Apr 1, 1909.  Discharged improved.
[In faint pencil below]
Readmitted 2-26-17 (alternate name, redacted)
    “              12-27-19
    “                4-4-21
    “                7-16-24
    “                 6-6-28
Died 11-30-45.


History and clinical notes:
History:  Brought by officers but they could not furnish history.  Certificate states that she has been taking drugs.
Dec 1, 1908.  Patient is quiet, clean and very amiable.  Has delusion that the students are after her to cut her up and hides from them under beds and in closets.  Physical health very good.
Jul 12, 1909.  Improved somewhat physically and mentally, very amiable and neat about her person.
Nov 13.  Condition same.
Jan 9, 1910.  No improvement.  Is up and about, occasionally quite depressed.
Apr 13, 1911.  Removed today by her sister against advice of Dr. Hancker.  Paroled.
Apr 15, 1911.  Patient returned by herself today – said that she was so nervous that she concluded to come back.
Jan 1917.  Patient has been working in Laundry for past month or two.
Apr 1, 1917.  Did not go to work today; said she could not breathe.  Ex. both lungs somewhat dull on percussion.
Apr 2.  Double lobar pneumonia.  Respirations rapid and difficult.
Apr 4.  No change.
Apr 10.  Is a little better today.
Apr 15.  Has improved somewhat but still difficult to breathe.  Heart’s action very irregular and spasmodic.  Lungs clearing up.
Jun 1.  Still in bed.  Lately has had haemorrhages from vagina and very disagreeable odor.  Bed sores have appeared on buttocks.
Sep 1.  Patient has cancer of uterus extending into rectum and involving perineum and adjacent tissues.
Nov 1.  Patient has steadily grown worse and this am at 12:30 died.
Nov 1, 1917.  Died.  Carcinoma of uterus.

Standard form attached, dated April 13, 1991.  “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 [sister].


History and clinical notes:
History: Officers say man was picked up while wandering about streets.  Has never done any violence, but has made threats.  Therefore considered unsafe to be at large.
May 10, 1909.  Condition unchanged but is well-behaved.
Jul 14.  No mental changes since last report.
Jan 6, 1910.  Is well-behaved and a good worker.
Feb 4.  Condition unchanged since last report.
Dec 30.  Always wants to go home “tomorrow”; no mental change.
Oct 15, 1914.  Condition remains unchanged; is generally well behaved.

Additional notes:
Sister listed as correspondent.  Died at DSH, 5/26/1965.  Buried at DSH, Grave #722.


History and clinical notes:
History:  Has been a patient in Delaware Hospital, suffering from Ac. Articular Rheumatism, yesterday he attempted to leap from window but was prevented by nurses and orderlies and was later committed to this institution.
Nov 4, 1908.  Has given us no trouble since admission and admits that he had been drinking to excess prior to admission.
Nov 11, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.


History and clinical notes:
History:  No history obtainable, was “picked up” in Georgetown and sent to County Almshouse (Sussex) and later adjudged insane.
Nov 10, 1908.  Says he has been in Penna Hospital for Insane.
May 10, 1909.  Is troublesome at time, demands keys from attendants, wants his release, says he is Gov. of Delaware and wants wages for work he does in wards.
Jul 14.  Condition remains unchanged.
Jan 6, 1910.  Is usually well-behaved, says he is Gov. of Delaware, says he is going to eat coal and when asked for a reason he replied “to get up steam.”
Dec 30.  No mental improvement, says “the hospital is not run to suit him and he is going to hang the attendants and patients.”
Jan 6, 1914.  No mental change since last report.
Jun 29, 1914.  Discharged improved.
[No date] Removed to Lancaster Co. Penna. Asylum upon request of relatives.

Additional notes:
Returned to Lancaster, Pa. upon request of relatives.


History and clinical notes:
History:  Brought from Sussex County Almshouse, no history obtainable.  
Nov 20, 1908.  Has given but little trouble since admission.  Is very restless at times and her conversation is incoherent.
Nov 29.  Patient at 4 p.m. patient had a stroke of cerebral apoplexy (left-sided hemiplegia), profound coma.
Nov 30.  Comatose condition continued and patient died at 3:30 a.m.
Nov 30, 1908.  Patient died – cerebral apoplexy.


History and clinical notes:
History:  Patient brought by husband who states that she was so nervous that they could not keep her at home.
Dec 1, 1908.  Patient very fat, and totally blind.  Has been put on milk diet to try and reduce her weight.  Has excited periods, and depressed ones in which she weeps and moans.  Has a great deal of indigestion.
Jun 9, 1909.  Improved in health; still has periods of excitation and depression.  
Nov 13.  Condition same.
Jan 9, 1910.  Is somewhat better.  Has grown quite blind due to cataracts both eyes.


History and clinical notes:
History:  Brought by officers who could give no history.
Jan 12, 1909.  Inclined to be violent and requires restraint, refers to himself as “this.”  
May 10.  More quiet than when admitted but otherwise unchanged.
Jul 14.  Incoherent and inclined to be violent at times.
Jan 6, 1910.  No mental improvement.
Feb 4.  Condition unchanged since last report.
Dec 30.  Does not improve and is sometimes violent.
Aug 6, 1911.  Always surly and disagreeable, uses vile language and is sometimes violent.
Jan 8 1912.  Is losing flesh; has a persistent cough and does not eat well.
Feb 25.  Is confined to bed, coughs and expectorates profusely.
Mar 1, 1912.  Removed to “T.B.”, is rapidly losing flesh and refuses nourishment.
Mar 4, 1912.  Died.  Phthisis Pulm.

Final disposition:
Died of Phthisis Pulm.  Buried in DSH Cemetery, Grave #215.

Additional notes:
"Refers to himself as "this"."  Buried at DSH, Grave #215.


History and clinical notes:
History:  Brought by officers who could furnish no history.  Was a former patient under date of June 21st, 1894, for previous history see Book III, page 8.
May 10, 1909.  Very troublesome; tears his clothes and sometimes strikes other patients.
Jul 14.  Continues to be noisy and troublesome.
Jan 6, 1910.  Condition about the same as when last reported.
Feb 4.  Failing physically and is not as noisy as he formerly was.
Aug 9.  Rapidly growing weaker, does not retain food, and has “coffee grounds” vomit.
Aug 10, 1910.  Died.  Carcinoma of stomach; chronic mania.

Final disposition:
Died -- cancer of stomach, chronic mania


History and clinical notes:
History:  Patient was removed from this institution by her son against the advice of the Supt., June 8th, 1907.  Officers who return her know nothing of the details of the case except that she has been very violent.
Dec 1, 1908.  Patient very nervous, but quiet and tractable.  Has delusions, but not as pronounced as they were on admission.  She is very much emaciated and has little appetite.  Sleeps fairly well.
Jul 12, 1909.  Improved physically, mentally no change.
Nov 13.  Condition unchanged.
Jan 9, 1910.  No change.  Mentally very weak, at times very cross and irritable.
Dec 24, 1912.  Patient has been failing lately and is steadily losing flesh.  Has Pul. Consumption; was visited by her son today who removed her.  Paroled.
Mar 7, 1913.  Discharged improved.

Standard form attached, dated December 24th, 1912.  “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: T.H. Davies.  Signed [relative].


History and clinical notes:
History:  Some few months ago, the above named patient attempted to kill several members of his family, with the aid of a hatchet, the injuries were all of a severe nature but none proved fatal although it was necessary for three members of his family to remain in hospital for several weeks.  He was committed to N.C.Co. Workhouse and later brought before a jury and declared insane.
May 10, 1909.  Slight improvement, but quite melancholy.  
Jul 14.  Is greatly depressed; otherwise no change.
Jan 6, 1910.  No mental change.
Aug 9.  Markedly depressed, physical condition, fair.
Dec 30.  Condition remains unchanged.
Feb 12, 1914.  Confined to bed, emaciating rapidly, has marked arterio-sclerosis, heart weak, sluggish peripheral circulation.
Mar 14, 1914.  Died – aortic insufficiency.

Additional notes:
Tried to kill several members of his family.  Injured them badly.


History and clinical notes:
History:  Brought to hospital Nov 30, 1908 but papers did not arrive until today, Dec 4th, 1908.  Was a former patient; for previous history see Book V, page 351.  
May 10, 1909.  Has occasional seizures (epileptic) and during these spells he is violent and noisy.
Jul 14.  No change since last report.
Feb 4, 1910.  Condition unchanged, has occasional epileptic seizures.
Mar 29.  Has an anxious expression on his face and stands near open window in order to get more air, heart’s action rapid, with loss of compensation.
Jun 10.  Some physical improvement but no mental change.
Jul 13.  Patient’s father was anxious to take him home for awhile and give him a trial.
Jul 13, 1910.  Paroled.
Mar 16, 1911.  Discharged unimproved.
[penciled note: see Vol. VII, page 419].


History and clinical notes:
History:  No history obtainable.
May 10, 1909.  Is very disagreeable; food, sleeping quarters, etc. do not suit him.
Jan 6, 1910.  No improvement; always asks to go home and says he could cure his paralyzed limb, if he had a liniment.
Feb 4.  Is never satisfied, complains that food is not good, that he does not receive sufficient tobacco and he wishes to be sent to County Almshouse.
Apr 4.  No change since last report.
Aug 9.  No change, constantly complaining of being confined.
Sep 22.  Was removed today by friends on parole.
Sep 22, 1910.  Paroled.
Mar 16, 1911.  Discharged unimproved.


On certificate of:
Drs. Edward H. McCabe and K. James Hocker

History and clinical notes:
History:  Patient wanders away from home and frequently brings suit against her husband for some imaginary offense.
Apr 9, 1909.  Patient very much better – does some work on ward.  Is pregnant and her husband was notified of this fact.
May 3.  Was sent to her home today.  Paroled.
Oct 14, 1909.  Discharged recovered.


History and clinical notes:
History:  Patient became very nervous about 2 years ago and since then has been extremely melancholy, could not work.  Kept by himself a great deal of the time.  At times was a little excited.  Last night became very violent and friends had to telephone to the police.  They had to place him in restraint; patient struggled a great deal as a result he was bruised up a great deal.  Face and limb are bruised as are other parts of his body.  General health is very good.
Dec 30, 1908.  Very noisy and violent when admitted and required restraint.
Jan 1, 1909.  Is quiet and it taking nourishment, is very nervous and has a marked hesitancy in speech.
Mar 21.  Improved physically, but no mental change.
May 10.  Condition remains unchanged.
Feb 4, 1910.  Condition about the same as when last reported, spends about one half of his time in bed.
Mar 30.  Fell out of bed and broke a tooth.
May 1.  In bed constantly.  Bed sores over sacrum very extensive.  Is in water bed.
May 25.  Much weaker today.  Pulse very feeble.
May 26.  Very feeble all day, sinking rapidly, was visited by brother and wife today.  Continued to fail and died from Exhaustion, Gen Paresis.
May 26, 1910.  Died 9:50 pm, exhaustion from general paresis.


History and clinical notes:
History:  Patient was paroled from this institution Sept 7, 1908.  Went to work for friends at Townsend.  Sister-in-law who returns her states that she has been failing lately and that she is much more nervous and that she was afraid that she would get worse.
Jul 12, 1909.  Very talkative.  Works in attendants’ dining room.
Oct 10.  Much disturbed the past few days.  Doesn’t sleep.  Talks a great deal.  Appetite failing.
Dec 4.  Has improved physically – mentally no change.
Aug 22, 1910.  Has been working in the attendants’ dining room for over one year.  Physical condition good.
Aug 22, 1910.  Paroled
Mar 16, 1911.  Discharged unimproved.


History and clinical notes:
History:  Patient never drank liquor prior to present attack, began about one month ago, but attended to his work every day but did not eat or sleep well, last Saturday he suddenly stopped drinking and since that time has been very nervous and at times delusional.
Jan 6, 1909.  Slept well and ate breakfast.
Jan 7.  Very much improved and eager to return to work.
Jan 9, 1909.  Paroled.
Apr 1, 1909.  Discharged recovered.


History and clinical notes:
History:  Has been failing (mentally) for past year, wanders away from home, is very untidy about person and is delusional.  When admitted, his body and clothes were covered with vermin, head and beard were shaved and clothes were burned.
Mar 21, 1909.  Is well behaved, physical condition improved.
Apr 17, 1909.  Paroled.
Oct 14, 1909.  Discharged improved.

Additional notes:
When he arrived was filthy and covered in bugs.  Was cleaned up and given new clothes!  Buried in Riverview.


History and clinical notes:
History:  Patient was discharged from this hospital Oct 1904, see case book 4, page 404 for previous history of patient.  Dr. Conwell who brings patient to hospital states that after she left here she was fairly well until June of last year, when she became very much depressed – had hallucinations of smell.  Was never violent nor has she shows any disposition to injure herself or others.  Was placed in private sanitarium near Baltimore Aug 28th last where she has remained until today.  She has improved somewhat mentally – physically she is in poor condition and is quite thin and emaciated.
Jul 12, 1909.  Very much depressed; physically below par.
Nov 13.  Very restless at all times; tears her clothing, refused to eat and had to be tubed for one week.  Very thin.
Dec 4.  Patient very much emaciated.  Continually fretting.
Dec 15, 1911.  Patient steadily growing worse.  Physical condition poor.  Teeth broken off by tearing her clothes with them.  She throws her head forward and in such a manner gets her hair between her knees and pulls it out in huge quantities.  Her eyes are congested.  Appetite good.  Mental condition worse.

Additional notes:
Was at hospital from 1909 to 1960.  Died 11/6/1960 of cancer.


History and clinical notes:
History:  Has been acting in a peculiar manner for past two years, is violent at times and has destroyed furniture.  Poor physical condition.
Mar 15, 1909.  Extremely noisy and always begging tobacco.
May 10.  No mental change, is very noisy, untidy, and destructive; failing physically.
Oct 14, 1909.  Died – exhaustion from chronic mania.


History and clinical notes:
History:  Patient was brought to the institution by his brother on the 24th, but papers did not arrive until (26th).  Patient has always been a very heavy drinker until a short time before last Christmas when he ceased.  Has been out of work for a long time and no one noticed any peculiarities abut him until Sat. night when he came to his brother’s house clad only in his night robes, was incoherent and somewhat abusive.  His brother has been caring for his insane sister for a number of years.
Jan 27, 1909.  Was visited by brother today who insisted on removing him.  He was advised not to do so by the officers and told what the consequences might be, but he would not listen to reason.  Paroled.
Jan 29, 1909.  Returned today.  While at home his wife placed hot irons to his feet, which produced severe burns.
Feb 16.  Rapidly improving mentally but unable to walk on account of burns.
Mar 16, 1909.  Paroled.
Oct 14, 1909.  Discharged recovered.Standard form attached, dated January 27,1909.  “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. Hancker.  Signed [son].

Additional notes:
Died 10/23/1927 in Phila. County Prison of heart disease and epilepsy.  Buried in St. Dennis Cemetery, Pa.


History and clinical notes:
History:  Patient was brought to this institution by her sister on the 24th, but the papers did not arrive until the 26th.  Was married about 4 years ago and shortly after this time began to act peculiar.  Husband died one year ago and since then has been living by herself and lately has been a source of annoyance to her neighbors, until they complained, and her sister from Phil was compelled to take some action in the matter.
Jul 12, 1909.  Very quiet, refuses to talk.  Physical condition good.
Nov 13, 1909.  Condition same – won’t talk.
Still there in 1918??

Additional notes:
Notes in margin list contacts up through 1918.


History and clinical notes:
History:  Mental change was first noticed one year ago, no other history obtainable.  Patient arrived on 1/28th ’09 but owing to an error in commitment papers were returned for correction and did not arrive until today 1/30/09.
Mar 20, 1909.  Confined to bed, is extremely nervous, “says he feels badly but cannot say just where.”
Mar 24, 1909.  Is unconscious and failing rapidly.
Mar 26, 1909.  Died – aortic insufficiency.


History and clinical notes:
History:  Has been confined to a sanitarium but for past few months has been at home.  Patient always seemed bright until three years ago when she became delusional.  This a.m., prior to her coming to hospital, she climbed to the top of a wind mill and gave as an excuse “Delaware needed help.”
Jul 1, 1909.  At times patient is quite disturbed; frequently tearing her clothing, fancy work, etc.  And once or twice has spat in patients’ faces especially if she is interfered with in any manner.  Once or twice it has been necessary to transfer her from her Ward A to Ward B.
Jul 6.  Was visited by mother today who decided to try her at home for awhile.  Paroled.
Aug 20, 1909.  Returned today after being at home since July 6.  Did not improve; when admitted was very much disturbed but became quieter and slept well all night.
Dec 4.  No change in her condition.
Jan, 1916.  Patient’s mental condition improved.
Dec 30, 1916.  Paroled.  [Year makes no sense, but that’s what it says. Perhaps 1917?]
May 14, 1918.  Discharged improved.


History and clinical notes:
History:  A former patient in the institution.  For previous history see (Book ______, page).  Was admitted to this institution 11.29.89 and discharged 5.26.91.  Officer who brings patient knows but little of her history.  States that she is dangerous, that she is inclined to harm everything she can.  Wanted to harm herself, etc.  Is very violent at times.
Jul 12, 1909.  Condition same.
Nov 13, 1909.  Condition same.


History and clinical notes:
History:  Officer knows but little of her history.  Her husband works for Consumers [ill.] Co. but he is worthless and has nothing to do with his wife.  Domestic trouble is assigned for the cause.
Jul 12, 1909.  Mentally not improved.  Very quiet.
Sep 21.  Improved very much mentally and physically; becoming very stout.  Eats and sleeps well.
Sep 22, 1909.  Paroled.
Feb 21, 1910.  Discharged improved.


Form:
manic depression psychosis, depressive type

History and clinical notes:
History:  Present trouble began four years ago, imagines people were after him and going to do him bodily harm.  Lost some money in stocks and he has worried over the matter.
Mar 21, 1909.  Is very stupid, lounges about on couches and rocking chairs.
May 10.  No improvement.  Is very stupid, lounges about on couches and seldom converses with any person.
Jan 6, 1910.  Condition remains unchanged, is very indolent.
Dec 30.  No change since last report.
Oct 15, 1914.  No improvement, is very indolent and wants to lie down on bench all day.


History and clinical notes:
History:  Has been failing mentally for past 3 years, wanders away from home and hides in the woods, has never been violent or destructive.
Jul 12, 1909.  Failing physically.
Aug 26.  Seized with [ill.] convulsions at 5 a.m., died at 4:30 p.m. without regaining consciousness.
Aug 26, 1909.  Died.  Uraemia.


History and clinical notes:
History:  Patient has always been weak-minded, could not learn anything at school.  Has always been kept at home.  Lately, has been found fooling with little girls and his relatives were afraid that he might do something that would bring them to disgrace, so they concluded to incarcerate him.
Mar 21, 1909.  Is well behaved, works about ward and grounds.
May 10.  No change since admission, is well behaved.
May 13, 1909.  Paroled.
Oct 14, 1909.  Discharged.


History and clinical notes:
History:  Began to fail mentally about seven years ago, is unable to care for himself, sometimes is destructive, at times tears clothing.
Mar 21, 1909.  Confined to bed, is very feeble.
May 10.  Is still confined to bed.
Jan 6, 1910.  Condition remains unchanged, is confined to bed, eats and sleeps well.
Apr 4.  Confined to bed and is failing mentally and physically.
Aug 9.  Condition remains unchanged.
Dec 30.  Has had a slight cerebral hemorrhage on right side and is completely paralyzed on left side.
Jan 5, 1911.  Has developed “T.Bs.” (sic) and is rapidly wasting away, profuse expectoration.
Feb 12.  Rapidly growing weaker and it is difficult to get him to take nourishment.
Mar 3, 1911.  Died.  Phthisis pulm.

Additional notes:
All 3 of his children were dead in 1909 when he was admitted.


History and clinical notes:
History:  Patient has lived in a little hut and alone for many years and was always mentally feeble but for past week her action have been very peculiar and neighbors became aroused.
Mar 25, 1909.  Has been very quiet and orderly since admission.  Is very feeble minded and wanders aimlessly around the ward asking foolish questions of anyone who will listen to her.  Last night had a slight stroke of apoplexy (right hemiplegia).  Is unable to articulate.
Mar 26.  Not much better this a.m.  Right side paralyzed.  Takes liquid food only with difficulty.
Mar 31.  Has laid in a semi-comatose condition since last note.  Has been spoon-fed hourly.  Today became quite unconscious and failed rapidly and died at 5:15 p.m.
Mar 31, 1909.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  Patient is very stupid and sometimes untidy, tears his clothes, but is not violent.  Brought to hospital on Feb 15th, 1909 but papers were delayed until today, Feb 23rd, 1909.
Mar 21, 1909.  Weak and emaciated, confined to bed, and does not take sufficient nourishment.
May 10.  Failing physically; no mental change.
Aug 23, 1909.  Died.  Exhaustion from acute mania.


History and clinical notes:
History:  Present trouble was first noticed about two weeks ago when he wandered from home without any clothes.  Is not violent but sometimes tears his clothes.
Mar 1, 1909.  Suffering from cellulitis, involving left arm, is growing weak and presents a general septic appearance.
Mar 19, 1909.  Died – embolism (cerebral).


History and clinical notes:
History:  Brought by officer who could give no history other than patient had been arrested on a charge of larceny but was found to be insane and was discharged.
Mar 21, 1909.  Noisy, untidy, and violent; requires restraint.
May 10.  Marked improvement since last report.
Oct 4.  Condition about the same as when last reported.
Nov 3, 1909.  Paroled.
Dec 16, 1910 [should say 1909].  Returned today, says “he returned to get treatment for a skin affection (sic – affliction or infection?) (Scabies).
Feb 4, 1910.  Skin affection has entirely disappeared.
Jun 1, 1910.  Paroled.
Jul 9, 1910.  Some few days ago patient was found on Brooklyn Bridge and it was thought he was going to jump off the structure.
Jul 9.  Returned to hospital today.
Dec 30.  No mental change, works about ward.
Jan 20, 1912.  Confined to bed; is noisy and untidy; has delusions of grandeur.
Jun 12.  Condition steadily growing worse; occasionally gets out of bed but falls as he is very unsteady on his limbs.
Dec 21.  Rapidly growing worse, appetite poor and is very noisy at night – emaciating rapidly.
Jan 26, 1913.  Died – general paralysis of the insane.

Final disposition:
Died from general paralysis of the insane


Complications:
fracture of forearm (right) burns of leg (left)

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

History and clinical notes:
History:  Brought by husband who states that patient began to fail mentally about two years ago but during that time she has been able to look after her household duties but has been growing careless and untidy in regard to dress and etc.; fell down stairs one week ago sustaining fracture of right forearm.  Previous to present attack she was of a lively and cheerful disposition.
Mar 5, 1909.  Very much disturbed, removes splint from arm and is difficult to care for.
Jun 9.  Condition same.  Arm in good condition.
Jul 12.  Failing physically, very untidy.
Aug 23.  Still failing; enforced milk diet.  Very untidy.  Mentally dull.
Nov 13.  Physically somewhat improved.
Dec 4.  Condition same.
Jan 25, 1910.  Very thin.  Several boils on legs.  Two opened without having been previously seen.
Feb 8.  Recurrence of boils.  Good appetite.
Mar 1.  Very untidy; boils on arms and legs healed, but a few new ones on body.
Mar 22.  Rapid emaciation.  Disappearance of boils.
Mar 28.  Quite weak and nervous.
Mar 29.  Not able to swallow.
Mar 29, 1910.  Died at 11:25 p.m.  Exhaustion from chronic mania.

Additional notes:
Perhaps domestic abuse?  She gave birth to six children altogether.  Her first child died at the age of 3.  Of her other 5 children, www.ancestry.com shows that several of them lived to adulthood, married, and had children and grandchildren, including her youngest, who was only 1.5 years old when his mother went to DSH.  She is buried in Yorklyn alongside her husband and their first child.


On certificate of:
Drs. Harold L. Springer and P.W. Tomlinson

History and clinical notes:
History:  Brought from Home for Aged Women (Gilpin Ave.); has been growing mentally feeble for past two years, several members of her family are very nervous.
Mar 6, 1909.  Very feeble.  Has been in bed constantly since her admission; very restless and appetite poor.
Mar 10.  Is failing; takes milk in small quantities.
Mar 15.  Much worse.  Sisters were here today to see her.  Continued to fail and passed away quietly at 7:50 p.m.  Died of senile asthenia.


History and clinical notes:
History:  Brought by friends who state that patient has been failing mentally for past year, has marked hesitancy of speech and says he had syphilis about 7 years ago.  Does not sleep well, appetite poor and is very anemic.
Mar 29, 1909.  Has a poor appetite and is failing physically.
Apr 6.  Developed convulsions and remained in comatose condition until 9 p.m. when he died.
Apr 6, 1909.  Died – general paresis.


History and clinical notes:
History:  Has been weak minded since childhood; was at Elwyn Feeble Minded School until June 1905 when she was brought home on account of reaching age limit of school.  Is sometimes disturbed.
Nov 13, 1909.  Very silly.  Has occasional convulsions.
May 31, 1910.  Fairly good physical condition; saucy to some of the other patients.
Jun 1, 1910.  Paroled.
Jun 8.  Returned.
Aug 26.  Was saucy to one of the patients, and when corrected today started to run down the ward and fell.  She sustained a fracture of the right forearm.  [Last entry.]

Additional notes:
From ancestry.com -- was still in DSH at 1940 census, age 55.  Could not find any death information.


History and clinical notes:
History:  Patient was taken to Delaware Hosp. 3/2/09 where they discovered that she was mentally afflicted and arrangements were made for immediate transferal.  From history obtained she was apparently well yesterday 3/2/09 morning – she drinks to excess but had not been drinking yesterday.
May 1, 1909.  Very much improved and anxious to go home.
May 8.  Paroled.
Oct 14, 1909.  Discharged recovered.


History and clinical notes:
History:  Patient was discharged from this institution Sept 7, 1908.  Has been working on a neighboring farm.  Farmer died and patient was returned to the institution.
May 10, 1909.  Is well behaved and works about farm and grounds.
Jan 6, 1910.  Condition remains unchanged.
Aug 9.  Works about farm and is well behaved.  
Dec 30.  No mental changes, works about grounds.
Oct 15, 1914.  Works on the farm every day but is very peculiar and self willed.
[Last entry]

Additional notes:
Buried at DSH, Grave #502.  Had been on a sort of work-release as a farm laborer, but when the farmer died he was returned to DSH.  Was still at DSH in 1920 census.  Died there 7/31/1939.  Buried at DSH, Grave #502.


History and clinical notes:
History:  Patient was discharged from this institution Jul 13, 1899.  Since this time has been fairly well and has helped to care for a weak minded woman for a number of years.  About 2 months ago began to show signs of a return of the malady – became gradually worse and about one week ago became destructive so much so that her friends had to return her to the institution.
Jul 12, 1909.  Physically in good condition, mentally unimproved.  Talks a great deal.
Aug, 1909.  Improving.
Sep 10.  Returned to Ward A very much improved.
Oct 8, 1909.  Returned home.  Paroled.
Feb 21, 1910.  Discharged recovered.


History and clinical notes:
History:  Has been acting strangely for several months and grew somewhat violent yesterday, mother and grandmother were both insane.
May 10, 1909.  Failing rapidly; is very stupid and untidy.
May 20.  Patient has suffered for years from purulent cystitis.  Patient has been drawing his own urine by aid of catheter for some time.
Jun 4.  Patient steadily failing.
Jun 8.  This morning patient unconscious – died at 9:15 a.m.  Patient’s son was with him at time of death.
Jun 8, 1909. Died – septicemia.

Additional notes:
Complications of chronic purulent cystitis.


History and clinical notes:
History:  Patient is a periodical drinker but has not been drinking for about one week; last night he aroused the boarders in the house and told them “someone is after me and is trying to shoot me.”  When admitted he was quiet.
May 15, 1909.  Is very quiet, rational in conversation and wants to go home.
Jun 19, 1909.  Paroled.
Oct 14, 1909.  Discharged recovered.


History and clinical notes:
History:  Patient has been out of employment and members of his family have been very ill, one having recently died, as a result he has been drinking to excess and is greatly depressed.
Apr 17, 1909.  Suffering from typho-pneumonia and in a comatose condition since admission.
Apr 18.  No improvement.  Temp 103.2°.
Apr 20.  His wife and mother insisted upon removing him to his come contrary to the advice of the Supt.
Apr 21, 1909.  Removed to his home today.
Apr 22, 1909.  Discharged unimproved.
Apr 22, 1909.  Died three hours after his removal.

Standard form attached, dated April 20th, 1909.  “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: J.H. Davis.  Signed [wife].


History and clinical notes:
History:  Brought to hospital 4-17-09 but papers did not arrive until today April 19th, ’09.  Patient lost a sum of money, the savings of several years and as a result has worried over the matter, says people are piercing his body with swords.
Jun 15, 1909.  Slight improvement since admission.
Jun 26.  Removed against advice of Supt.  Paroled.
Oct 14, 1909.  Discharged recovered.

Standard form attached, dated June 26th, 1909.  “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. Hancker.  Signed [father].


History and clinical notes:
History:  Brought by Constable from Delaware City, no history obtainable other than he was “picked up.”
Apr 22, 1909.  Patient says he was confined in Columbus State Hospital (Ohio) for eight years.
May 30.  Returned to Columbus State Hospital by Asst. Supervisor, Samuel Collins.
Jun 9, 1909.  Discharged unimproved.

Additional notes:
Lived at Columbus State Hospital for the Insane/County Home until his death in 1948, buried in the County Home Cemetery.


History and clinical notes:
History:  Had a stroke about 1 year ago from which she partially recovered; had a second stroke (RS) 3 weeks ago which has also affected sight and speech.
Apr 26, 1909.  Quiet since admission, confined to bed.
May 10.  Still in bed; doesn’t notice anything going on about her.
May 24.  Submaxillary abscess noticed on left side.  Painted with iodine.  Appears to be suffering.
May 25.  Unconscious; pupils markedly contracted.
May 27.  Condition same; abscess has become absorbed.  Pulse 136, Temp 103°.
May 28, 1909.  Died 6:10 a.m.  Cerebral apoplexy.

Additional notes:
Not insane; had second stroke, husband brought her to DSH.


History and clinical notes:
History:  Patient cannot be cared for at home; has numerous delusions.
Jul 12, 1909.  Very weak and quiet, in good condition physically.
Nov 13.  Condition unchanged.
Dec 4.  No change.
Jan 6, 1910.  Has a severe cold; considerable cough; bronchial rales on both lungs.
Jan 10.  No improvement; usual remedies failed to give any results.  Heart’s action very irregular.
Jan 13.  Right lung solid; Resp extremely difficult.
Jan 15.  Failed steadily since last note and died this morning 3:40 a.m.
Jan 15, 1910.  Died.  Lobar pneumonia and senile asthenia.

Final disposition:
Died of lobar pneumonia and senile asthenia


History and clinical notes:
History:  Present trouble was first noticed about three weeks ago; patient was restless, did not sleep well, and imagined that her husband had deserted her.  Another source of her trouble was due to a younger (19 years) sister who contemplated matrimony against the wish of Mrs. G (patient).  Attempted suicide yesterday by turning on gas in her room; was rescued by her husband.  On admission patient had a severe burn over right eye, also right shoulder and right arm.
May 1, 1909.  Is not quite so depressed as at time of admission; is slowly improving; burns on right shoulder and arm quite severe altho granulations are healthy.
May 13.  Improving slowly continues – was visited by her sister and husband who decided to remove her much against the advice of the Supt.
May 13, 1909.  Paroled.
Oct 14, 1909.  Discharged recovered.

Additional notes:
She apparently never had kids; lived for many years in Wilmington on French St. with her older husband, who was an undertaker.  She is listed as his widow in 1959 Wilmington City Directory. Died 12/11/1964.


History and clinical notes:
History:  Brought from Kent Co. Almshouse, no history obtainable other than patient destroys his clothing.  Physically in poor condition.
Dec 29, 1909.  Confined to bed and is rapidly growing weaker.
Jan 4, 1909 [1910].  Continues to grow worse and it is difficult to get him to take any nourishment.
Jan 14, 1910.  Died – senile asthenia and terminal dementia.

Final disposition:
Died of senile asthenia and terminal dementia


History and clinical notes:
History:  Brought from Kent Co. Almshouse, no history obtainable.  In poor physical condition.
Jul 12, 1909.  Very feeble.
Nov 13.  Became very weak several weeks ago, but rallied and now seems to be in fairly good health, confined to bed.
Dec 4.  Condition unchanged.
Jan 31, 1910.  Eats and sleeps well, but continues to be confined in bed, because very weak.
Mar 31.  Condition same.
May 21.  Has gradually been faily (failing) and refuse food today.
May 22.  Comatose.
May 23, 1910.  Died at 3:30 p.m.  Chronic endocarditis.


History and clinical notes:
History:  Brought from Kent Co. Almshouse, patient is unable to walk, is noisy, and uses vulgar language.
Jul 12, 1909.  Patient untidy and abusive in her language at times; otherwise not troublesome.
Aug 10.  Has been in bed since last note.  Is untidy – difficult to care for.  Has a large sore on right foot involving the heel.
Sep 14.  Sore over foot extending; also bed sores over sacral region.
Oct 20.  Foot is now gangrenous, very offensive; line of demarcation above ankle well marked.
Oct 24.  Last night at 11 p.m. night-watch noticed that patient was hardly breathing, at once notified Dr. Davies, who responded at once, but patient had ceased to breathe when he reached bed side.
Oct 23, 1909.  Died – cerebral embolism.


History and clinical notes:
History:  Was a former patient under date of Jan 15th, 1898.  Has been a patient in N.C.C. Almshouse for past few months but could not be cared form, sometimes noisy and also destructive to her clothing.
Jul 12, 1909.  Very talkative and annoying to other patients.  Physical condition good.
Dec 4.  Condition unchanged.
Jan 12, 1913.  No change, very noisy at times and difficult to control.
Jan 1, 1914.  Has been in bed for some time and is very much emaciated.  This a.m. attendants noticed that her left side was paralyzed.
Feb 1.  Still in bed.  Has a few bed sores but they yield to treatment very readily.  Has partially regained the use of her left side.
Mar 1.  Very weak lately, has considerable difficulty in breathing.  Heart very irregular and arteries very markedly athero . . . [ill.].
Apr 22.  Very weak this p.m.
Apr 23, 1914.  Passed away at 1 a.m.  Cerebral apoplexy.


History and clinical notes:
History:  Brought from Home for Aged Women where she has been a inmate since 1906 (sic).  She is troublesome at times a imagines people are trying to get her property, walks about during the night (sic).  Patient arrived May 6th, 1909 but papers did not arrive until May 7th, 1909.
Jul 12, 1909.  Very quiet, gives no trouble.
Dec 4.  Condition same.
Jan, 1914.  No special change in patient’s state.  This a.m. a lump the size of a walnut was noticed on left breast – carcinoma was diagnosed.
May 1914.  Carcinoma is well marked; surface has broken down.
Jan 1915.  Cancer of breast has extended involving glands in axilla.  Considerable bleeding at times which is controlled with difficulty.
Mar 10.  Patient very weak; inroad of disease very rapid.
Mar 28.  Patient very weak this a.m.  Have been unable to give her nourishment since yesterday.
Mar 29.  Very low this a.m.  Stertorus breathing.
Mar 31, 1915.  Died – carcinoma of breast.


History and clinical notes:
History:  Has suffered from epilepsy for past twenty years, but is not violent or destructive.
Jul 12, 1909.  Very quiet, gives no trouble.
Aug 9.  Sick in bed two days with dysentery, somewhat better today.
Aug 13.  Very weak.  Copious hemorrhages from bowels – in great pain.
Aug 14.  Semi-comatose condition; hemorrhage from stomach and bowels.
Aug 16, 1909.  Died – acute enteritis.


History and clinical notes:
History:  Patient was taken to Kirkbride’s about 15 years ago where he remained for a number of months, where he recovered and returned to his home.  A little over a year ago patient [began] to act peculiar.  He held up the Rural mail carrier with a revolver and threatened to kill him.  Dug up his farm looking for imaginary treasures, neglected his crops.  Was taken by his friends to Penn Hospital for Insane again where he has remained until this time.  Was brought here on account of his financial condition not warranting his remaining there.
Jan 6, 1910.  A very cross and irritable patients, inclined to use abusive [language] in his talk.
Apr 4.  Always surly and vulgar in his talk.
Aug 9.  Does not improve.
Dec 30.  Very irritable, says he is a sane man and wants to go home.
Oct 15, 1914.  Is more agreeable and a good worker, is delusional and always maintains he is sane.
Note: From online search.  In 1900 census he was 36, single, living at home with his parents.  He was discharged from DSH in 1914, but was back at DSH for the 1920, 1930, and 1940 census counts.  He died in 1953 and was buried in Camden, Kent County, Delaware.

Additional notes:
Spent most of his life in asylums; died at DSH 9/17/1953.


History and clinical notes:
History:  Has been failing mentally for past six months, physically for past three months.  Is very restless, refuses to eat and does not sleep well and is very much emaciated.
May 27, 1909.  Appetite much improved; marked physical change but he constantly complains of pain in various parts of body.
Jun 3.  Taken home today contrary to advice of Supt.  Paroled.
Oct 14, 1909.  Discharged improved.

Standard form attached, dated June 3, 1909.  “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: J.H. Davies.  Signed [son].


History and clinical notes:
History:  Present trouble was first noticed ten days ago, when patient refused to eat, very much depressed, does not sleep well and refuses to talk.  After being on ward a short time, patient picked up a chair and attempted to strike an attendant.  Became so violent and noisy that it was necessary to place her in restraint.
Jun 7, 1909.  Patient very quiet.  Refuses to eat.  Has to be tubed.
Jun 12.  Removed against the advice of the Superintendent by her husband at the instigation of her parents.
Jul 12, 1909.  Paroled.
Oct 14, 1909.  Discharged unimproved.

Standard form attached, dated June 12, 1909.  “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:
Died 7/22/1909.  Headstone says Katie Brasure.  Millsboro Cemetery.


History and clinical notes:
History:  Very little history obtainable, has been wandering about aimlessly, very stupid at times, does not eat or sleep well, physically very much below par.  Phys. Exam. Reveals tubercular cavity in left lung.
Jul 12, 1909.  Is quiet and gives no trouble; failing physically.
Dec 4.  Condition same, coughs and expectorates a great deal.
Jan, 1913.  Patient has been continuously in the T.B. Building since last note and has been slowly failing.  At times has been up and about, while again has been very weak.  Expectorates a great deal.
Feb 26.  Has been in bed for past few days and is very week.  Died this a.m.
Feb 26, 1913.  Died.  Phth. Pul.


On certificate of:
Drs. Wilbur C. Steele and Charles H. Blake

History and clinical notes:
History:  Patient came from Pine Bluff to New York City, while there had delusions of a crowd attacking her; was found in Newark, Delaware wandering around aimlessly; is not troublesome; very quiet, sleeps well, appetite good, in good physical condition.  Patient stated to physicians that her husband is a physician in Pine Bluff, N.C., that she came to New York on business, while there pawned her diamond ring and jewelry.  She says that when she came out of the pawn shop she was pursued by a crowd, she became so frightened that she returned the tickets to the pawn broker.  She doesn’t know how she came to be in Delaware.  A few days after her admission still confused, imagines people are pursuing her.
May 25, 1909.  Mind clearing up.
Jun 1.  Mind very clear.  Superintendent has communicated with her husband Dr. [name redacted] of Pine Bluff, N.C.  [Her husband] writes that she is his wife and wants to have arrangements made for her return to him.
Jun 9.  Arrangements have been completed for her return to Pine Bluff.  She has apparently recovered.  Left on the 4:32 train from Wilmington.
Jun 9, 1909.  Discharged apparently recovered.
Note: From on-line search, was able to identify that husband was much older than her, and he died in 1919, but was not able to track her life in later years.


On certificate of:
Drs. Meredith I. Samuel and P.W. Tomlinson

History and clinical notes:
History:  Brought to hospital at 11:30 p.m. by a nephew who claims that mental impairment was first noticed about six weeks ago when he became depressed, refused to eat, and said he wanted to die.  A few days ago he jumped into river but was promptly rescued.
May 27, 1909.  Imagines he is covered with vermin.
Jul 30.  Is well behaved but is delusional.
Jan 6, 1910.  Condition unchanged; physical health fair.
Dec 30.  Does not improve; is in fair physical health.
Feb 10, 1912.  Has been in fairly good health until today when he was suddenly stricken and has been placed in bed.
Feb 16.  Does not improve; speech is affected and is unable to take but little nourishment.
Feb 26, 1912.  Died – cerebral apoplexy.


History and clinical notes:
History:  Patient has been an inmate of N.C.Co. Hosp. for several years; yesterday he wandered away from institution and was found in the marshes in South Wilmington.  He seemed very much confused and could not account for being in that section.  Several years ago he suffered from Sun Stroke and since that time he has been failing mentally.
May 27, 1909.  Is quiet and gives us no trouble.
Jan 6, 1910.  Condition remains unchanged.
Apr 4.  Condition unchanged; eats and sleeps well but mind is feeble.
Aug 9.  Growing more feeble, otherwise no change.
Dec 30.  Some physical improvement but mind is very feeble.
Jul 12, 1911.  Has occasional epileptic seizures.
Mar 1912.  Is losing flesh and has a poor appetite, confined to bed and is noisy at times.
Sep 8.  A gradual decline, mentally and physically.
Nov 5.  Taken very little nourishment and is in a semi-conscious state.
Nov 20, 1912.  Died.  Exhaustion from chronic mania.


History and clinical notes:
History:  Friend who brings patient states that formerly he was a very intemperate man, drank to excess for years.  Two years ago first symptoms manifested themselves; became very nervous, neglected his work.  Was never violent.  About one year ago, marked hesitancy in his speech was noticed.  Disease is steadily increasing.  Appears to be in good physical condition.
May 29, 1909.  Gait unsteady, is noisy at night.
Jun 15.  Rapidly growing worse, is confined to bed.
Sep 16, 1909.  Died – general paresis.


On certificate of:
Drs. Samuel C. Rumsford and P.W. Tomlinson

History and clinical notes:
History:  Very troublesome at home, wanders away, does not sleep or eat well and is untidy.
May 27, 1909.  Very restless, wants to walk constantly, has to be restrained at night.
Jun 12.  Is confined to bed most of the time and is at present suffering from an infected arm.
Jul 2.  Continually growing worse, does not take sufficient nourishment.
Jul 5, 1909.  Died – senile asthenia.


History and clinical notes:
History:  Brought from the N.C.Co. Workhouse by order of court where he has been undergoing sentence of one year for a misdemeanor.  Is stupid and will not reply to interrogations.  Court commitment signed by Ch. B. Love, C.J.
Sep 30, 1909.  Slight improvement since admission, but still very stupid.
Jan 6, 1910.  Marked improvement since last report, works about ward and is quite cheerful.
Apr 4.  Has been unruly for past week, threatened to kill the physicians for keeping him here.
Aug 9.  Condition unchanged.
Dec 30.  Very stupid, sits about ward and seldom talks.
Jun 23, 1911.  While scrubbing kitchen today he escaped from attendant and ran towards Wilmington.
Oct 15, 1914.  Requires careful watching, at present behaving well.
Oct 4, 1916.  No improvement, is very nervous at times and picks at his scalp.
Oct, 1918.  Patient had an attack of epidemic influenza.  Was in bed for two weeks.  Physically pretty weak.
Jan 3, 1919.  Patient has bronchitis, put to bed.
Feb 20.  Patient suffering from bronchitis chron., also patient suffers from indigestion.  Mentally no improvement at all.  Very stupid, seldom speaks.
Mar 17.  This afternoon patient’s sister came to see him and brought lots of thing for him to eat, oysters, fruit, etc.  Patient went to bed at 7 p.m. complaining about some pain (sharp) and sense of suffocation in the epigastrium.
Mar 18.  At 2 a.m. patient asked for water and complained about his stomach.  At 4 a.m. patient died.
Mar 18, 1919.  4 a.m.  Died of acute indigestion (4 hours).


History and clinical notes:
History:  Brought from N.C.Co. Workhouse where she has been undergoing sentence for 3 years as accessory in a criminal assault upon her child.
Jul 2, 1909.  Very quiet and tractable, a good worker.
Aug 15.  Recovered – transferred to workhouse.  Paroled.  Returned to workhouse.
Feb 21, 1910.  Discharged improved.
Note: In 1900 census, she was 24, married to husband aged 28, with a 2 year old daughter.  The daughter died October 27, 1909, at age 11 years – one wonders if she died from the consequences of the assault on her by her parents.  Could not find any more information on what happened to the parents in later years.

Additional notes:
Assaulted her own child.  Was still in New Castle County Workhouse in 1910.  Daughter's death certificate says she died of endocarditis.  Joseph had died sometime earlier. Died 9/28/1913.


History and clinical notes:
History:  Has been greatly disturbed for past few days, sings and cries alternately, does not sleep well.
Jan 15, 1909.  Rapidly improving.
Jun 26.  Paroled.
Oct 14, 1909.  Discharged recovered.

Additional notes:
Readmitted 11/24/1909; died at DSH 2/27/1910; buried at Newark.


History and clinical notes:
History:  Brought by brother who states that patient is irritable and sometimes threatens to kill his parents.  Patient’s head was injured several months ago and a mental change has been noticed since that time.
Oct 10, 1909.  Is occasionally quarrelsome and has exalted ideas relative to his fistic* abilities.  
Jan 6, 1910.  Works about ward and is more obedient than formerly.
Apr 4.  Struck a patient and was placed in restraint.
Aug 9.  Unruly at times.
Dec 30.  Condition remains unchanged.
Oct 15, 1914.  Violent at times and requires restraint.
Oct 4, 1916.  No improvement, in restraint constantly.
Apr 9, 1917.  Patient is depressed, unresponsive, was transferred to T.B. ward, is very untidy, is losing in weight and has a rise in temperature in p.m.  
Jun 10.  Is depressed, takes very little food, is very untidy, has slight temp a.m. and p.m., is losing in weight and is rapidly growing worse.
Aug 13, 1917.  Died at 11 p.m.  Pulmonary tuberculosis.
*fistic refers to boxing or punching ability, as in prize fighting


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

History and clinical notes:
History:  Has had trouble at her menstrual periods, worse this time than ever before, imagined people were after her.  Threatened to kill members of her family.  Physical exam, thin, but appears to be well-nourished, uterus rather low and ante-flexed, cervix to left, perineum intact, very slight cystocele, ovaries normal.  Very quiet and tractable.
Aug 13, 1909.  Very quiet, is working in Dr. Hancker’s house.
Aug 20.  Became disturbed and removed to ward.
Nov 13.  Very quiet; works well in the patients’ dining room.
Dec 4.  Condition same.
Jan 1, 1911.  No change in any respect, works a little on the ward.
Jan 1, 1912.  No change.
Jun 1, 1916.  Has had a bad cough for past week.  On examination, several cavities in both lungs.
Jul 1.  Has been in bed for some time.
Sep 1.  Still in bed; very much emaciated.
Sep 26.  Very weak all day.
Sep 27.  Patient continued to fail and died at 4 p.m.
Sep 27, 1916.  Died at 4 p.m., pulmonary tuberculosis.


History and clinical notes:
History:  Brought by officers who could furnish no history.  Quiet when admitted, had $162.50 in his possession, counted by Dr. D. and Mr. Nickle; receipt furnished police.  (Funds given to Dr. Hancker).
Jun 10, 1909.  Impacted cerumen removed from ear today, which as relieved the Tinnitus Aurium.
Sep 25.  Slight mental improvement.
Jan 6, 1910.  Condition remains unchanged.
Apr 4.  No change since last report, is quiet and eats well.
Aug 9.  Does not improve.
Dec 30.  Mind is growing more feeble; is sometimes very irritable, was transferred to Ward D.
Oct 15, 1914.  About the same as when last reported.
Oct 5, 1916.  No mental change, but a slight decline physically.
Note:  Still in DSH at 1920 census, no further info obtainable.

Additional notes:
First name is "Kazman" -- died 12/26/1960, buried at Cathedral Cemetery.


History and clinical notes:
History:  Brought from N.C.Co. Hosp. by Supt. Foster, patient is untidy and will not keep his clothes on.
Aug 15, 1909.  A difficult patient to manage; is untidy and very feeble; occasionally falling about and injuring himself.
Oct 10.  Has developed an Ischio-rectal abscess but physical condition will not permit an operation.
Oct 13, 1909.  Died, 11:25 a.m., senile asthenia.


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp for past year.  Mr. Foster states that she is unruly, irritable, and has a “vile tongue.”
Jul 12, 1909.  Very quiet and tractable.
Nov 15.  Condition same, very abusive in her language at times.
Note:  Still in DSH at 1920 census; died October 20, 1926, buried at DSH Cemetery, #361.  Her son lived until 1968.

Additional notes:
Note:  Still in DSH at 1920 census; died October 20, 1926, buried at DSH Cemetery, #361.  Her son lived until 1968.


History and clinical notes:
History:  Was an inmate at Penna. Hosp. for Insane from March 1909 until June 17, 1909, but he grew worse immediately.  Had an attack of melancholia about 6 years ago and was ill for nine months, but seemed to get entirely well; suffers from hemorrhoids, fistula, and some gastric disturbance.  Operation today for fistula and hemorrhoids.
Jul 12, 1909.  Doing well, has only required an opiate once since operation.
Jul 18.  Continues to improve mentally and physically.
Oct 10.  No improvement since last report.
Oct 15.  Difficult to get him to take nourishment; complains of severe pain in epigastric region.
Nov 18.  Did not get out of bed this a.m., says he is too weak, vomited a small quantity of fluid, dark colored (coffee grounds).
Nov 20.  Removed to Infirmary, all food stopped by mouth and given per rectum.
Nov 21.  No improvement.
Nov 23, 1909.  Died.  Carcinoma of stomach and valvular disease of heart.

Final disposition:
Died of carcinoma of stomach and valvular disease of the heart


On certificate of:
Drs. Francis L. Springer and Harold L. Springer

History and clinical notes:
History:  Has had epilepsy since he was 3 years of age and is very unruly for a child, does not talk.
Oct 10, 1909.  Has frequent attacks every day.  A recent examination revealed an adherent prepuce, the adhesions were broken up but attacks have not been lessened.
Jan 6, 1910.  Attacks less frequent since last report.
Apr 4.  Has about three attacks every night, seldom any during the day.
Apr 23.  Paroled.
Sep 2, 1910.  Discharged unimproved.
Note:  Middle name Hurl or Earl.  Was at home with parents and two siblings at 1910 Census.  Died April 30, 1912 at age 11 in New Castle County.  Described as a “mulatto” in census records.

Additional notes:
Died at age 11, April 30, 1912; folks at DSH apparently thought his adherent prepuce (foreskin) might be cause of his epilepsy!!


History and clinical notes:
History:  Patient had been drinking to excess, but suddenly ceased drinking about 3 weeks ago and since that time has been troublesome and threatened to kill some member of his family.  When admitted he was quite stupid and would not talk.
Jul 18, 1909.  Quiet since admission.
Oct 10.  Inclined to be violent at times and attempted to assault an attendant.
Aug 9, 1910.  No change since last report.
Dec 30.  Condition about the same as when last reported.
Jun 16, 1911.  Has a cough and complains of pain over apex of left lung.
Oct 8.  Coughs during the night, expectoration profuse and is emaciating.
Mar 30, 1912.  Removed to T.B.
Apr 12, 1912.  Rapidly growing worse and takes but little nourishment.
Apr 28, 1912.  Died.  Phthisis pulm.


History and clinical notes:
History:  Patient is a young woman who has given birth to 13 children and following the last two accouchements she has become mentally unbalanced, the previous attack lasted five months.  Exam: In good condition physically, uterus rather large, cervix not torn, uterus retroverted and drawn to left side.  Has a chronic erythramatous condition of left ankle, site of an old ulcer, probably specific.
Jul 12, 1909.  Improved physically, very quiet and affable, appetite good.  Sleeps well.
Aug 15.  Very quiet, no sign of insanity.
Aug 22.  Went home with her husband.
Aug 22, 1909.  Paroled to husband.
Oct 29, 1909.  Returned today.
Nov 2.  Very much disturbed, sings and destroys clothing and furniture.  Removed to cottage.  
Nov 6.  Returned to Ward A.  Very quiet.
Mar 5, 1910.  Paroled.
Sep 2, 1910.  Discharged improved.

Standard form attached, dated March 5, 1910.  “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].

Note:  At the 1900 census, although she had given birth already to 7 children, only two were still alive. At the 1910 census, after discharge from DSH, she was living with her husband and 6 children, ranging in age from 16 to 11 months (youngest being the one for which post-partum depression/psychosis sent her to DSH in 1909).  She was back at DSH for the 1920 and 1930 census.  In 1920, she was listed as married, and in 1930 as widowed.

Additional notes:
Back in DSH in 1920 and 1930; died at DSH 11/19/1933, buried at Silverbrook.


On certificate of:
Drs. P.W. Tomlinson and Alfred L. Kelley

History and clinical notes:
History:  Has been stupid and melancholy, threatened to kill his mother.
Aug 1, 1909.  Quiet since admission and is rational in his conversation.
Aug 25, 1909.  Paroled.
Sep 17, 1909.  Returned today.
Dec 16.  Very quiet since admission, seldom speaks, is not careful about his personal appearance and takes no interest in his surroundings.
Jun 18, 1910.  His parents were very anxious to give him a trial at home.  Paroled.
Oct 18, 1910.  Discharged unimproved.
Note: Middle initial E or W.  Was back in Farnhurst DSH for 1920, 1930, and 1940 census.  Died at Farnhurst April 30, 1954.

Additional notes:
Was back in Farnhurst DSH for 1920, 1930, and 1940 census.  Died at Farnhurst April 30, 1954.


On certificate of:
Drs. Hiram R. Burton and Ulysses W. Hoecker (??)

History and clinical notes:
History:  In February of this year she imagined she was pregnant, used a quill to produce an abortion.  This preyed upon her mind and she became melancholy, threatened to kill herself; for past 4 years has been suffering from ovarian troubles (?).  On June 1, 1909 was operated upon by Dr. Davidson of Eastern Maryland and had ovaries removed since which time her mental condition has been worse.  Imagines her children have lost their minds; previous to this was of a cheerful disposition.
Jul 12, 1909.  At first refused to eat; now eats well and is of a more cheerful disposition.
Jul 16.  Governed entirely by her delusions.  Imagines that her husband is dead, etc. etc.  Was visited by her husband today who removed her against the advice of the Supt.
Jul 16, 1909.  Paroled.
Oct 14, 1909.  Discharged improved.

Standard form attached, dated July 16, 1909.  “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: [no sig.].  Signed [husband].

Additional notes:
Died on 11/4/1958 of inanition and debility, cerebral hemorrhage.  Tried to induce abortion with a quill -- although apparently not pregnant.


On certificate of:
Drs. Irvine M. Flinn and Charles W. Hughes

History and clinical notes:
History:  Present attack began one month ago, patient is depressed but eats and sleeps well, she has an irritable spine.  Pupils very sluggish, knee jerk slightly exaggerated.  Patient very quiet, stupid.
Jul 12, 1909.  No change in physical or mental condition, very much depressed, complains of a “tightness in her throat.”
Jul 22, 1909.  Removed to her home by her husband.  Paroled.
Oct 14, 1909.  Discharged unimproved.

Standard form attached, dated July 22, 1909.  “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].


History:  Present attach began one month ago, patient is depressed but eats and sleeps well, she has an irritable spine.  Pupils very sluggish, knee jerk slightly exaggerated.  Patient very quiet, stupid.
Jul 12, 1909.  No change in physical or mental condition, very much depressed, complains of a “tightness in her throat.”
Jul 22, 1909.  Removed to her home by her husband.  Paroled.
Oct 14, 1909.  Discharged unimproved.

Standard form attached, dated July 22, 1909.  “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:
Died 5/16/1925, buried in Baltimore.  Died of heart disease.


History and clinical notes:
History:  Patient lost his position as salesman in a Copper House last Jan on account of Pine Ford Law (??).  He had a little money saved up, but he began to worry and was considerably depressed altho he has not been very bad until the last week when he began to talk of suicide and threatened to kill his wife, as he was not able to support her any longer.  Yesterday he put his head between the wires of his mattress and attempted to choke himself.  Says he wants to die as he is no use on this earth and has been a perfect failure.  Lately has lost some flesh.
Aug 12, 1909.  Shows marked improvement and has freedom of the grounds, is gradually gaining confidence in himself and is eager to obtain some employment.
Aug 27, 1909.  Paroled improved upon request of Dr. Mullins.  Discharged – improved.
After leaving hospital, he called at Dr. Mullins office and then went home drank some acid carbolic and was found dead by Dr. M. that same day (8/27/1909).
Note:  The Pine Ford Law refers to some major/important court case about taxation of corporate lands, Ford vs. Pine Land Company.

Additional notes:
After leaving hospital, he called at Dr. Mullins office and then went home drank some acid carbolic and was found dead by Dr. M. that same day (8/27/1909).
Note:  The Pine Ford Law refers to some major/important court case about taxation of corporate lands, Ford vs. Pine Land Company.


History and clinical notes:
History:  Patient had been drinking to excess and suddenly stopped about one week ago, since that time he has been very nervous, unable to sleep and eats very sparingly.
Jul 12, 1909.  Very much improved since last report.
Jul 17, 1909.  Paroled.
Oct 14, 1909.  Discharged recovered.


On certificate of:
Drs. William J.N. Jackus and W.F. Haines

History and clinical notes:
History:  Patient was discharged from this institution Feb 8, 1907 improved.  After she went home she recovered and has been fairly well until about 8 weeks ago when she became so troublesome that she had to be kept at home.  At times very irritable and cross.
Jul 12, 1909.  Very troublesome; attacked attendant.
Jul 21.  Had to be put in restraint.
Aug 7.  Improving mentally and physically – works about the wards.
Sep 8.  Still improving.  Very quiet and courteous.  A good worker.  Gaining in weight.
Oct 16.  Sent home very much better – has gained considerable weight.  Paroled.
Feb 21, 1910.  Discharged improved.


History and clinical notes:
History:  Patient was discharged from this institution Apr 1st, 09 apparently recovered.  Was returned by two officers Sunday, July 4th, 09 who stated that he was very violent at his home, broke furniture, dishes, etc.  Papers arrived on July 6th 09.
Aug 12, 1909.  Quiet and well behaved, somewhat melancholy.
Oct 10.  Condition remains about the same as when last reported.
Jan 6, 1910.  Has spells of depression; otherwise no mental or physical change.
Apr 4.  Some improvement since last report, is quiet and always willing to work about ward.
Dec 30.  Works about grounds and is well behaved.
Oct 15, 1914.  Works about the ward but at times is abusive and violent.
Sep 12, 1915.  No change since last report.
Oct 4, 1916.  Looks after toilet rooms on Wd. 4.  [Last entry]

Additional notes:
Died at DSH on 6/8/1941.  Buried at DSH, Grave #522.


On certificate of:
Drs. Anna C. Shipley and C.W. Ammerman (?)

History and clinical notes:
History:  Patient fell on head from horse in Dec last, but was only stunned; no apparent severe injury.  Went to New York in February and while there had a severe attack of grippe, was not attended by a physician.  Returned home in late part of April and a short time after this began to show choreic forms of movement of a Jacksonian type.  At times patient is unable to articulate and her walking is rather unsteady.  All these symptoms are gradually but slowly increasing.  After patient and her mother were taken on ward, her mother refused to allow her to remain, as she had supposed it was a general hospital and that her child’s head would be operated on at once.
Jul 9, 1909.  Paroled on same day admitted.
Oct 14, 1909.  Discharged.
Note:  John Hughlings Jackson was a famous British neurologist who worked in the latter part of the 19th C and early part of the 20th C.  He was an expert on epilepsy and specific motor manifestations thereof.  Patient was born in Cardiff, Wales; at the 1920-30-40 censuses she was living with her husband.  They apparently never had any children.  She died in 1965 in Ardentown, De.

Final disposition:
Discharged on day of admission because not insane.  Mother confused about type of hospital.

Additional notes:
Married W. Calvin King, died 10/9/1965, buried in southern Del.  Note:  John Hughlings Jackson was a famous British neurologist who worked in the latter part of the 19th C and early part of the 20th C.  He was an expert on epilepsy and specific motor manifestations thereof.  Patient was born in Cardiff, Wales; at the 1920-30-40 censuses she was living with her husband.  They apparently never had any children.  She died in 1965 in Ardentown, De.


History and clinical notes:
History:  Brought from N.C.Co. Hospital, where he has been an inmate for several weeks but they were unable to care for him on account of his wandering away from the hospital.  Last April he fell from a horse and since that time has been affected mentally.
Jul 21, 1909.  Very weak and placed in bed.
Jul 22.  Refuses nourishment and is rapidly growing weaker.
Jul 24, 1909.  Died.  Valvular disease of the heart and senile asthenia.

Final disposition:
Died -- valvular disease of the heart and senile asthenia


History and clinical notes:
History:  Brought by officers; no history obtainable.
Jul 30, 1909.  Patient has been in bed since he was admitted.  Is very feeble, takes only liquid nourishment and but small quantities of that.
Aug 4.  Very feeble today, friends have been notified of his condition but have not responded.
Aug 5.  Continued to fail and died at 7 a.m.
Aug 5, 1909.  Died, senile asthenia.


On certificate of:
Drs. C. de J. Harbordt and E.S. Anderson

History and clinical notes:
History:  No history obtainable, other than he imagines he is wealthy and when admitted he wrote a check for $10,000 before going to ward.
Aug 12, 1909.  Has delusions of grandeur, claims he has made forty millions of dollars from the sale of soft shell crabs.
Oct 10.  Gradually failing mentally and physically.  
Jan 6, 1910.  No change since last report.
Mar 5.  Is showing a marked physical decline and is confined to bed.
Mar 26.  Very weak, refuses nourishment and does not sleep.
Mar 28.  Rapidly growing worse in a comatose condition.
Mar 28, 1910.  Died 7 p.m.  General paralysis of insane.


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

History and clinical notes:
History:  Brought from N.C.Co. Workhouse where had had been undergoing a 90 day sentence for disorderly conduct, had served 85 days of sentence when he was declared insane.
Oct 10, 1909.  Is well behaved, but no mental change.
Jan 6, 1910.  Inclined to be violent at times and bears careful watching, wants wages for work he does on ward and asks “How long am I in for?”
Mar 26.  Became very abusive and demanded his release; attempted to assault Supt. Nickle and was placed in restraint.
Dec 30.  No improvement since last report.
Oct 15, 1914.  Is delusional but a good worker.
Mar 25, 1915.  Eloped.
May 18, 1915.  Brought from Workhouse today.
Aug 25, 1916.  While working on the W.W. Swift Building, he eloped.
Feb 6, 1917.  Discharged unimproved.


History and clinical notes:
History:  Has been drinking to excess and is “seeing things.”  
Aug 12, 1909.  Marked improvement but is very nervous.
Aug 14, 1909.  Paroled.
Feb 21, 1910.  Discharged recovered.


History and clinical notes:
History:  Patient has a stroke of apoplexy about 6 years ago, gradually recovered.  Last July had another slight stroke and since then her mind has been very feeble.  Tears her clothes off, wanders from home unless constantly watched, at times has struck and abused her husband, which is contrary to her usual habit and custom.  Her general health has failed very perceptibly and she is steadily losing flesh and strength.  No albumin in urine, numerous granular casts.  Patient so weak that she has to be confined in bed.  Ravenous appetite.  Very restless.
Nov 13, 1909.  Seems a little stronger.  Gets up for meals.
Dec 4.  Seems somewhat better.  Sits up all day.  Appetite good.
Dec 20, 1909.  Was allowed to go home today on parole.
Jun 10, 1910.  Discharged unimproved.

Additional notes:
Died in 1927, buried in Glenwood Cemetery, Smyrna.


History and clinical notes:
History:  Attack began about July 1st, patient will not eat unless fed; not violent but tears her clothing.  Patient very much emaciated, has several bruises on right leg which she says were inflicted by her son, Walker.
Sep 4, 1909.  Dropped dead while being removed from chair to bed.  
Sep 4, 1909.  Died.  Valvular heart disease.


History and clinical notes:
History:  A former patient, for previous history see Book V, page 249.  
Sep 12, 1909.  Very noisy.  Has to be restrained.
Sep 20.  Much improved.  Gives no trouble.
Oct 6.  Occasionally disturbed; worries considerably over her children.
Dec 4.  Has frequent fits of excitement, when she is very noisy [illegible words].
Jan 1, 1913.  Patient is failing; has lost flesh, strength lately.
Feb 1.  Has a bad cough.  Has cavity in left lung.
Mar 1.  Still failing; has been in bed for a few days.  Very weak today.  Takes but little nourishment.
Mar 8.  Was visited by her husband today.
Mar 9, 1913.  Patient died 9:30 pm.


History and clinical notes:
History:  Patient has been suffering for past 14 weeks with Typhoid and was sent to Del Hosp. for treatment but became disturbed and could not be managed, probably due to Post-Typhoid Mania.  Physical condition – well nourished, skin in good condition, has a small umbilical hernia.  Appetite good.  Sleeps well, but complains of feeling weak; earlier noisy, especially at night.  Confined to bed.
Nov 13, 1909.  Condition same,
Oct 4.  No change.  Still in bed.
Jan 11, 1911.  Has been up and about the ward for some time, but is unable to walk without assistance.  Does considerable sewing, mending, etc.
Apr 29.  No special change; was removed by her son today to Chedsborough (?) Maryland.  Paroled.
Sep 18, 1911.  Discharged unimproved.

Additional notes:
Died in 1933, buried in Cokesbury, Georgetown, Sussex County.


History and clinical notes:
History:  “Picked up” by officers in Wilmington and sent to Delaware Hosp. but became so noisy and disturbed that he was transferred to DSH.  No history obtainable.
Oct 10, 1909.  Very incoherent in speech and very stupid.
Nov 16.  Has been confined to bed since admission, does not take sufficient nourishment and is very weak.
Dec 20.  Is rapidly growing weaker, semi-conscious, and is being fed per rectum.
Dec 24, 1909.  Died.  Senile asthenia.


On certificate of:
Drs. Walker E. Cane (?) and Dorsey W. Lewis

History and clinical notes:
History:  Papers did not arrive until Tuesday, Sept 21, 1909.  Has been an inmate of Cherry Hill, Md. For 18 years.  Sons wanted her brought home but they found it impossible to keep her because of her peculiar actions, quarrels with her eldest daughter, is neat about her person, is destructive at times.
Oct 6, 1909.  Very quiet and tractable.  Works about the dining room.
Dec 4.  Condition same.
Feb 18, 1910.  Was removed to cottage today.  She pushed another patient (Arnold) causing her to fall and sustained an intracapsular fracture.


History and clinical notes:
History:  Patient has had some trouble recently and became mentally deranged; has been quarrelsome and used profane language.  No insanity in family.  Habits of patient have been good for past 20 years, prior to that time he drank to excess.
Oct 10, 1909.  Does not improve; has delusions of grandeur and hesitancy in speech.
Jan 6, 1910.  Noisy, violent and untidy, shows a physical decline.
Apr 4.  Not so noisy as when last reported, eats well but is restless at night.
May 13.  Condition about the same as when last reported.
Dec 30.  No change since last report.
Jan 18, 1911.  Has an epithelioma of lip which is gradually spreading.
Dec 12.  A large area about mouth and cheek is now involved but patient seems strong and does not complain.
Jan, 1913.  Emaciating rapidly and more involvement of face.
Feb 19, 1913.  Died.  Carcinoma of face.


History and clinical notes:
History:  Brought by officer who could furnish no history.  Patient states that she has been annoyed by men who are charging with electricity every chair she sits upon and even her bed.
Oct 8, 1909.  Very troublesome at nights; wanders about the room and disturbs other patients.  Very quiet during the day.
Dec 4.  Condition same.
Feb 7, 1910.  Delusions of electricity less marked.
Mar 27.  Still has delusions, and call Dr. Hancker her husband, having written to him as her husband “in name only.”  See enclosed slip [Alas, no longer present].
Apr 13.  Very noisy for two nights, and this morning called out of the window to Dr. Hancker.  Was removed to the cottage.
Jan 1912.  No improvement since she came here.  Is noisy at times and tells people to keep away from her if they don’t want to be killed by electricity.
Apr 30, 1917.  No special change since last note; today attendant noticed that she had a large inflammatory spot on right breast.  She had kept dirty paper and rags over it and no one had noticed it.  On examination it was found that the carcinoma had advanced so much that an operation was not advisable.  It had extended well up into the axilla and involved the entire right breast.
Jun 1.  Has been in bed constantly since last note and disease constantly spreading.
Jul 1.  At time has slight hemorrhage has a large cavity in chest about 6 inches wide and 4 inches deep.  The odor from breast is stifling and patient will not permit any dressing of any kind placed upon it.
Jul 17, 1917.  Has gradually failed and died at 2:45 pm.  Carcinoma of breast.


History and clinical notes:
History:  Has been an inmate of the County House; they are unable to keep her as she wanders away.
Oct 6, 1909.  Not troublesome.
Jan 1, 1913.  Patient has changed but little – for the past 6 or 8 months has been in bed most of the time.
Feb 1.  Has been gradually failing.  Had taken but little solid food.
Mar 1.  Patient very much weaker.
Mar 4.  Patient died at 7:30 pm last night.  
Mar 3, 1913.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  Last May had Typhoid Fever; was sick in bed for one month – after convalescence was extremely sluggish; did not talk as much as usual.  When she did talk it was mostly of a religious nature.  This condition has continued – became eventually quite melancholy and depressed.  For past few days imagines that her body contains evil spirits.  For 2 days past been quite excited, once ran away from her house, said that if she went to her house she would die.  Has not taken her food for past 2 days – sleeps but little at night.  Prays a great deal of the time.
Oct 16, 1909.  Slight improvement in her conditions; talks a great deal on religious matters.  Appetite improving.  Sleeps well.
Nov 2.  No improvement.  Very much disturbed.  Tried to commit suicide.  Appetite good.
Dec 4.  Is failing physically.  Appetite poor.  Very much disturbed at all times.
Jan 1, 1910.  No improvement; very violent and untidy.
Jan 7.  Was removed by son today, on a petition signed by her relatives and addressed to the Board of Trustees at their meeting yesterday, who consented to her removal.
Jan 7, 1910.  Paroled.
Jan 9, 1910.  Was returned to institution with the statement that they could not care for her, etc. etc.
Jun 6, 1910.  Paroled.
Oct 18, 1910.  Discharged recovered.

Standard form attached, dated January 7, 1910.  “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: T.H. Davies.  Signed [son]. 
 
Standard form attached, dated June 26, 1910.  “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: T.H. Davies.  Signed [son].

Additional notes:
Died 7/21/1952 at Governor Bacon Health Center.


History and clinical notes:
History: Nothing is known of patient’s history.  She is well developed.  Well nourished.  
Nov 2, 1909.  Some improvement in condition; works well.
Feb 1, 1910.  Continued improvement.
Mar 26.  Tore blankets and pillow case all to pieces last night.
June 1911.  Is much better; at times she is in bad temper and very hard to get along with, but these attacks are not as severe nor as frequent as formerly.
Sep 6.  Was allowed to go home today with her mother.
Feb 9, 1912.  Discharged improved.


History and clinical notes:
History:  Has been suffering from neurasthenia for several years.  In January of this year was operated on by Dr. Phebbs (Stubbs?) for suspension of uterus and curettage – has frequent periods of melancholia in which she cries continually and shows no inclination to do anything.  Has been married 3 months; her condition gradually became worse.  Since her admission has had several fits of depression, but they are becoming gradually more rare; she sleeps well.  Appetite improving in the past few days; is taking an interest in sewing.
Oct 20, 1909.  Marked improvement – is assisting in the sewing room.
Nov 2.  Has been in bed two days; severe [illegible, looks like “lanciuating”] pains in right inguinal region, probably due to adhesions.  No fever.  Pulse 88.  Appetite good.
Nov 3.  Attempted to hang herself to bed; has been very much depressed the past week.  Removed to cottage.  
Nov 10.  Returned to Ward A somewhat improved.
Nov 20.  Transferred to Ward B; improvement in her condition slight; appears more cheerful and interested in her surroundings.
Jan 23, 1910.  Attempted to hang herself to bed.  Had dysmenorrhea Jan 18 and remained in bed until Jan 21.  Jan 22 was unusually cheerful.
Jan 31, 1910.  Very little improvement – still fed by means of nasal tube.
[Last entry]

Additional notes:
Note:  From census records & Delaware death records, she was still in DSH in 1920, 1930, and 1940.  She died at Farnhurst April 15, 1956 and was buried in Salem Cemetery.


History and clinical notes:
History:  Has been weak minded since infancy.
Oct 6, 1909.  Sister states that her brother became worried on account of the boys teasing him and blaming him for setting fire to the town of Milton, Del.
Nov 12.  Is well behaved and anxious to go home.
Dec 11, 1909.  Paroled.
Jun 10, 1910.  Discharged unimproved.
Note:  Could find no more information.


History and clinical notes:
History: Has been depressed for past 4 months.  Eats but does not sleep well, had an injury to ribs about one year ago and since that time has not been well.
Oct 24, 1909.  Extremely nervous, can’t sit still, very quiet and tractable, doesn’t eat, [illegible – looks like “less to her liebed”].
Nov 2.  Still very nervous; has to be fed twice a day; taken away by her cousin.
Nov 2, 1909.  Paroled.
Jan 30, 1910.  Was returned to this institution by Michael S. (cousin), who stated that she had been in Mount Hope Retreat since leaving here; that she had improved, was much less nervous, but they were unable to keep her there on account of the expense.
Apr 11.  Removed to cottage, for untidiness of person; continually rubbing her face and taking down her hair.
Oct 7, 1911.  Patient has been confined to bed for past week and is very emaciated.  For past few days has had considerable swelling of feet and fact, especially eyelids.  Urinalysis – negative.  Priest notified of weakened condition of patient.
Oct 14, 1911.  Died.  Tuberculosis (general).

Standard form attached, dated November 2, 1909.  “I hereby remove my cousin 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 [cousin].


On certificate of:
Drs. John W. Dewitt and Walker E. Cann (?)

History and clinical notes:
History:  Patient was admitted October 21, 1909, papers did not arrive until October 23, 1909.  She was paroled from this institution Apr 1, 1909.  See Book 5, page 437.  Two weeks ago became unmanageable, began to destroy clothing and furniture, tendency to [illegible – looks like “linucidly”].  Very quiet and tractable since her admission; is working in the cottage dining room.
Apr 5, 1910.  Has become much quieter; works on Ward.
May 7.  Mother came after her today and she was allowed to go home on parole.
May 7, 1910.  Paroled.
Sep 2, 1910.  Discharged recovered.

Additional notes:
Readmitted 6396 and 7125; did eventually marry (Mr. Benton) and had at least one child.


History and clinical notes:
History:  Patient admitted Oct 22, papers did not arrive until October 23, 1909.  Last March was an inmate of the Sheppard and Enoch Pratt Asylum [Note:  a private psychiatric facility in a northern suburb of Baltimore]..Has marked delusions; is violent at times, destructive to clothing and furniture.  Imagines that she has discovered a gold and onyx mine – says that her husband is unfaithful.
Nov 13, 1909.  No change in condition – is violent at times.  Transferred to cottage, is behaving very well.

Final disposition:
Transferred to cottage (still in hospital)

Additional notes:
Died May 16, 1962.  Buried at DSH, Grave #690.  Note:  Was listed in census records as being at DSH in 1930 and 1940.


History and clinical notes:
History:  A former patient, for previous history see Book VI, page 41.
Jan 5, 1910.  Conditions remains unchanged.
Mar 30.  Is a peevish individual but always obedient.
May 13.  Condition remains about the same as when last reported.
Jun 1.  Has been complaining for several days and was ordered to bed, “stomach regrets food,” breath foul and some oedema of feet and ankles.
Jun 6, 1910.  Died – chronic nephritis.


History and clinical notes:
History:  No history obtainable.  Patient very feeble and could not walk without assistance.  Very troublesome, in constant restraint, very noisy, especially at night.
Nov 1, 1909.  Patient failing rapidly; pulse very feeble; takes no nourishment.  Very much disturbed in the afternoons – noisy.
Nov 8.  No change.  Unconscious at times.
Nov 13.  Died.  Exhaustion from Acute Mania.  Died 3:55 a.m.


History and clinical notes:
History:  Has been an inmate at County Hospital (N.C.Co.) but could not be cared for.  Not troublesome; eats and sleeps well.
Feb 18, 1910.  Very feeble minded; wanders up and down the ward.  This evening while standing against a door in ward was pushed down by another patient [name redacted] and had a fracture of the head of femur (left) and left forearm badly bruised.
Mar 1.  Has gotten very quiet, but is constantly growing weaker.
Mar 6.  Unconscious.
Mar 7.  Died at 2:15 a.m. of pulmonary embolism with intracapsular fracture.

Final disposition:
Died of pulmonary embolism with intracapsular fracture


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hosp. but could not be properly cared for.  Not troublesome.  Eats and sleeps well.
Mar 9, 1910.  Paroled.
Sep 2, 1910.  Discharged improved.


History and clinical notes:
History:  Brought by officers who could furnish no history.  Supposed to be due to use of cocaine, was hilarious when admitted.
Nov 4, 1909.  Greatly improved although quite talkative.
Nov 18.  Removed today by Mr. W.C. Jackson.  Paroled.
Nov 27.  Returned today.
Dec 24.  Very excitable since his return; took bed apart last night (12-23-09) and broke door down, placed in restraint and since then has been more quiet.
Mar 30, 1910.  Shows no mental improvement.
May 13.  Untidy at times, noisy and destructive.
Dec 30.  Does not improve, is noisy, untidy, and destructive.
Oct 15, 1914.  Is well behaved and a good worker, no mental change.
Oct 4, 1916.  Has periods when he is depressed and maniacal.
Nov 29, 1916.  Eloped.
Jul 16, 1917.  Discharged improved.


History and clinical notes:
History:  Patient arrived 11-3-1909 but papers did not arrive until to-day (11-4).  A former inmate; for previous history see Book V.  For past few days has been abusive and pointed a revolver at one of her neighbors.
[No more entries].

Final disposition:
Still in hospital.  No notes after history.


History and clinical notes:
History:  Brought from Home for Aged Women, nurse says she has been noisy for about one week and could not be properly cared for.  Patient is very troublesome; refuses to eat; destroys her clothing.
Dec 4, 1909.  Still very troublesome and noisy – destroys her clothing; failing in health, appetite poor.
Dec 9.  Still very noisy and destructive; was placed in bed today.
Dec 11.  Night watch noticed that she was very poorly about 4 a.m. and called Dr. Weber.  Patient died in a few moments, 4:15 a.m.
Dec 11, 1909.  Died – senile asthenia and exhaustion from mania.

Final disposition:
Died of senile asthenia and exhaustion from mania


History and clinical notes:
History:  On August 19, 1909 patient’s daughter was killed while out driving; since this time her mind has weakened, is restless, not destructive to clothing or furniture – attempted to jump out of bed room window.
Nov 12, 1909.  Refuses to eat; has to be tubed.
Nov 15.  Taken home by her daughter.  Paroled.
Nov 21.  Patient was returned by daughter [name redacted] today.  Said she was so noisy and troublesome that they could not keep her any longer.  Has not taken any nourishment since last Friday and but little before that.
Nov 23.  Patient refuses to eat; growing very weak; has to be tubed.
Nov 25.  Taken home by daughter.
Nov 28.  Too troublesome to keep at home.  Returned to this institution today – refuses to eat.  Growing very weak.
Dec 1.  Growing weaker.  Has to be tubed.
Dec 4, 1909.  Died at 9 a.m.  Senile asthenia.

Additional notes:
Distraught over death of daughter in a car accident (must have been rare back then).


History and clinical notes:
History:  Patient was first admitted to this institution Aug 28, 1899.  Was removed by her husband Nov 13, 1899.  See Case Book 4, Page 1.  Husband states that insanity was first occasioned by pregnancy 18 years ago.  She has not been well at any time since she left here.  About 6 months ago became much worse, neglected her household work, wandered from home and at times noisy and troublesome; so much so that she could not be cared for at home.
[Last entry].

Additional notes:
Long-term mania occasioned by first pregnancy.  Eventually had 9 kids!!  Died 1934, buried in Holy Cross Cem., Dover.


History and clinical notes:
History:  Brought by grandson who says that patient wanders about house at night and sometimes takes his bed apart and carries it out on the street and is otherwise difficult to care for.
Jan 1, 1910.  Quiet at all times; has little to say.
Mar 2.  Complained of pain in abdomen and had diarrhea – 5:30 p.m.  At 6:30 p.m. abdomen became distended, labored breathing and stercoraceous vomiting; this condition continued until 10:30 p.m. when he died.
Mar 2, 1910.  Died – peritonitis and intestinal obstruction.


History and clinical notes:
History:  Brought to hospital Nov 21st, 1909 but papers did not arrive until today, Nov 24, 1909.  A former patient, for previous history see Book VI page 85.
Jan 5, 1910.  Noise since admission; tears his clothes and is very untidy.
Feb 24.  Abdomen distended with gas, which is partially expelled when rectal tube was inserted, but it would soon accumulate after its withdrawal.
Feb 26.  The abdomen is more distended and very tympanitic; respirations are hurried and pulse rapid, but weak, lungs edematous.
Feb 27, 1910.  Died.  Pulm Oedema, Peritonitis, and Int. Obstruct.

Final disposition:
Died of pulmonary oedema, peritonitis, and intestinal obstruction


History and clinical notes:
History:  Patient has been dabbling in stocks and has lost all of his money, attempted suicide this a.m.  Had an injury to head a few years ago.
Dec 28, 1909.  Suffering from Erysipelas (idiopathic) involving forehead and eyes.
Jan 5, 1910.  Recovered from recent attack of Erysipelas, is not so depressed and shows signs of mental and physical improvement.
Mar 18.  Has the freedom of the grounds and is showing some improvement physically since he is outside.
Mar 25.  Paroled.
Sep 2, 1910.  Discharged recovered.

Additional notes:
When he died he was a bailff at the courthouse.  Died 2/2/1925, of heart disease and old age, buried in W&B.


On certificate of:
Drs. Charles W. Blake and H.G.M. Kollock

History and clinical notes:
History:  Little is known of patient’s history; her husband states that during the past six months she has frequently attempted to commit suicide; is gradually becoming worse; destroys clothing and furniture.  Patient states that six months ago she fell from a chair, striking her head, since this time complains of a fullness on left side of head and roaring in ear.  Several months ago had a purulent otitis media of left ear.  Patient very quiet on ward.
Dec 11, 1909.  Removed by husband today on parole.
Jun 10, 1910.  Discharged improved.

Additional notes:
Readmitted 1/30/1935, Case No. 6249.  Died at DSH, buried in Asbury Cem., Port Deposit, Maryland.


History and clinical notes:
History:  Brought by officers who state that patient imagined he was employed by R.R. Co. as switchman and was found turning every switch he saw.
Jan 5, 1910.  Is troublesome at times and requires restraint.
Jan 28.  A mischievous patient, is destructive, expectorates on floor, teases fellow patients and curses physicians and attendants.
Jan 31.  Was visited by his mother today who came to office and made complaints about alleged abuse of her son; she claimed he was covered with bruises.
Jan 31.  4:50 p.m.  Examination made by Dr. Davies in presence of Supervisor Nickle and Attendant Collins.  No bruises found.
Feb 20.  Struck patient [name redacted] on head with mop stick, producing lacerated wound one inch in length.
May 13.  Marked improvement, is quiet and respectful, a good worker, has been transferred to Ward C since last report.
May 16.  Paroled.
Sep 2, 1910.  Discharged recovered.


History and clinical notes:
History:  Brought by officer who could furnish no history other than patient has been living the life of a hermit; was always peculiar.  When admitted he was quiet.
Jan 5, 1910.  Mind feeble and is very untidy.
Jan 28.  Condition unchanged since last report.
May 13.  Has been transferred to J.J.B.W. since last report, physical condition fair, no mental change.
Dec 30.  Some physical improvement since last report.
Oct 15, 1914.  Is up and about the ward, is cheerful and in good physical health.
Oct 4, 1916.  Condition unchanged, in fair physical health.


History and clinical notes:
History:  Patient was picked up on street last night and taken to Homeopathic Hospital and was later transferred to this hospital.  No history obtainable – patient attempts to talk but seems unable to do so.
Jan 5, 1910.  Quiet since admission, never speaks unless addressed and is well behaved.
Mar 12.  Paroled.
Jun 10, 1910.  Discharged recovered.


History and clinical notes:
History:  Brought from N.C.Co. Workhouse by Dep. Warden who states that patient was undergoing a 40 day sentence for vagrancy and had served only part of sentence when he showed signs of mental derangement.
Dec 21, 1909.  Is excitable at times and has not talked for past two days and makes signs with his hands, indicating that his voice has left him.
Dec 25.  Speech has returned.
Jan 28, 1910.  Is untidy, noisy and masturbates when out of restraint.
Mar 30.  Noise and untidy and requires restraint.
May 13.  Condition about the same as when last reported.
Nov 5.  Unable to retain any solid food and at present is taking predigested beef.
Dec 30.  No mental change but disordered condition of stomach is improved.
Oct 15, 1914.  Condition remains the same as when last reported.
Oct 4, 1916.  No mental change, is quiet and cheerful.

Final disposition:
Still in hospital.  Died 9/18/1949, from COD.


History and clinical notes:
History:  Officer who brought patient states that he was taken to the Hall for acting disorderly and while there became very violent and struck one or two of the officers and it was with difficulty that he could be restrained.  For more history, see Case Book 5, Page 114.
Jan 5, 1910.  Quiet since admission; sleeps and eats well.
Mar 30.  Is well behaved and a good worker.
Apr 15.  Works about grounds and is well behaved.
Jul 7, 1910.  Paroled.
Oct 18, 1910.  Discharged recovered.


Insane Relatives:
father died here, one brother here now, another weak minded

History and clinical notes:
History:  Officers state that patient has been peculiar for years but has not been troublesome until lately.  Patient states that people are after him, that he is being hypnotized.  Has all the characteristic delusions of a paranoic.  Patient’s father died in this institution in 1892.  His brother is a patient here now and one other brother altho at large has been insane for years.
Jan 5, 1910.  Anxious to go home; says he is not insane; also says the Devil is following him.
Jan 28.  Follows doctors about ward, insists that he is a sane man and demands his release and is somewhat excitable.
Feb 5.  Paroled.
Jun 10, 1910.  Discharged recovered.


History and clinical notes:
History:  Brought from N.C.Co. Hosp. where he has been a patient for several years; is a Cong. Imbecile with epilepsy.  A few days ago he became violent and could not be cared for at County Hosp.
Jan 5, 1910.  Noisy at night.
Mar 30.  Is untidy, greatly emaciated but eats fairly well.
Apr 12.  Rapidly failing; eats very little.
Apr 20.  Confine to bed, refuses nourishment.
Apr 22, 1910.  Died – Phthisis pulmonalis.


History and clinical notes:
History:  Patient has been peculiar for many years, has been living in a hut by herself and would not associate with any of her neighbors, was very untidy when admitted and also rather noisy.
Feb 22, 1910.  Patient does not like to sit with the other patients in the ward, but prefers to be standing.  She was admitted with a suppurating condition of the fingers of left hand, which has somewhat improved under treatment.
Feb 23.  Had several convulsions last night, and today continued to have choreic movements.
Feb 25.  Much improved.
Feb 28.  Sitting on the ward.
Sep 1.  Removed to Cottage today – untidiness.
Jan 1, 1913.  Patient has been in TB for 2 or 3 months.  Still at times suffers from convulsions.
Jan 1, 1914.  Has been in bed and feeble for some time, still subject to epileptic seizures.
Mar 1.  Has failed rapidly, had a stroke of apoplexy this a.m., right side paralysis.
Mar 20.  Failing very fast, takes but little nourishment.
Mar 26.  Has been in a comatose condition since yesterday; cannot take nourishment.
Mar 26, 1914.  Patient died.  Apoplexy.  6:25 p.m.


History and clinical notes:
History:  Brought by Sheriff Lippincott, has been confined in N.C.Co. Workhouse for attempting to set fire to a house; was brought before court and declared not guilty by reason of his insanity.
Jan 28, 1910.  Quiet since admission.
Feb 25.  Inclined to be unruly at times and requires restraint.
Mar 30.  No mental change since last report.
May 13.  No mental change; eats and sleeps well.
Dec 6.  Has been confined to bed for a few days and has lost flesh rapidly.  Temp today 103°.
Dec 30.  Very much improved since last report, up today and taking solid food.
Apr 15, 1911.  Is very weak and again sent to bed, pulse 150 and feeble, temp. 103° F, urine scanty, tongue coated and breath foul.
Apr 30.  Shows no sign of improvement.
May 4.  Rapidly failing.  Friends notified by “phone.”
May 5, 1911.  Died.  1 p.m.  Uraemia.


History and clinical notes:
History:  Officer who brings patient does not know anything of her history.  Article in paper see above states that she is in the habit of going in strange houses and disrobing.
Feb 1, 1910.  Says there are people after her, but that God will punish them, in his own time.
Mar 17.  Was removed from the hospital today, by her sister, against the wish and advice of the Supt.  Since her admission, has been quiet, but very indolent, sitting in the ward all the time.
Mar 17, 1910.  Paroled.
Jun 17, 1910.  Returned today by [name redacted, not clear who she is].
Jun 21.  Was returned June 17, at 9 p.m.  She had a razor tied in a stocking and pinned to skirt, and a bag with safety pins and a knife secluded.  She insisted that she needed to use them during the night.  
Jan 6, 1912.  Paroled.
May 26, 1912.  Returned today.
Jan 1913.  Is up and about the ward; keeps by herself with head bowed down, seldom speaks to any one.
Jan 1917.  No marked change of any kind during past four years.
May 1.  Urine shows abundance of albumin.  Legs are puffed; is somewhat more stupid; was placed in bed today.
May 3.  Had a slight syncope last night – better this a.m.  
May 14.  Had a stroke of cerebral apoplexy this a.m.  Right side paralysed.
May 17.  Has failed rapidly, since last note.  Has been in a semi-comatose state since last night.
May 20, 1917.  Patient died 12:55 a.m.  Cerebral apoplexy.

Standard form attached, dated Mar 17, 1910.  “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: [blank].  Signed [sister].

Standard form attached, dated January 6, 1911.  “I hereby remove my niece 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 [uncle].

Newspaper article:  “Strange Woman Caused Alarm.  Walked into the Home of Mrs. Martha Babb and then Proceeded to Disrobe – Police Interfered.  Walking into the home of Mrs. Martha Babb, at No. 802 Franklin Street yesterday afternoon, a well-dressed woman, apparently about thirty-five years of age, astonished the occupant of the place and then caused her much fright when she proceeded to make herself at home.  The uninvited guest proceeded to remove her hat and coat and then to disrobe.  Mrs. Babb was badly frightened, but she tried to induce the woman to leave.  This, however, the visitor refused to do, saying she was in her own home and that she was waiting for a friend.  Finally the police had to be summoned, and the woman was taken from the house and sent to the police station.  There the police identified her as Catharine Dollen, of Sixth and Tatnall Streets.  It was evident that she was bewildered or mentally deranged.  The woman was placed in a room in the women’s quarters and a short time later the matron found her preparing to start a fire and possibly cause a blaze in the ancient building.  She had a candle, several matches and a bundle of paper which she was about to ignite.  She refused to give up the matches to the matron, and an officer had to be called.  He took the matches from the woman, also the candle and paper.  The police tried to locate her relatives so they can take charge of her.”


History and clinical notes:
History:  Patient came yesterday but as the papers were not complete could not be admitted until today, Jan 15, 1910.  The condition probably began as a result of a blow on the head from a fall.  The attack began April 1909 by destroying clothing, and the disease appears to be increasing.
Jan 31, 1910.  She is quite restless and destructive to her clothing.  Has had the diarrhea since admission.
Feb 7.  Was very weak and was placed in bed for several days, but is able to be up again.
Mar 14.  Very weak and confined to bed; frequent offensive discharges.
Mar 30.  Became unconscious this afternoon.
Mar 31, 1910.  Died at 7:45 p.m.  Chronic enteritis.


History and clinical notes:
History:  No history obtainable when admitted other than patient has been wandering away from home and acting strangely.
Jan 25, 1910.  Is very noisy at night and sometimes violent, requires restraint.
Jan 31.  Was very noisy last night and worked hard to tear off his restraint, as a result his right arm is very much swollen and a cellulites has developed.
Feb 4.  Disturbs dressings on his arm and picks at the abrasions and is extremely difficult to treat.
Feb 25, 1910.  Is very destructive, tears his clothing and bed linen.
Mar 9.  Removed against advice of Supt.  Paroled.
Mar 14.  Returned today, could not be cared for at home.
May 13.  Noisy, untidy, and destructive.
Dec 15.  Confined to bed and very untidy.
Dec 30.  Growing weaker every day.
Jan 30, 1911.  Died.  General paralysis of Insane.

Standard form attached, dated Mar 9, 1910.  “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].


History and clinical notes:
History:  Patient’s husband died two years ago.  He had never been very kind to her; in fact, frequently abused her and was most of the time under the influence of liquor.  Since his death has been of a somewhat moody disposition, but no distinct symptoms of insanity noticed until about six months ago, at that time became quite depressed, slept poorly, and at times stated that people were talking about her.  This condition has continued, with more or less intermissions since that time.  For past week has talked of suicide and people with whom she lived feared she might attempt it, and concluded it would be wise to bring her to the hospital.
Jan 25, 1910.  Talks a great deal of “the world is on fire, and I was the cause of it,” and that she failed to take her baths as often as she should have done.
Feb 28.  Eats and sleeps well, and seldom talks of the “world being on fire.”
Apr 25.  General physical condition good; enjoys sewing on the ward.
Sep 10.  Fell on ward and received “intracapsular fracture of left leg.”
Oct 21.  Extension apparatus removed from leg today.  Is doing very nicely.
Dec 1.  Hopped about her room.  Afflicted leg is slightly shorter than other.  Delusions have disappeared, at least she does not speak of them.
Dec 30.  Was allowed to go home on parole.
Jun 7, 1911.  Discharged recovered.


History and clinical notes:
History:  Brought from N.C.Co. Workhouse, no history obtainable other than patient attempted suicide by plunging a small pen knife into abdomen but without serious result.
Jan 28, 1910.  Unable to speak English and difficult to obtain any history; is quiet and well-behaved.
Feb 21.  Was removed today by police.
Jun 10, 1910.  Discharged recovered.

Newspaper clipping attached:  “Italian Found to Be Insane.  Antonio Catania, Charged with Murderous Assault, Attempted to End his Life.  Made Two Determined Efforts.  He has been sent to the Delaware State Hospital at Farnhurst for Treatment.  Suffering from a suicidal mania Antonio Catania, aged 40 years, an Italian, who was held prisoner in the workhouse on a charge of murderous assault, it being alleged that he had seriously stabbed a fellow countryman on Christmas Eve, has been transferred from the Workhouse to the State Hospital for the Insane at Farnhurst.  It was learned yesterday that the Italian came near being responsible for a repetition of the Campbell tragedy at the Workhouse and it was due only to the presence of mind and quick action of the guards in the prison that there was not another such occurrence in that institution.  Catania seemed determined to end his own life and made several attempts to commit suicide while a prisoner in the workhouse.  He, with several other Italians, were rounded up the night before Christmas after there had been a general fight in a house near Front and Orange streets, in which three men were stabbed and a fourth was shot.  Catania, it is alleged, is the man who inflicted the stab wounds in the anatomy of one of the men who is still a patient in the Homeopathic Hospital.  He had not been in the workhouse (Continued on Page Four).  (Continued from First Page) . . . very long when the guards noticed that he was acting strangely.  They did not suspect, however, that he contemplated self-destruction, but rather thought he might attempt to make an attack on some of them at the first favorable opportunity and they kept a close watch upon the man.  It was during a period that some of the guards were watching Catania that they discovered that they discovered and interrupted his first effort to kill himself.  As two of the guards were standing near his cell they saw the man deliberately try to better out his brains against the sharp corners of the steel walls of his cell.  Several times he backed as far as the limitations of the cell would permit and then running as hard as he could he butted his head against the steel walls.  Catania succeeded in inflicting serious lacerations about his skull before the guards could get in to him.  The officers expected an attack from the man and still having the killing of Guard Campbell, their fellow employee, by an insane prisoner, fresh in mind, they went prepared for any emergency that might have arisen.  The insane Italian met the guards in the doorway of his cell, but he was too dazed by his own efforts to kill himself to fully realize what was going on and then the guards were taking no chances and they soon rendered him unfit for any resistance, much less an attack upon them.  Catania was nursed back to health again but he was closely guarded and restrained from the liberty he had previously enjoyed.  It was not thought he would attempt suicide again, but this proved to be a mistake.  A few days after his first effort failed, a guard was passing his cell when he saw the Italian lying on his cot and blood saturating his clothing.  The guard hastily entered the cell and discovered that Catania had in some manner gotten possession of a big nail.  With this he had punctured his side several times, driving the blunt point through his flesh by main strength.  The nail, however, had not penetrated to a sufficient depth to strike any vital organs and the wounds were not serious enough to endanger the man’s life.  The last effort caused the workhouse physician to come to the conclusion that the Italian was a maniac and suffering from a desire to end his own life.  It was then resolved to send him to Farnhurst and he was accordingly transferred to that institution.  He is being closely guarded there and a constant watch is kept upon him.  He is so restrained, however, that he is now unable to harm himself or any other person.  The other Italians involved in the fight will be arraigned in the city court tomorrow morning.  The name of Catania, which appeared on the trial list has been ordered taken off owing to the man’s mental condition.”

Additional notes:
Alludes to death of Guard Campbell at the Workhouse


History and clinical notes:
History:  Brought by officers, no history obtainable, except what was given in morning paper.
Jan 26, 1910.  Say “The McLaughlins” are conspiring against him.
Jan 27.  Slept well last night and says he imagined “The McLaughlins” were after him but is now satisfied that it was a delusion.
Jan 31.  Very much improved and is not delusional.
Feb 2, 1910.  Paroled.
Jun 10, 1910.  Discharged recovered.

Newspaper article attached:  “Became Insane.  John McMahon Suddenly Became Demented on His Way to Work.  Walking into the police station yesterday at noon, a young man who said he was John McMahon, aged twenty-nine years, complained to the police that a big crowd of men were following him and that they were calling him names and making threats against him.  He declared they had advertised him all over the town and that it would not surprise him if they tried to kill him.  The police realized that the man was affected in some way, so they placed him in a cell and notified the people with whom he has been boarding, at No. 917 Lancaster Avenue.  Friends of McMahon came in to see him and they agreed to take him home.  As they were about to go out of the police station McMahon declared the gang was still outside and after him and he did not propose to allow them to make a “monkey” out of him.  The police then came to the conclusion that McMahon was demented.  He was locked up again, for he is big and powerful, and it was feared he would attempt to harm himself or someone else.  A physician was summoned and after he had examined him he declared the man was insane and today McMahon will be sent to Farnhurst.  McMahon is a morocco worker and yesterday morning he left his boarding house to go to work.  He was as well as ever and apparently in sound mind, his friends said, and they were much shocked when they found that his mind had become unbalanced.  Last night he refused to talk to anyone and it was declared that he was a dangerous maniac.

Additional notes:
Died 2/20/1954 at Governor Bacon Health Center.


History and clinical notes:
History:  The condition began June 1909.  She grieved after the death of her daughter, and the disease is increasing.  She has a mania for moving things from one room into another.
Jan 31, 1910.  Cries a great deal and pulls her hair; very untidy.
Feb 28.  No improvement.  Transferred to Cottage.
Apr 30.  Covers her face most of the time by placing head in lap; very untidy and noisy at night.
Sep 10.  Very restless, noisy, and untidy and does not want to keep any clothes on.  Today she fell and cut scalp into periosteum over right parietal bone.
Sep 12.  Physical health failing; eats but little and is emaciating rapidly.
Sep 19.  Rapidly growing weaker.
Sep 21.  Died.  Phthisis Pulm.  Mania Acute.

Final disposition:
Died -- phthisis pulmonalis, mania acute


History and clinical notes:
History:  Brought from N.C.Co. Workhouse by Deputy Warden.  Patient was before November term of court on trial for alleged murder of Guard John F. Campbell; during trial patient acted in a peculiar manner, leading the court to believe he was of unsound mind and was again sent back to Workhouse for further observation until yesterday when a conference was held by Judge, Warden, Deputy Attorney Gen., and Dr. Hancker who decided that prisoner was insane and he was admitted to Del. State Hosp. (See clipping).
Jan 27, 1910.  Two bullets located in left supra-clavicular region.
Mar 28.  Was visited by Dr. L.C. Rumsford (?) a few days ago and when asked by Dr. D if he knew Dr. Rumsford he (Noah Graham) said no, never saw him before.  Some few days ago he made threats and was placed in restraint and he immediately started to cry, saying all the time “they are going to take me away and kill me.”  His manner has changed since he has been placed in restraints and instead of being talkative and jovial he is now very quiet and seldom talks.
May 13.  Usually very cheerful, eats and sleeps well.
Oct 5.  Has developed tuberculosis, left lung extensively involved, is rapidly losing flesh.
Dec 30.  Rapidly growing weaker and it is difficult for him to retain food.
Jan 6, 1911.  Died.  Phthisis pulmonalis.

Newspaper article attached:  “Graham Insane.  Man Charged with Killing Workhouse Guard Campbell Taken to State Hospital.  The Court of General Sessions yesterday granted papers for placing Noah Graham, the colored man who is under indictment for the murder of John F. Campbell the workhouse guard, last fall, in the State Hospital for the Insane.  When he was called before the Court during the November term to plead, his attorney had great trouble to make him understand to plead not guilty, and when he rose he laughed and on being led from the court room he laughed and danced in an idiotic manner.  After being taken back to the Workhouse he became almost violent, but still had the laughing times.  The action of the court yesterday was the result of a conference between the Judges, Superintendent W.H. Hancker, of the hospital; Warden Crawford of the Workhouse, and Deputy Attorney-General Wollcott.  The court, in making the committal, said: “Mr. Warden, we are satisfied from very reliable information which we have received from physicians and other persons, that the condition of Noah Graham is such that he should be removed from the workhouse to the hospital for the insane at Farnhurst.  We understand that you and the attorney general are also of that opinion.  The court grants you permission and directs that you deliver said prisoner to the said hospital, to be there treated and safely kept for the trustees of the workhouse and as their prisoner.  “And we say to you, Dr. Hancker, representing said hospital, that while the prisoner is in your keeping and care he is to be safely kept for the trustees of the workhouse, whose prisoner he will continue to be, and that you shall deliver him to said trustees whenever they shall so demand or the court shall so order.”

Additional notes:
Man who killed Guard Campbell at the Workhouse.  Buried at DSH, Grave #193.


History and clinical notes:
History:  “No known friend or relative.”  Brought from the Kent County Alms House.  Very little history obtainable.  She lived with one negro; was later taken to the home of another, and the to the Kent County Poorhouse.  She has talked a great deal about “Ward 6, Boston, Massachusetts.”
Jan 29, 1910.  Talks continually in a low muttering sound.  Very weak.  Does not want to take any food.  Is fed small quantities at frequent intervals.  Coughs frequently.  Does not sleep at night.
Jan 31.  Sleeps better at night, and is quieter.
Feb 3.  Continues to grow weaker.  Much quieter.
Feb 4, 1910.  Died at 3 a.m.  General tuberculosis.

Additional notes:
Buried at DSH, Grave #182.  No known friend or relative.


History and clinical notes:
History:  The policeman who brought him said he was quite violent and they had difficulty in removing him from the house where he was.  He talks a good bit about religion.
Feb 4, 1910.  Thinks “the students” are going to dissect him.
Feb 25.  Marked improvement since last report.
May 13.  Troublesome and somewhat inclined to violence.
Dec 30.  No improvement since last report.
Oct 15, 1914.  A good worker, but cross and irritable at times.
Oct 4, 1916.  No change since last report, looks after toilet room, Wd. 2.


On certificate of:
Drs. Samuel C. Rumsford and Harold Springer

History and clinical notes:
History:  Brought from N.C.Co. Workhouse where he had been undergoing a 30 day sentence for some misdemeanor and while undergoing same showed signs of mental derangement.
Feb 15, 1910.  Very quiet since admission but shows after effects of a debauch.
Feb 21, 1910.  Eats and sleeps well and greatly improved since last report.  Paroled.
Jun 10, 1910.  Discharged recovered.


History and clinical notes:
History:  Present trouble began four weeks ago when he became restless and irritable and partially lost use of his limbs, refused to take nourishment and as a result his physical condition is greatly impaired.
Feb 17, 1910.  Attempted suicide by tying strips of muslin around neck, is very weak, eats very little and is greatly depressed.
Mar 30.  Some physical improvement, no marked mental change.
May 13.  Imagines that his wife is dead.
Jun 6.  Marked improvement, is eating and sleeping well.
Jul 1.  Has freedom of the grounds.
Aug 6, 1910.  Paroled.
Mar 16, 1911.  Discharged recovered.

Additional notes:
Died 9/23/1914 of arthritis deformans, buried in Odd Fellows Cem., Seaford.


History and clinical notes:
History:  First signs of mental changes were noticed about one year ago and since that time he has been difficult to care for, is incoherent and rather feeble, vision greatly impaired.
Feb 25, 1910.  Is very untidy.
Mar 30.  Very feeble and is confined to bed, incoherent.
Apr 25.  Confined to bed, is noisy and restless, appetite impaired and is rapidly failing mentally and physically.
May 5, 1910.  Rapidly growing worse, in a comatose condition.
May 9, 1910.  Died.  Cerebral embolus.


History and clinical notes:
History:  Her mind has been failing for past three years.  Was very weak when admitted and was placed in bed.  Has a very large ulcer on left leg extending from the outer malleolus to behind the inner malleolus.
Mar 4, 1910.  Growing weaker, hard to arouse enough to take nourishment.
Mar 5.  In a comatose state.
Mar 6, 1910.  Died at 1 a.m.  (Uraemia).


History and clinical notes:
History:  Patient was removed from this institution against advice of Supt., Apr 8, 1905.  See Case Book 5, Page 107.  Son who brings patient to Hospital states that her condition has not improved in any respect since she left here, and as her family are all married, they can get no one to care for her. She is very much depressed and at times troublesome.
May 2, 1910.  She has been very quiet since admission, and eats and sleeps well.
Sep 1, 1910.  Paroled.
Mar 16, 1911.  Discharged improved.

Additional notes:
Kids were all married, so they couldn't care for her.


History and clinical notes:
History:  Brought by officer, no history obtainable.  
Mar 30, 1910.  Complaining of dizzy spells (Vertigo) but is quite rational in his conversation.  
Apr 3.  Unsteady gait and occasional falls, mind more feeble than when admitted.
May 12.  No improvement since last report.
Dec 30.  Is unable to get about by himself but is up every day in a rolling chair.
Sep 1911.  Condition remains unchanged.
Nov 4, 1912.  Transferred to N.C.Co. Hospital.
Nov 4, 1912.  Paroled.
Mar 7, 1913.  Discharged recovered.

Additional notes:
Sent to NCC Hospital. Died 3/4/1913 according to death cards, at DSH.


History and clinical notes:
History:  A former patient, for previous history see Book V page iv.  Patient brought to hospital March 5th, 1910, but trustees’ certificate did not arrive until 3/7/10.
Mar 12, 1910.  Patient has been very quiet since admission.  She has a good appetite and sleeps well.
Jul 31.  Fell while walking on ward today and fractured lower end of right fibula.
Sep 16.  Re-broke her leg last night.
Nov 1.  Patient is up and about again, but had had quite a number of convulsions.
Jan 12, 1912.  No improvement.  Is in bed most of the time.  Has so many convulsions that it is safer to have her remains in bed.
Jan 1915.  Has been in bed almost constantly since last note.  Is in good physical health.
Nov 1.  Is not quite so strong as she formerly was.  Has a [illegible – looks like “saffnice”] color and at times complains of pains in region of pyloris.
Nov 29.  Has vomited a great deal today, is very weak, vomit very dark and mixed with blood.  Very cold and clammy, thirst, etc. [difficult to read previous sentence].  Cannot keep anything on stomach.
Nov 30.  Quite feeble this a.m.  Vomiting still continues, nothing seems to allay it.  Is in a comatose state at 3 p.m.
Nov 30, 1915.  Died 4 pm.  Carcinoma of stomach.


History and clinical notes:
History:  A very feeble old man, no history obtainable upon admission.
Mar 30, 1910.  Seldom talks unless spoken to and incoherent.
Apr 3.  Eats fairly well and rests well at night but is untidy and will not keep his shoes and stockings on.
Apr 14.  Had a chill this a.m. pulse 140 resp. 30.  Rales in both lungs and in a comatose condition.
Apr 15.  Rapidly growing worse.  7:45 p.m.  Died – lobar pneumonia.


History and clinical notes:
History:  The patient has always been weak minded.  Was brought here in the Phoenix ambulance, from the Delaware Hospital.  She has just recovered from meningitis, which was treated in the above Hospital.
Mar 20, 1910.  Very noisy and very untidy.  She frequently calls out, “I’m married.  There now.” And similar expressions.  Breath very foul and seems very weak.
Apr 1.  Patient’s condition much improved; is able to sit up a while each day.
May 2.  Now able to remain on the ward all day, but is still noisy at times and very untidy.
Jun 1.  Quiet most of the time, and is beginning to take an interest in her surroundings.
Jul 1.  Sings and reads.
Jul 9, 1910.  Returned home with parents today.  Paroled.
Oct 18, 1910.  Discharged improved.

Additional notes:
Died at DSH 4/15/1910.  Not sure why it says discharged recovered.


History and clinical notes:
History:  Has occasional epileptic seizures and sometimes is violent, no other history obtainable.  
Mar 25, 1910.  Was violent when visited at his home by Dr. Wales.
Mar 30.  Returned today and is unable to recall his actions for past 10 days.
Apr 3.  Marked improvement since last report; is anxious to go home, and says “I guess something must have been wrong with me or else I wouldn’t be here.”
Apr 8.  Removed against advice of Supt.  Paroled.
Sep 2, 1910.  Discharged unimproved.

Standard form attached, dated April 8, 1910.  “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 [father].


History and clinical notes:
History:  Was paroled Dec 3, 1908, and discharged April 1, 1909.  See Case Book VI, page 8.  Has been fairly good until ten days ago.  Two months ago she went back to work at her old place, Mrs. Fields, as stated, became somewhat depressed about ten days ago, and had to leave her nursing on account of extreme nervousness.  Her brother states that she has not been resting well at nights, quite talkative and irrational conversation.  Upon admission her appearance was quite haggard.
Apr 23, 1910.  General condition better, and was transferred to Ward A.  Paroled.
Sep 2, 1910.  Discharged.

Standard form attached, dated April 23, 1910.  “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: [none].  Signed [sister].


History and clinical notes:
History:  Patient “picked up” at Seaford, Del, where he was found acting strangely; he was a stranger in the community and could give no account of himself, other than he was from New York.  When admitted he was very dirty and has some delusions of persecution.
Mar 30, 1910.  Quite rational today and says he has no idea how he reached Seaford and acknowledged that he had been drinking to excess.
Apr 3.  Very much improved since last report.
Apr 23, 1910.  Paroled.
Sep 2, 1910.  Discharged recovered.


History and clinical notes:
History:  Patient was convicted for criminal assault upon a minor child [name of child redacted]; sentenced to be hanged and later sentence was commuted to life imprisonment; since commutation of sentence patient has been acting in a peculiar manner; tears his clothes; is untidy, noisy and sometimes violent, a few days ago he attacked Guard Chambers at workhouse and attempted to kill him.  Patient has a brother who was a former inmate of this institution.
Apr 3, 1910.  Slept most of the night and seems brighter today.
Apr 15.  Gaining in flesh, has a good appetite and is well behaved.
May 12.  Noisy, sometimes untidy and always asking for something to eat.
Dec 30.  No mental improvement.
Oct 15, 1914.  No change since last report.
Nov 12.  Confined to bed, oedema of feet and ankles; eats very little.
Jan 8, 1915.  Condition remains unchanged.
May 25.  Rapidly growing worse, oedema marked, respirations rapid and some Ascites.
Jun 20, 1915.  Very weak and refuses nourishment.
Jun 29, 1915.  Died – Chronic parenchymatous nephritis.

Final disposition:
Died -- parenchymatous nephritis -- chronic


History and clinical notes:
History:  Patient has been undergoing sentence of 40 days at N.C.Co. Workhouse and while undergoing sentence, he acted in a peculiar manner – possibly due to alcoholism.  
Apr 15, 1910.  Very mischievous and restless, usually in a good humor but untidy in personal appearance.
May 12.  Noisy, untidy, and disagreeable.
Jun 25.  Very much improved and is anxious to go home.
Jul 5, 1910.  Was sent to Baltimore today.  Paroled.
Oct 18, 1910.  Discharged recovered.

Additional notes:
Sent to Baltimore for some reason.  Died in 1927, buried Pinetree Cem., Townsend, Del.


History and clinical notes:
History:  A former patient in this hospital, for previous history, see Book VI, page 57.
Apr 15, 1910.  Somewhat depressed and admits he has been drinking.
May 12.  Some improvement since last report.
Jun 8.  Paroled.
Oct 18, 1910.  Discharged recovered.


History and clinical notes:
History:  Officer who brings patient knows but little of his history.  Patient is a tramp who wandered in the vicinity of Milford and Slaughter Beach about 6 weeks ago – has some delusions of persecution; imagines that people are after him, etc.
Apr 15, 1910.  Quiet since admission.
Jul 28, 1910.  Works about ward; is neat and orderly.
Dec 30.  Condition about the same as when last reported.
Oct 4, 1916.  Is noisy at times but not inclined to violence.
Nov.  Patient suffering from nephritis.
Jan, 1917.  Patient improving mentally, but physically is getting weak.  Dilatation of heart.  Myocarditis.
Jan, 1918.  No change in patient’s condition.  Very weak.  Albumin in urine.
Nov 29.  Patient put to bed; edema of legs, very weak.
Nov 30, 1918.  Patient died at 9:45 am.  Chronic valvular heart disease.


History and clinical notes:
History:  A former patient for previous history see Book V, page 209.  Has been acting strangely for past few days, threatened to kill Dr. W.P. Miller if he did not loan him $100.
Apr 20, 1910.  Quiet since admission, but is quite nervous.
Apr 30.  Some improvement since last report.  Paroled.
Sep 2, 1910.  Discharged improved.


History and clinical notes:
History:  Has been drinking to excess and says his brother sent him here because he created a disturbance at his home.  When interrogated by Dr. H he said he had a perfect right to create disturbance in his own home, etc.
Apr 25, 1910.  Has been quiet since admission.
Apr 29.  Paroled.
Sep 2, 1910.  Discharged recovered.
[Re-admitted Dec 20, 1933 – Case No. 5926]

Additional notes:
Readmitted in 1933.  Died 12/5/1947 at Delaware State Welfare Home.


History and clinical notes:
History:  Brought from (Palmer Home) Dover, Del., where he has bee an inmate for past 6 months.  No special history obtainable other than patient is untidy and could not be cared for at home.
Apr 25, 1910.  Very weak and was put to bed today; takes no solid food.
Apr 30.  Continues to grow worse and is in a comatose condition.
May 8.  Condition changed but little since last report.
May 11.  Can only swallow small amount of milk and with great difficulty.  Rapidly sinking.
May 12, 1910.  Died.  Pulmonary oedema and senile asthenia.

Final disposition:
Died -- pulmonary oedema and senile asthenia


On certificate of:
Drs. Walter K. Barrett and P.T. Carlisle, Jr.

History and clinical notes:
History:  A former patient, for previous history see Book 5, page 464.  Has been noisy and violent, threatening his family and breaking furniture.  Patient brought to hospital Apr 20, 1910 but papers did not arrive until today, Apr 21, 1910.
May 12.  Has been very much disturbed and refused to take sufficient nourishment, but is much better today.
Aug 6.  Struck by patient [name redacted] with a wax stick, producing a lacerated wound of left ear which required a suture.  Marked mental improvement since last report.
Aug 23, 1910.  Paroled.
Mar 16, 1911.  Discharged recovered.


History and clinical notes:
History:  Brought to hospital Apr 20, 1910 but papers did not arrive until Apr 22, 1910.  Patient is a resident of Lewes, Del., but about one month ago wandered away from home and was arrested in Washington, D.C., where she attempted to enter the White House, claiming God had ordered her to take up her residence there.  She was declared insane and committed to Government Insane Hosp., Washington, D.C., and later transferred to DSH.
Jan, 1913.  No change in any respect.  Delusions (paranoid in nature) still predominant.  Writes voluminous letters to the Prest. Of the U.S. every week.
Jan, 1915.  No change in any respect.
Jul 22.  Complained of her left side being very weak.  Tongue very thick and articulation difficult to understand.
Jul 23.  9:15 this a.m., entire paralysis of left side.
Jul 30.  Articulation a little better, but left leg and arm useless.
Jul, 1917.  Has been in bed constantly since last note.  No improvement in paralysis; is perfectly helpless; considerable anasarca; limbs very much swollen.  Albumin in urine.
Feb 1, 1918.  Very weak and feeble; respirations are retarded, limbs very much swollen [several illegible words].
Feb 6.  Quite weak this a.m.; breathing very difficult.
Feb 7, 1918.  Patient died at 4:45 p.m.  Chronic nephritis.

Additional notes:
Tried to enter White House.  Says God told her to.


History and clinical notes:
History:  On the tenth of January, she was told by the physician that her little child would die, at which she became very much depressed.  The child did die, January sixteenth, since which time she has been very melancholy, taciturn, and has talked of suicide, asking for poison, but has not attempted suicide.  She has not been resting well at night.
Apr 25, 1910.  Neither eats nor sleeps, and constantly removes most of her clothing.
May 12.  Eats some, with someone to feed her.  Rests better at night.
Jun 1.  Eats of her own free will now; noisy and troublesome, sent to Cottage.
Jun 27, 1910.  Paroled.
Oct 18, 1910.  Discharged improved.

Standard form attached, dated June 27, 1910.  “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:
1920 census has her living with her husband and five kids; 1930 census she is living with husband and youngest child, then 14.  She died at Gov. Bacon on 9/12/1949 and is buried near Minquadale, Del.


History and clinical notes:
History:  The uncle who brought the patient stated that he had been drinking almost steadily since April 14 until April 22, since which time he has been violent, and very destructive to furniture and clothing.
Apr 28, 1910.  Very noisy and delusional, does not rest at night.
May 1.  Marked improvement; is rational, eats and sleeps well.
May 7, 1910.  Paroled.
Sep 2, 1910.  Discharged recovered.


History and clinical notes:
History:  Brought by officers, who could not furnish any history, except that he had been drinking excessively.
May 1, 1910.  Very nervous and delusion (sic), restless at night.
May 12.  Marked improvement, eats and sleeps well, has a good appetite and is rational.
May 16, 1910.  Paroled.
Sep 2, 1910.  Discharged recovered.


History and clinical notes:
History:  Brought by husband who gave no other history than that she had not been eating or sleeping well.
May 9, 1910.  Talks a great deal of “not being saved,” when talked to, otherwise very quiet on ward.
May 12.  Much less depressed, and eats well.
Jul 2, 1910.  Paroled.
Oct 18, 1910.  Discharged recovered.


History and clinical notes:
History:  Person who brings patient [name redacted], states that she knows but little of patient’s history, but that she thought that she was always more or less weak-minded.  Lately, she understood that patient had threatened suicide, that she had refused food lately, and that the parties with whom patient was living were only friends and that she did not know the address of her relatives.
May 16, 1910.  Patient sleeps poorly and eats very little.  Gynaecological examination revealed complete prolapse of uterus, with ulceration and erosion of same.  This has probably been of long standing.  Old laceration of perineum, marked.
Jul 9, 1910.  Improved in general health.
[No further entries].

Additional notes:
1920 census, still at DSH; died at DSH 10/27/1924, buried in Red Clay Creek Cem., Del.


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

History and clinical notes:
History:  Brought by officer who could give no history other than patient has a sister who was an inmate of DSH about 6 months ago.
Jul 15, 1910.  Is very foolish and childlike in his actions.
Dec 30.  No change since last report.
Oct 15, 1914.  No changes; has had a fracture of forearm from which he has recovered.
Oct 4, 1916.  No mental or physical change.
[No further entries].

Final disposition:
Still in hospital.  No further entries.  Died 10/14/1941 of softening of the brain.

Additional notes:
1920 census, still at DSH.  Died 10/14/1941.  Buried at DSH, Grave #525.


On certificate of:
Drs. Frank Belville and John W. DeWitt (?)

History and clinical notes:
History:  Patient was brought to the hospital by Dr. Bellville and her brother [name redacted], May 15, 1910, but papers did not arrive until May 16th.  But little history was furnished.  She had been sewing for a livelihood since a young girl.
Jun 4, 1910.  Has been very troublesome, following the attendants around the ward and insisting that she did not have any clothes on her.  She has been some noisy, and does not eat very well.
Jun 9.  Very noisy and untidy; removed to Cottage today.
Aug 4.  Is very troublesome, she gets in the way of the other patients, and falls, bumping herself.  She is constantly bruised.
Apr 29, 1914.  No special change since last note.  Today patient after bath became quite cyanotic – was put to bed.  Shortly after had a vomiting spell.  This p.m., while physician was making his rounds, found that she had had a stroke of apoplexy and her right side was completely paralysed.
May 7.  Patient had been unconscious since attack of 29th ult. And passed away at 4:45 p.m.
May 7, 1914.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  The patient was brought by wife who said that his grandfather was a paralytic and his father was a drunkard.  The patient had an attack of melancholia ten years ago, which was relieved by treatment.  He had another attack some years later.  The present condition began last November and he became much worse in January, but attended to his business until May 13th.  He has refused all food for several days and recently became quite reticent.  He has not been resting very well at night, and last night he got up out of bed and attempted to commit suicide by cutting a gash two and one half inches on the left side of his neck, and tried to cut the arteries in both ankles.
Jun 10.  Is greatly depressed and does not take sufficient food.
Aug 2, 1910.  Paroled.
Mar 16, 1911.  Discharged unimproved.

Standard form attached, dated August 2nd, 1910.  “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:
Discharged unimproved.  Survived until his death on 6/2/1932, of diabetes mellitus.  Buried at RV.


History and clinical notes:
History:  For former history see Case Book No. V, Page 247.  The patient was discharged recovered, September 7, 1908, from which time she has been very well, until March 17, 1910 at which time she began to be melancholy, and has not been eating well, lately, saying that there is nothing in the world for her to eat.
Jun 1, 1910.  Is troublesome to get her ready for bed and does not eat well.  Says she “don’t have any swallower.”
Jun 14, 1910.  Must be tubed twice daily, and insists that she does not have any mouth.
Aug 24, 1910.  Is eating every meal.

Additional notes:
Died 5/18/1917.  Buried in Cathedral Cemetery.


History and clinical notes:
History:  Brought by brother-in-law who stated that the patient’s condition began about twelve weeks ago with “indigestion,” and as he could not work began to worry about supporting his family and has been quite melancholy.  He eats fairly well but does not sleep well.
Dec 30, 1910.  Is well behaved but occasionally is delusional and says he wants to die.
Aug 6, 1912.  Has shown marked improvement during the past few weeks; is more cheerful, eats and sleeps well.
Aug 23, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.


History and clinical notes:
History:  Brought by officers, who were unable to furnish any history.  Patient says his skull was fractured three years ago.
Jun 10, 1910.  Very surly and bears close watching.
Jul 18.  A very violent and troublesome patient, tears clothing, destroys furniture, and breaks restraint.
Aug 16.  Very much improved and works about ward.
Aug 25.  Has freedom of the grounds.
Sep 7, 1910.  Paroled.
Mar 16, 1911.  Discharged recovered.

Newspaper clipping:  Prisoner Insane.  Charles Berkey Arrested for Breach of the Peace Was Sent to Farnhurst.  Arrested on Saturday afternoon, on a charged (sic) of having committed a breach of the peace.  Charles Berkey was examined by two physicians at the police station yesterday morning and declared by them to be insane.  He was committed to the State Hospital at Farnhurst yesterday afternoon.  Berkey was creating a disturbance in an east side house on Saturday and the occupants of the place were afraid of him.  They did not suspect that he was mentally unbalanced and that he was insane was not suspected until after he began to act and talk in a queer manner.  Berkey said his father had been drowned in the Johnstown flood.  He said he was worth $90,000,000 and that he was sole owner of all of the finest and richest coal lands in Pennsylvania.  One of his hallucinations was that other members of his family were trying to get all this imaginary wealth away from him and that they were hounding him intent upon bringing about his death.    Second newspaper article found by Hal Brown:  The Allentown (Daily) Leader
Friday, May 27, 1910
His Mother’s Death Drives Heir Insane
Son Tries to Dig Up Her Body After Funeral

Wilmington, Del. May 27 – Rambling statements made by Charles Berkey, who say he is an heir to valuable coal lands near Johntown (sic), PA., resulted in his arrest, and he was committed to the Delaware State Hospital for the Insane at Farnhurst.  The police found his brother, H. Berkey, of 2118 Fairmount Avenue, Philadelphia, and learned from him that the statements made by the man committed here were correct.  It appears that Berkey’s mother, who died in Johnstown, PA., two weeks ago, did own valuable coal lands and that her three sons are heirs to the state (sic).
Berkey was absent from home when his mother died, and, according to what the police have learned, when he returned and found that her funeral had taken place, he went to the cemetery and tried to dig up her body.
He was prevented by the authorities of that city and was sent to the home of his brother living in Philadelphia.  There he is alleged to have assaulted a man, and in order to escape arrest came to this city, where his actions aroused the suspicions of the police.”


History and clinical notes:
History:  Brought by Dr. Nickerson and wife.  She said he has been very melancholy for over two years, and that she could not rouse him enough to take any exercise.  He has not worked any for several years, but prior to that time had been a railroad switchman.  He never drank to excess.  He has been becoming paretic, and has loss of memory.  He remembers circumstances but has no knowledge of time of same.  Patients says people are treating him shamefully.  Patient has second cousin (name redacted) in the Hospital.
Jun 15, 1910.  Removed today by his wife, against advice of Supt.  Paroled.
Oct 18, 1910.  Discharged unimproved.

Additional notes:
Died 8/9/1911 of softening of the brain.


History and clinical notes:
History:  Patient is a tramp from New Jersey, who has been in Delaware City a few days only.  While in Delaware City was pronounced insane and admitted to the DSH today.
Jun 1, 1910.  Says someone tried to poison him in order to collect his insurance.
Jun 20, 1910.  Very much improved and anxious to go home.
Jun 23, 1910.  Paroled.
Oct 18, 1910.  Discharged recovered.

Additional notes:
Died 11/15/1939, buried in Cathedral Cemetery.


History and clinical notes:
History:  For previous history see Case Book IV, P. 278.  Patient was discharged improved, Dec. 27, 1902.  She has been having frequent epileptic seizures.  Has a fair appetite and rests well.
May 3, 1910.  Quiet since admission.
Jun 28.  Fell out of bed, in an epileptic attack, and cut a gash in right eyebrow.
Jul 7.  Has been very stupid last few days.
Jul 8.  Bowels very loose and offensive.  Semi-comatose.
Jul 9.  Growing weaker.
Jul 10, 1910.  Died at 7:30 a.m.  Enteritis.


History and clinical notes:
History:  Patient brought by friend who said attacks began one year ago by her being melancholy and liking to be alone; she has continued melancholy since then.  On May 23rd, she became violent, breaking windows and chairs.  She sleeps poorly, and has eaten very little since that date.
Jun 3, 1910.  Very noisy and violent since admission.
Jun 12.  Extremely violent and noisy – never rests without the aid of medicine.  Extremely difficult to get her to take sufficient amount of nourishment.
Jun 13.  Early this morning, night watch noticed that she was quiet and somewhat weaker.  Dr. Davies was called, but she expired before he reached her bedside.
Jun 13, 1910.  Died 6:30 a.m.  Exhaustion from acute mania.


History and clinical notes:
History:  Patient was arrested for rape or attempted rape in Pencader Hundred and jury brought in verdict not guilty on grounds of insanity.  Has been in work house about 1 month.  Is very stupid and not inclined to talk to any one.
Jun 10, 1910.  Quiet since admission.
Dec 30.  Condition the same as when last reported.
Oct 15, 1914.  Constantly in restraint, a very violent and dangerous type.
Oct 4, 1916.  Very mean and violent at times.

Lab report:  State Board of Health Laboratory; State Laboratory Building, Newark, Delaware.  Lab No. 44986; Date 7-2-20.  Dr. Wm. H. Hancker.  Dear Sir: -- The examination of the specimen of Blood from 2294 does show the presence of a negative Wasserman.  Signed H.J. Watson, Bacteriologist [something illegible]

Additional notes:
Died at DSH 10/29/1944, buried at DSH Cemetery, Grave #563.


History and clinical notes:
History:  Patient came May 26th, 1910, but papers did not arrive until June 2, 1910.  Trouble began five years ago with continued talking of senseless things and later has had delusion of religion.  She has been more or less moody for two years.  Sleeps and eats poorly.  Quite noisy at times, and frequently demands words to be spelled instead of spoken.
Jun 3, 1910.  Has been very noisy and on June 1st tried to beat another patient (name redacted).  Eats and sleeps well.

Additional notes:
Died 5/5/1927 at DSH of cerebral hemorrhage and bronchopneumonia, buried in Hockessin.


Insane Relatives:
mother, maternal grandparents, and paternal aunt

On certificate of:
Drs. P.T. Carlisle and George W. Marshall

History and clinical notes:
History:  Patient came June 1st, 1910, but papers did not arrive until June 2nd, 1910.  The patient’s condition began five years ago at time of menopause.  She imagined her husband in debt, considering all receipts to be bills.  She continued this way from that time until about one month ago when she became worse.  She has been having some delusions of religion.  She has a prolapsed uterus (3rd degree) for years for which she wears a support.  She does not sleep well at night; has been taking Trional with but little effect.  Fairly good appetite; has lost flesh slightly.  Physical condition good; Urinalysis [illegible].
Jun 7, 1910.  Becomes more cheerful and less nervous each day.
Jun 26, 1910.  Removed today by husband.  Paroled.
Oct 18, 1910.  Discharged recovered.

Additional notes:
Died 12/25/1943, buried at Odd Fellows Cem. In Milford.


History and clinical notes:
History:  Last fall the patient had an attack of typhoid fever lasting five weeks.  During the fall and winter she taught school, which was a hard school to govern.  Two months ago she quit and then became very much depressed.  Two weeks ago she became violent and very hard to care for.  She has been eating and sleeping poorly.  This acute mania has been continuous for the past two weeks.
Jun 8, 1910.  Flings her arms continuously, and strikes with her legs, bruising arms and legs if out of restraint.
Jun 9.  Has not spoken until today.  Talk not rational and only speaks when spoken to.
Jun 11.  Very weak from heart attack.
Jun 14.  Patient rallied from sinking spell and talks loudly of someone taking her money.
Jun 20.  Very noisy at times and tries to bite.
Jun 23.  Failing rapidly.
Jun 24.  Unconscious – breathing labored.
Jun 24, 1910.  Died at 9:30 p.m.  Pachymeningitis interna hemorrhagica.


History and clinical notes:
History:  Patient left this institution on parole June 28, 1902.  For former history, see Case Book No. IV, Page 120.  Patient has been no better than when she left the institution.  She eats well, but is restless at night.
Jun 28, 1910.  Very quiet since admission.
[No further entries].


History and clinical notes:
History:  Patient has been employed on “L” road in New York, he became infatuated with a girl, who jilted him and since that time he has been depressed and sometimes violent.  Smokes cigarettes to excess.
Jul 10, 1910.  Some improvement since admission.
Aug 1, 1910.  Marked improvement since last report.  Paroled.
Mar 16, 1911.  Discharged improved.

Additional notes:
He was back at DSH from March 18, 1915 to October 5, 1922, when he died there of tuberculosis.  Was buried in St. Georges, Delaware.  Motorman on the "el" (elevated) train in NY.  Folks in Delaware have no idea what he means when he says he is a motorman on the "el."


On certificate of:
Drs. William T. Davis and C. de J. Harbordt

History and clinical notes:
History:  Condition began nine months ago.  She imagined someone was trying to poison her.  Her husband bought her some oysters in which she found a small shell.  She considered it an attempt to poison her.  She was later taken to the Waltcher Hospital for two weeks.
Jun 18, 1910.  Very noisy and troublesome, removed to cottage.
Jun 27.  Follows attendants over ward, and when asked to remain still refuses to do so, becoming violent rather than have her will crossed.
Jul 4.  Removed against wish and advice of superintendent, by husband, today.  Paroled.
Sept 12.  Returned today.  Brought back with handcuffs on.  Has been running around with men and could not be controlled.
Oct 10, 1912.  Examination external: Negative.  Internal: Uterine tumor palpable, about size of orange.
Jan 7, 1913.  Some cough and fever – regularly at night.
Feb 11.  Marked dyspnea and cough.  Decidedly tubercular.
Mar 1.  Dyspnea increasing, practically whole of lungs affected.  Gangrene?
Mar 3.  Gangrene decided.  Rapidly failing.
Mar 4, 1913.  Died 12:45 p.m.    Standard form attached, dated July 4, 1910.  “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].


History and clinical notes:
History:  Brought by officers who could furnish no history, was noisy and violent when admitted.  A former patient (see Book IV, page 354) was here for eight months and was discharged recovered.
Jun 16, 1910.  Requires restraint; is irrational in his conversation.
Jul 18.  Some improvement since last report.
Aug 3.  Very noisy, requires restraint and some hypnotic at night, very incoherent.
Sep 23.  Very difficult to care for, is violent and noisy.
Dec 30.  No improvement since last report.
Oct 15, 1914.  No mental changes, is irrational in his conversation.
Oct 4, 1916.  No improvement since last report.
[No further entries].


History and clinical notes:
History:  Constable could furnish no history other than patient has always been weak minded.
Jul 8, 1910.  Has frequent epileptic seizures, and is somewhat inclined to be violent.
Jul 18.  Very much disturbed and requires constant watching.
Aug 3.  Very quarrelsome, especially after having an epileptic seizure.
Aug 18.  Was found at 5:30 a.m. with face buried in pillow; probably had a convulsion during the night and smothered.  Coroner was notified and we were instructed to bury the body.
Aug 18, 1910.  Died – epilepsy.

Additional notes:
Buried at DSH, Grave #188.  Cem Rec says he died on 8/17/1910.


History and clinical notes:
History:  Brought to institution by Dr. A.E. Frantz and an officer.  Patient has always been quiet and retiring and seldom talked unless interrogated, has suffered from asthma the greater part of his life.  About one year ago he began to act strangely but continued his duties as a bank clerk until 3 months ago and since that time has been melancholy, he also had delusions of persecution, imagined a Negro who had worked about his home for years, for a spy, also thought the officials of Union National Bank were trying [end of sentence].
Yesterday, some friends wanted to take him to Phila but he broke away from them and wandered over to the Brandywine and waded through 4 feet of water to the other side.  Eats but little and sleeps poorly.
Jun 23, 1910.  Attempted to kill himself by picking up a chair and striking it against his head.
Aug 3.  No improvement since last report but has made no further attempt to injure himself.
Aug 26.  Patient picked up a chair and broke several panes of glass; was placed in restraint.
Sep 8.  Removed against advice of Supt.  Paroled.
Mar 16, 1911.  Discharged unimproved.

Standard form attached, dated Sept 8, 1910.  “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 [brother, with an X].


History and clinical notes:
History:  Condition began about four years ago.  She has been sleeping fairly well, but has been eating poorly, having to be fed.  She removed her clothing and pulls down draperies.
Jun 28, 1910.  Quite restless, wandering up and down the ward.
Jan 10, 1911.  No very marked change, possibly a little more feeble, noisy, and incoherent most of the time.  Has to be restrained to keep her from tearing her clothes.
May 17.  This morning while being restrained by attendant kicked at them and fell on the floor, sustaining an intracapsular fracture of the left femur.  Owing to her age and the utter inability for her to do as she was told, was placed in bed and made as comfortable as possible.
Jan, 1912.  Still remains in bed, very incoherent and noisy most of the time.
Jan, 1913.  Patient has remained in bed, is daily growing more feeble.  Had a stroke of apoplexy, left sided about 2 weeks ago.
Mar 29, 1913.  Patient died at 2:15 a.m.  Cerebral apoplexy.


History and clinical notes:
History:  Brought by officers.  See attached clipping [missing].
Jul 8, 1910.  Quiet since admission.
Aug 3.  A well-behaved patient.
Sep 23.  No change since last report.
Dec 30.  Has been successfully vaccinated.
Jan 3, 1911.  Some improvement since last report; is more cheerful and works about ward.
Apr 1, 1911.  Paroled.
Jul 2, 1911.  Returned today.
Oct 15, 1914.  Is a good worker but inclined to be violent; frequently threatens to do bodily harm to those about him.
Oct 4, 1916.  Works in clothes room (Ward C) and is generally well behaved.
[No further entries.]

Additional notes:
Died 1/26/1936.   Buried at DSH, Grave #454.


On certificate of:
Drs. H. Clay Stevenes and P.W. Tomlinson

History and clinical notes:
History:  Brought by husband who state that she had for the past two years been very nervous.  She has been married twice.  The son by first husband has not been good to her.  For past four or five weeks very much worse.  Imagined that the girl and others were poisoning her.  She has delusions of persecution.  Has failed physically for past few weeks.  Appetite is poor on account of delusions.  Has not slept lately.  Very nervous.  Rubs her hands and wishes she was dead.
Jun 28, 1910.  Says her body gets solid sometimes, because somebody poisoned her with lead.
Jul 15.  Complains a great deal of pain over stomach, takes no nourishment except milk, and sometimes regurgitates it.  Rather marked cachexia.
Jul 30.  No improvement in any way.
Aug 1.  Removed today by husband, against the wish and advice of the superintendent.
Aug 1, 1910.  Paroled.
Mar 16, 1911.  Discharged improved.

Standard form attached, dated August 1st, 1910.  “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. Harrison W. Howell and P.W. Tomlinson

History and clinical notes:
History:  Had been patient at Hope Farm for Consumptive’s, was brought to DSH by his brother but refused to remain.
Jun 30, 1910.  Paroled.
Oct 18, 1910.  Discharged unimproved.

Additional notes:
Contradictory information available from different sources.


On certificate of:
Drs. J.L. Pratt and William Marshall Jr.

History and clinical notes:
History:  Had a slight “stroke” two years ago and since that time mind has been failing and he could not be cared for at home.
Jul 12, 1910.  Fell out of bed at 4:30 this morning, producing a contusion and lacerated wound of forehead (supra-orbital ridge).
Jul 14.  Is confined to bed; is restless and frequently attempts to get out of bed, is seldom rational in his conversation.
Jul 20.  Gradually growing worse, is restless and tears bed linen.
Jul 25.  In a comatose condition, difficult to arouse, labored breathing, slight cough due to hypostatic congestion.
Jul 26.  Sinking rapidly, pulse feeble and refuses nourishment.
Jul 28, 1910.  Died.  Lobar pneumonia and cerebral apoplexy.

Final disposition:
Died of lobar pneumonia and cerebral apoplexy


History and clinical notes:
History:  A former patient; for previous history see Book V, page 241.  Very much depressed when admitted.
Jul 18, 1910.  No improvement since admission.
Aug 3.  Very much depressed but eats and sleeps well.
Sep 23.  Some improvement since last report.
Oct 25.  Very much improved and eager to go home.
Nov 7.  Paroled.
Dec 27.  Returned today.
Mar 12, 1911.  Is melancholy; sits about ward and talks but little.
Oct 2.  Is more cheerful and says he is anxious to go home.
Oct 28.  Paroled.
Nov 3.  Returned today, very much depressed.
Jan 20, 1912.  Very much improved, is more cheerful and anxious to go home.
Apr 20.  Paroled.
May 11.  Returned today very nervous and melancholy.
Jan 6, 1914.  Is quiet and well-behaved, depressed at times.
Jul 19.  Complains of “giddy spells” and is confined to bed.
Jul 22.  Very much worse today is in a semi-conscious state and perspiring profusely, pulse full and bounding, no inequality of pupils.
Jul 24, 1914.  Cerebral apoplexy.


History and clinical notes:
History:  Patient is a former Delawarean and has been confined in State Hospital for Insane at Trenton, NJ; about 10 days he either escaped or was discharged and came to Wilmington to visit a sister; he acted in a peculiar manner, was arrested and later adjudged insane.
Jul 18, 1910.  Quiet and respectful, looks after the clothes room.
Sep 23.  Communicated frequently with the office by letter.
Dec 30.  No change since last report, has been successfully vaccinated.
Oct 15, 1914.  Works in clothes room; is delusional and at time violent.
Oct 4, 1916.  Very unruly when refused permission to leave, was placed on ward.
Nov, 1924.  Died.


Insane Relatives:
uncle in DSH; paternal grandfather committed suicide

History and clinical notes:
History:  Patient brought by brother-in-law who states that patient is troublesome at times, wanders from home, threatens violence, and is unmanageable.
Jul 18, 1910.  Give no special trouble but is untruthful.
Aug 3.  A mischievous boy and requires careful watching, masturbates when opportunity affords.
Aug 3, 1910.  Paroled.
Aug 11.  Returned today.
Aug 15.  Is well behaved since his return.
Nov 12.  Paroled.
Jan 7, 1911.  Discharged unimproved.

Standard form attached, dated August 3rd, 1910.  “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:
Died 1/27/1944 at Brandywine Sanitarium.


On certificate of:
Drs. William B. Jones and Joseph K. Frame (?)

History and clinical notes:
History:  Has been acting peculiar for several months but for past six weeks has been much worse and has delusions of persecution.  Brought to hospital July 12th, 1910 but trustees’ certificate did not arrive until July 15th, 1910.
Jul 15, 1910.  Quiet since admission.
Sep 23.  No change since last report.
Dec 9.  Paroled.
June 7, 1911.  Discharged recovered.


On certificate of:
Drs. William Wertenbaker and P.W. Tomlinson

History and clinical notes:
History:  Patient was brought to the Hospital yesterday but certificate did not come until today (July 14th, 1910).  The patient was confined [for childbirth] sixteen days ago.  The present condition began July 2nd.  “It appeared during the convalescence from an all otherwise normal confinement.”  She became quite violent.  The attacks varied in the length of time in which she remained so.
Jul 14, 1910.  Very noisy at times last night.  Was removed to the Cottage today.  Shouts for everyone to leave her, that she may have air, and “Get off the cord; also “You are No. 23.”
Aug 18.  More rational, eats regular diet, and is quieter.
Dec 21.  Patient has steadily improved.  Has gained flesh and is rational at all times.  Was allowed to leave for her home today.
Dec 21, 1910.  Paroled.
Jun 7, 1911.  Discharged recovered.


History and clinical notes:
History:  The patient was brought into the hospital on a stretcher accompanied by Drs. Cobb and Silver, Jul 14, 1910, but the certificate did not arrive until today.  She was confined [for childbirth] one week ago.  She developed eclampsia.
Jul 15, 1910.  Patient in very weakened condition, but conscious, and enjoyed her nourishment.  During the night became violent.  At 1 p.m. she began to have Cheyne-Stokes respiration.  Lips badly bitten from convulsions.  Died at 3:45 p.m.
July 15.  Died at 3:45 p.m.  Exhaustion from puerperal mania and eclampsia.

Final disposition:
Died of exhaustion from puerperal mania, and eclampsia


History and clinical notes:
History:  Has been weak-minded since birth but for past 20 years it was necessary to keep him confined to house; for past few months he has been very troublesome and could no longer be cared for at home.
Aug 3, 1910.  Quiet since admission, seldom talks but is abrupt in his answers to interrogations.
Dec 30.  No change since last report.
Oct 15, 1914.  Condition remains unchanged.
Oct 4, 1916.  Is always quiet, no mental change.

Additional notes:
In census records he appears as a 1 year old living with John and Ella Shaffer and their 7.5 month old twins Mary and Carrie.  Carrie apparently died.  At age 11, William is listed as being a boarder with the same family and "at school."  John and Ella now have 2 more children.   Where did he come from?  Searched and searched, but no more info from ancestry.com  From 1940 census, age 72, still in DSH; died April 28, 1942.  Buried at DSH, Grave #530.


History and clinical notes:
History:  Brought by brother-in-law who stated that for the last two weeks the patient has been going away from home a few blocks and did not seem to know where she was going, and that she cried a great deal at night because someone was after her to kill the entire family.  She has been resting and eating poorly.
Jul 20, 1910.  Quiet since admission.
Nov 26.  Paroled.
Jun 7, 1911.  Discharged improved.

Additional notes:
Died 3/21/1946, buried at Cathedral Cemetery.


On certificate of:
Drs. Irvine M. Flinn and Henry R. Spruance

History and clinical notes:
History:  The patient was brought to the Hospital July 17th, 1910 but the papers did not arrived until today.  The patient had typhoid fever for seven weeks last winter.  She seemed to recover from it, but has for the last few weeks been talking in an irrational manner.  When told he was to be brought here, said she would jump out of the window.  She has not been eating nor sleeping well.  She has two aunts here (Mrs. Donaway and ….[blank]).
Jul 20, 1910.  Whistles and hums and beats time with hands and feet, most of the time.  Eats very little.
Aug 30.  Much quieter, especially at night and eats well.
Sep 19, 1910.  Removed against advice of Supt.  Paroled.
Mar 16, 1911.  Discharged unimproved.

Additional notes:
Not sure why it says her cause is puerperal??  Died 5/16/1962 at DSH.


History and clinical notes:
History:  Brought by officer, who could give no history.  Quiet when admitted.
Jul 28, 1910.  No change since admission.
Sep 23.  Is well behaved and works about ward.
Dec 30.  Condition remains unchanged.
Jan 3, 1911.  Has marked hesitancy of speech, a tremulous tongue, and uncertain gait, is losing flesh rapidly and confined to bed most of the time.
Oct 12.  Rapidly growing worse, is noisy and troublesome at night.
Nov 13, 1911.  Died.  General paralysis of insane.


History and clinical notes:
History:  Patient has been failing mentally for several years and for past few weeks has been under the care of an attendant at home.  Has always been a man of good habits.  A few days ago he set fire to some paper in his room and wanted to go out walking at 2 o’clock in the morning.
Aug 3, 1910.  Untidy about his room and was removed to rear of Ward C.
Dec 30.  Condition remains unchanged.
Jan 5, 1911.  Rapidly growing feeble; has a partial paralysis of muscles of deglutition and it is with difficulty that he takes his food.
Jan 27.  Suffered a stroke of apoplexy today and was removed to his home today by Phoenix Ambulance.
Jan 27, 1911.  Discharged unimproved.

Final disposition:
Discharged unimproved (sent home by ambulance).

Additional notes:
Died in 1911, buried in Wilmington & Brandywine Cemetery.


History and clinical notes:
History:  Brought by officers, who could not furnish any history.
Aug 18, 1910.  Eats and sleeps well; quiet and amiable.
Jan, 1912.  Patient at times troublesome; generally quiet.
Jan, 1914.  No change in patient’s mental condition; physically getting weaker.
Jan, 1918.  No improvement in her condition.
Jun, 1918.  [Illegible] examination found phthisis pulmon., and transferred to TB building.
Sep 27.  Patient’s condition very critical.
Sep 28, 1918.  Patient died at 5 a.m.  Phthisis pulmon.


History and clinical notes:
History:  The patient was brought to the Hospital today by a trained nurse (Miss McKeon).  She was confined [for childbirth] one month ago, with a normal puerperium.  One week ago she began to show signs of typhoid fever; for the past two days has had a temperature of 102° F.  About the same time, she began to become melancholy, which condition has been increasing for the past week.  She has delusions of “eternal damnation.”
Aug 22, 1910.  Temperature about normal; takes nourishment well; rests well, but is sometimes restless, getting up and wandering about room unless restrained.
Nov 1.  For past few days has been sitting up.  Is stronger in every respect; will not answer when spoken to although moves her lips.
Nov 14, 1910.  Was visited by her husband who removed her although the Supt. did not wish it.  Paroled.
Jun 7, 1911.  Discharged recovered.  Standard form attached, dated November 14, 1910.  “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].


History and clinical notes:
History:  The patient was brought to the Delaware State Hospital today in the Phoenix Ambulance.  No other history was furnished than that she had not lived with her husband for fifteen years, and she is a confirmed inebriate.
Aug 22, 1910.  Seldom talks rational; does not like to take nourishment.
Aug 29.  Movements markedly ataxic; constantly growing weaker.  Had a very weak spell this afternoon.
Sep 13.  Rallied from weak attack.
Sep 20.  Patient has steadily improved since last note.  Talks rational and is slowly gaining strength and flesh.
Oct 3.  Was visited by her daughter today who removed her on parole.  Paroled.
Mar 16, 1911.  Discharged recovered.


History and clinical notes:
History:  Patient’s condition began about twelve years ago.  She became very jealous of her husband.  She would leave home for a period of two or more years, during which time her husband sent her money.  Upon her return home she wanted him to be with her constantly.  She has had delusions of persecution.
Sep 12, 1910.  Quiet since admission.
[No further entries]

Additional notes:
Still in hospital in 1930, no entry for 1940 census.  No info on when she died.


History and clinical notes:
History:  The patient was brought by his brother and sister, who stated that he had never been very bright as a child.  Last fall he became irrational at times.  He had measles last June which attack lasted about two weeks.  After well of the measles was affected by the heat from the sun.  For the past two weeks has been very violent, and tried to fight.  He repeats everything which is said to him.  Lately has had poor appetite and sleeps but little.  Bowels constipated.
Aug 31, 1910.  Very noisy during the night.
Sep 23.  Some improvement since last report.
Dec 30.  No change since last report, has been successfully vaccinated.
Feb 11, 1911.  No change in any respect.  Was visited by mother and sister today who decided to remove him against the advice of the Supt.  Paroled.
Sep 18, 1911.  Discharged unimproved.

Standard form attached, dated February 11, 1911.  “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:
Sent to Crownsville Hospital Center (for Negro Insane), where he died 1/12/1930.  Buried in the Crownsville Hospital Cemetery.


History and clinical notes:
History:  A former patient, was discharged from hospital Sept 30, 1908(?, smeared).  For previous history see Book IV, page 185.
Sep 10, 1910.  Quiet since admission and is rational.
Sep 17, 1910.  Paroled.
Mar 16, 1911.  Discharged recovered.


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

History and clinical notes:
History:  Brought by Dr. Shipley.  The patient is violent at time, lasting from a few hours to several days.  These attacks began in childhood, but have been increasing.  
Sep 9, 1910.  Patient very weak and was immediately put to bed.  Coughs and expels great quantities of foul sputum.  Temperature high and profuse sweating.  Takes nourishment fairly well.
Sep 12.  Growing weaker and most of the time does not have sufficient strength to expel the secretion.  Perspiration very sticky.
Sep 16.  Semi-conscious and very weak.
Sep 17, 1910.  Died.  Pulmonary gangrene.


History and clinical notes:
History:  A former patient, was discharged Jan 21st, 1904 and since that time has been wandering about and has been employed in several asylums as an attendant.  For previous history, see Book IV, page 367.
Dec 30, 1910.  No change since admission; has been successfully vaccinated.
Nov 10, 1911.  Eloped today.
Nov 20.  Returned today.
Jan 3, 1912.  Very well behaved and is very anxious to go home.
Mar 31, 1912.  Paroled.
Aug 5, 1912.  Discharged improved.


History and clinical notes:
History:  Patient was “picked up” at Newport where he attracted the attention of several residents by attempting to jump in front of a moving car, supposedly to commit suicide.  Patient has a large scar on head showing a recent operation of trephining, has been a patient in St. Joseph Hospital, Reading, Pa.  Brought to hospital on Sept 24th, 1910 but Trustee’s certificate did not arrive until Sept 27th, 1910.
Dec 30, 1910:  Is well behaved but has occasional epileptic attacks, successfully vaccinated.
Oct 15, 1914.  Has frequent epileptic attacks, is usually violent preceding and following attacks.
Oct 4, 1916.  No change since last report.
May 2, 1918.  Upon examination found phthisis pul.  Very weak, put to bed.
Jul 1918.  Patient suffering badly from chronic diarrhea.  Very weak.  Frequent epileptic attacks.  Hemorrhage and hemoptosis.
Oct 9.  Patient’s condition worse.
Oct 10, 1918.  Patient died at 4 p.m.  Phthisis pulmonalis.

Newspaper article attached:  “Vainly Attempted to End His Life, Man Threw Himself on Trolley and Railroad Tracks.”  Frank Junosuka, a Pole, aged 38 years, who has no home, and who is demented, attempted to commit suicide last evening by throwing himself across the street car tracks at Newport and Stanton, but he was unsuccessful, as the motormen noticed the man lying on the tracks before their cars reached him, and they alighted from their cars and put him off the tracks.  The man next went to the tracks of the P., B., & W. railroad, threw himself across them, just as he had done along the trolley line, but he was arrested before the arrival of a train and was brought to this city and locked up at the police station on the charge of being demented.  This morning he was examined by Drs. Tomlinson and Wales and was pronounced insane.  He was committed to the insane hospital at Farnhurst.  In the man’s pocket was a note.  It was signed Dr. M.L. Ernat of St. Joseph’s Hospital, Reading, Pa.  It gave the stranger’s name, said he was without a home and subject to fits.  It requested that he be given attention, and if possible, sent to some hospital or asylum.  The note said the man had a brother in Detroit, Mich.


History and clinical notes:
History:  Patient was arrested for stealing chickens but was found not guilty on the ground of insanity and was committed to DSH by order of Court.
Dec 30, 1910.  Is well behaved and a good worker, has been successfully vaccinated.
Mar 8, 1911.  Has been working about stable but became unruly and was returned to ward, has delusions of persecution and at times makes threats against officers and attendants.
Jan 6, 1913.  Is working in dining room.  Ward D.
Feb 14, 1913.  While being returned to his ward this morning he ran away from attendant.  Eloped.
Oct 20, 1913.  Discharged improved.


History and clinical notes:
History:  Brought by officers who were unable to furnish history.
Oct 7, 1910.  Extremely irritable and cross – wants to remain in bed and refuses to go on wards, saying she will not associate with the patients.
Oct 17.  Removed against advice of Supt. and agrees to remove her from Delaware.
Oct 17, 1910.  Paroled.
Jun 7, 1911.  Discharged improved.

Hand-written form on stationary from DSH.  Dated Oct 17, 1910.  “In removing my wife, Olive Pasino, against the advice of the Superintendent, I have agreed to take her out of the State of Delaware this evening and to see that she does not return.”  Signed.  Frank E. Pasino, Witness: J.H. Davis.”

Additional notes:
Taken out AMA with promise to take her to another state and not return to Del.  Died in New York, 10/9/1948.


History and clinical notes:
History:  Claims he owns a church in Wilmington and attempted to barricade same from the regular worshippers.
Dec 30, 1910.  Very quiet since admission, has been successfully vaccinated.
Jan, 1913.  Very little change.  Very cross and irritable.  Frequently threatens to “do everybody up.”  Has to be in restraint much of the time.
Apr 10.  A large swelling has gradually developed beneath left lower maxillary bone.  Tubercular adenitis.
Jul 20.  Was placed in bed today, both lungs involved, tubercular.
Aug 1.  No change, appetite very poor, coughs a great deal but no expectorations.
Aug 10.  Very much weaker this a.m.
Aug 10, 1913.  Died 4 p.m.  General tuberculosis.

Newspaper article attached:  “Nailed Up The Church Doors.  Colored Man Gets Hammer Out When Union Congregation Wouldn’t Pay For Edifice.  Believe Him to Be Mentally Unbalanced.  Oakland I. Taylor, colored, charged with breach of the peace, was arraigned in City Court this morning, but on request of Assistant City Solicitor Chaytor the hearing was postponed until tomorrow.  It is believed that Taylor is mentally unbalanced.  It appears that he has a hallucination that he owns the Union A.M.E. Church in French Street near Twelfth.  Declaring that he purchased it eighteen years ago from “the bishop,” he says that congregation has failed to pay him for the property, and yesterday he nailed up the doors and windows.  The pastor thereupon swore out a warrant for him.”


History and clinical notes:
History:  Husband of patient died two months ago and since that time she has been acting in a strange manner, when admitted she was very noisy, refused food and medicine.  Father of patient died in this institution.
Mar 1, 1912.  Patient has been failing rapidly for past month although has refused to be confined in bed.  Talks very little and has poor appetite.  Las month has been confined to bed and is much emaciated.  Has had incontinence of bowels for last 2 weeks and refuses all food except fruit as she imagines it has poison in it.  Patient remained conscious until death.
Mar 26, 1912.  Died.  8:20 a.m.


History and clinical notes:
History:  A former patient; for previous history see Book V.  Patient wanders from home and it is sometimes difficult to induce her to return.
Nov 10, 1918.  No change in patient’s mental condition.  Physically getting weak.
Nov 17, 1919.  Patient died this morning at 9:40 a.m.  Chronic valvular heart disease.  From personal knowledge.  9 years, 28 days.

Final disposition:
Died from chronic valvular heart disease


History and clinical notes:
History:  Brought by friends who could give no history other than patient became unmanageable, sometimes noisy and violent.
Dec 30, 1910.  Is quiet but not otherwise improved.
Aug 1, 1911.  No very marked change.  Is up and about the ward.  Very stupid and does not seem to understand anything that is said to him.  Has a severe bronchial cough.
Sep 1.  Has been in bed; sometimes very restless, cough much worse, expectorates large quantities of mucous.
Oct 20.  No very marked change except is somewhat weaker.
Oct 29.  Is quite weak.  It is with difficulty he takes small quantities of milk from time to time.
Oct 30.  At 5:30 a.m. very difficult to get his breath, lungs filling up.  
Oct 30, 1911.  Died 7:30 a.m.  Pulmonary edema.


On certificate of:
Drs. Thomas A. Hitch and J.S. Prettyman, Jr.

History and clinical notes:
History:  No history obtainable; patient was very stupid when admitted and would not talk; when admitted we found left leg very much swollen and abrasions of both wrists, evidently produced by some form of restrains prior to admission.
Nov 4, 1910.  Very noisy during the night.  Gave “hypo” of hyoscine.
Jan, 1911.  Has improved very much; now talks, is very pleasant and affable.
Apr 8, 1911.  Has been working at the Superintendent’s residence for last month or two, was allowed to go home by herself today.  Paroled.
Sep 18, 1911.  Discharged recovered.

Additional notes:
At 27, she has a 16 year old child??  Had been in restraints before she came??  From ancestry.com Born 2/12/1881, died at age 35 of TB and heart disease, 11/5/1916.  Still single, no info on child.


History and clinical notes:
History:  “Picked up” by officers, no history obtainable.
Dec 30, 1910.  No mental change.
Mar 4, 1911.  Suffers from chronic bronchitis and has a severe cough at times.
Oct 15, 1914.  No mental or physical improvement, is untidy, expectorates in his hands and rubs it on his clothes.
Oct 4, 1916.  Has severe attacks of bronchial asthma, no mental change.
[No further entries].

Additional notes:
From ancestry.com -- he died at DSH Farnhurst on 8/16/1926 of asthma and emphysema.  Buried at DSH, Grave #358.


History and clinical notes:
History:  Brought to hospital Nov 2nd, 1910, but papers did not arrive until Nov 4th, 1910.  A former patient, for previous history see Book VI, page 95.
Dec 30, 1910.  No mental change, works about ward but is stupid.
Mar 4, 1911.  No mental change since last report.
Oct 15, 1914.  Very quiet, seldom talks, irritable at times.
Oct 4, 1916.  No mental or physical change.
[No further entries].

Additional notes:
From ancestry.com, was still at DSH in 1920, 1930, and 1940 censuses; no death certificate, not buried at DSH


History and clinical notes:
History:  Patient has shown mental enfeeblement for past 6 months and is sometimes violent.
Dec 30, 1910.  Is confined to bed and is very feeble.
Mar 4, 1911.  Noisy most of the time and confined to bed.
Mar 5.  Had a “stroke” of cerebral apoplexy today.
Mar 10.  Rapidly growing worse, cannot take nourishment.
Mar 14, 1911.  Died – Cerebral apoplexy.


History and clinical notes:
History:  Has been drinking to excess and was committed to N.C.Co. Hosp. but could not be properly cared for and later was declared insane.
Dec 30, 1910.  Is quiet, eats and sleeps well but mind is very much enfeebled.
Mar 4, 1911.  Does not improve and is very untidy.
Apr 16.  Confined to bed but has a good appetite.
May 17.  Suffered from a right-sided paraplegia today and is unconscious.
May 18, 1911.  Died 12:35 a.m.  Cerebral apoplexy.


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

History and clinical notes:
History:  Patient has been ill for past two weeks, does not sleep and eats but little, is suffering from leucorrhea.  Last Thursday she talked of leaving home, said she was going to preach and become somewhat violent, bowels are constipated and she is rapidly losing flesh.
Nov 6, 1910.  Very noisy every night, requires restraint and some hypnotic to quiet her.
Nov 15.  Some improvement since last report.
Nov 20.  Marked improvement, eats and sleeps well.
Nov 26, 1910.  Paroled.
Jun 7, 1911.  Discharged recovered.


History and clinical notes:
History:  Officer who brought patient but was unable to furnish history; patient is unable to walk and sometimes destroys her clothing.
Jan 1, 1912.  No marked change since she came here.  At times noisy and destructive.
Mar 1, 1912.  Feet and ankles swollen; was placed in bed.
Mar 3.  Swelling subsided.
Mar 7.  Has been very stupid all day, semi-comatose.
Mar 8.  Coma continues.  Urine very scanty.
Mar 9.  Comatose condition continued.  Passed away at 4:30 a.m.
Mar 9, 1912.  Died – Uraemia.


History and clinical notes:
History:  Her sister who lives in Phila became insane about 2 years shortly after this patient began to show indications of insanity.  Her husband left her several times, and this, in conjunction with her sister becoming insane, worried her a great deal.  Has been very melancholy and at times is inclined to be destructive – never violent and inoffensive.  Very constipated at times.  Frequently complains as if a tight band encircled her head.
[No further entries.]


History and clinical notes:
History:  No history obtainable.
Mar 4, 1911.  Very noisy since admission, is untidy and tears her clothes.  Patient is pregnant about six months.
Apr 18.  Patient has several sharp labor pains this p.m. lost some blood.  Vagina was prolapsed and on examination the cervix was dilated about 1” head could not be felt.
Apr 19.  Pains have ceased and patient is much the same condition as she was yesterday.
Apr 23.  No change.  Patient is up and about, same as usual, very destructive and violent.
May 22.  Still noisy, destructive, and violent.  Patient was delivered of a healthy male child this 3:40 a.m. without trouble.  Mother and child doing well.
Nov 13.  Mrs. Fee took the baby today to St. Agnes Hosp., 70 & Woodlawn Ave., Phil. At the request of Father Quigley.  Patient is as noisy, turbulent, and troublesome as she was previous to her confinement.
Nov 1915.  Patient’s mental condition getting worse.
Nov 1918.  No change in her condition.  Very noisy and destructive at times, violent, physically getting weak.
Dec 22.  Patient has an attack of epidemic influenza.
Dec 27.  Patient developing lobar pneumonia.  Very low.
Dec 30, 1918.  Patient died at 10:30 p.m.  Lobar pneumonia after an attack of epidemic influenza.

Final disposition:
Died of lobar pneumonia after an attack of epidemic influenza

Additional notes:
6th child born at DSH, taken away to St. Agnes Hospital in Philadelphia.  Buried at DSH, Grave #299.


On certificate of:
Drs. Henry R. Spruance and P.W. Tomlinson

History and clinical notes:
History:  No history obtainable from officers, patient says he has been having some family trouble.
Dec 30, 1910.  Some improvement but is somewhat depressed.
Mar 4, 1911.  Accuses his wife of infidelity and refuses to see her, was visited by his children a few days ago, became excited during their visit.
Oct 15, 1914.  Is well behaved but resentful toward his family, inclined at times to be very disagreeable.
Oct 4, 1916.  No change since last report.
[No further entries.]

Additional notes:
Listed in 1918 and 1921 Wilmington city directories as living at home with wife Hannah.  Died at Farnhurst 9/13/1929, buried in Cathedral Cemetery.


History and clinical notes:
History:  Has been in U.S. about 17 years, for past two years has been employed by W.H. Deverell 706 Tatnall St., Wilmington.  No special history obtainable other than patient has been a man of good habits and attack came on suddenly.
Dec 30, 1910.  Is very quiet and delusions have disappeared.
Jan 2, 1911.  Paroled.
Jan 5, 1911.  Returned today; was very excitable.
Mar 4.  Very much improved, works in dining room, Ward D.
Oct 15, 1914.  Is well behaved but delusional; is constantly writing to Pres. of U.S., Emperor of Germany, and other public officials.
Oct 4, 1916.  No change since last report.
Jan 23, 1918.  Conversation incoherent, is delusional and very talkative.  Physical condition good.
[No further entries].

Additional notes:
From ancestry.com, still in DSH in 1940; died there in 1953.  Buried at DSH, Grave #622, age 80.


History and clinical notes:
History:  Has been a patient here on three different occasions, for past 3 years she has been very well but two months ago a favorite sister died and since that time she has become very nervous.  For previous history, see Book V, page 242.
Jan, 1911.  No improvement whatever.  Bites her fingers until they bleed.  Very restless and much depressed.
Jan, 1912.  No change whatever.
Jan, 1914.  Remains in much the same condition; very depressed and melancholy.
Oct 2, 1914.  Brother removed her today to give her a trial at home.  Paroled unimproved.
Apr 20, 1915.  Discharged improved.

Standard form attached:  Dated October 2, 1914.  “I hereby remove my aunt 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 [niece?].”

Additional notes:
From ancestry.com, in 1920 census she was living with her brother and sister-in-law; in 1930 census she was back at DSH; she died at Farnhurst at age 74 on October 1, 1932.  She was buried in Riverview Cemetery in Wilmington.  She died of chronic myocarditis and arterio-sclerosis.


History and clinical notes:
History:  Patient was “picked up” on Del. R.R. when he had been acting strangely and attempted to run in front of trains.  Speaks but little English but says he came from Ohio.
Dec 30, 1910.  Attempts to run away whenever a door is opened.
Oct 15, 1914.  No mental change, apathetic in manner.
May 7, 1916.  Confined to bed, temp 101.4°, pulse rapid and weak, respirations hurried – eats very little and emaciating rapidly.  Has oedema of feet and ankles.
May 7, 1916.  Died.  Chronic parenchymatous nephritis.


History and clinical notes:
Brought by Dr. P.M. Money who states that patient has occasional epileptic seizures and is sometimes violent; when he has these attacks he gets down on his hands and knees and barks like a dog.  Patient arrived Dec 2nd, 1910 but trustees’ certificate did not arrive until Dec 6th, 1910.
Dec 30, 1910.  Has occasional epileptic seizures.
Sep 21, 1912.  Has developed “T.B.” and was removed to “T.B.” today.
Oct 6.  Rapidly growing worse and refuses nourishment.
Nov 4, 1912.  Died.  Phthisis pulmonalis.


History and clinical notes:
History:  A former patient, was discharged Nov 25th, 1901.  Has a brother in institution at present time.  For previous history, see Book IV, page 189.
Dec 8, 1910.  Is very noisy and untidy.
Dec 16.  Very quiet and is allowed freedom of the grounds.
Dec 22.  Attempted to elope today and is no longer allowed freedom of grounds.
Mar 4, 1911.  Somewhat depressed and seldom talks.
Jul 6.  Very much improved since last report.
Aug 14, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
Admitted two more times, died at DSH in 1951.


History and clinical notes:
History:  Patient was brought to hospital Dec 4th, 1910 but papers did not arrive until Dec 7, 1910.  Mother of patient insane.  Present trouble was first noticed shortly before her marriage, later she became pregnant and her mental condition seemed to grow worse; after the birth of her child she said she did [not?] love it and threatened to kill it but said something always prevented her.  She has formed a dislike for her husband says she does not want to see her husband or child but when questioned about her husband, says that he has always been a kind and devoted husband.
Dec 24, 1910.  Delusions have not disappeared.  Was allowed to go home to her mother today, who lives in Penna.  Paroled.
Jun 7, 1911.  Discharged improved.

Additional notes:
In 1920 census, husband David Eckert Tindle, age 44, and daughter Catharine, aged 10, were living with David's sister's family in New Castle.  In 1940 census, Catharine had married and divorced a Mr. Moore, and had one daughter, Charlotte L. Moore, aged 7, living with her and her dad (David).  Anna died in 1915 and is buried with David Eckert Tindle.  From ancestry.com, in 1910 census was living with husband Eckert Tindle, and daughter Catharine, 9 months.


History and clinical notes:
History:  Brought from N.C. Co. Hospital where he had been a patient for past week but became unmanageable.  No other history obtainable.
Dec 30, 1910.  No mental change since admission.
Mar 4, 1911.  Does not improve, complains of myalgia pains, says he does not sleep.
Mar 6.  Has a rapid, weak heart action, takes only liquid diet and is rapidly losing flesh.
Mar 25.  Rapidly sinking and in a semi-comatose condition.
Mar 28, 1911.  Died.  Endocarditis and cirrhosis of liver.

Final disposition:
Died of endocarditis and cirrhosis of liver


History and clinical notes:
History:  Brought by officers who could give no history of care, certificate states that he has been drinking and threatened to kill his wife.
Dec 30, 1910.  Very much improved since admission, but is still quite nervous.
Jan 15, 1911.  Marked improvement since last report.
Jan 19, 1911.  Paroled.
Jun 7, 1911.  Discharged recovered.

Additional notes:
Died 9/8/1913 of cardiac paralysis, buried in Silverbrook Cem.


History and clinical notes:
History:  Patient has been in Wilmington about two weeks and acting strangely, he was arrested and while in his cell tried to drown himself by placing his head in the hopper – Has been a patient in Blackwood & Trenton, NJ Asylums, says he walked away from Blackwood Asylum two weeks ago.
Jan 15, 1911.  Very much improved, works about ward and is very respectful.
Jan 28, 1911.  Paroled.
Sep 18, 1911.  Discharged recovered.

Additional notes:
Died 9/13/1927.  Died at the New Castle County Almshouse and buried in the Cemetery in the Woods.


History and clinical notes:
History:  Mental change first noticed about 2 years ago after death of grandmother and one year later by death of her husband.  At times she has a violent temper and will break dishes and destroy furniture, but later repents when she realizes what she has done.  Patient arrived 12/30/10 but trustees’ certificate did not arrive until today (12/31/1910).
June 29, 1911.  Transferred to TB building.
Oct 8, 1911.  Paroled.
Feb 9, 1912.  Discharged improved.

Additional notes:
Admitted to Phila Hosp 2/15/1912, died of TB there 3/26/1912.


History and clinical notes:
History:  Patient was first admitted Sep 1st, 1909.  Paroled Dec 20th, 1909, and discharged unimproved Jun 10th, 1909.  Dr. Cobb who brings patient to hospital states that her condition has not improved since she left here, that she has threatened her husband and that he has been afraid to keep her home.  Patient was brought by Dr. Cobb Tuesday Dec 27th without necessary papers.  They did not arrive until the 31st.
Jan, 1912.  Patient has been very feeble minded and somewhat untidy since she came here.
Jan, 1913.  Has been losing flesh lately, but is up and about the ward.
Oct 1, 1913.  Has been in bed for a month or two, passes a great deal of urine, very high colored.
Dec 1.  No improvement; very weak and feeble.  Takes but little nourishment.
Dec 31, 1913.  Has failed rapidly since last note; passed away today at 3:30 p.m.  Acute nephritis.


History and clinical notes:
History:  Brought by officers who could furnish no history but patient admits he has been drinking to excess.  When admitted he was very weak and dirty.
Jan 5, 1911.  Clearly a case of alcoholism and is rapidly “clearing up.”
Jan 20.  Marked improvement since last report.
Jan 25, 1911.  Paroled.
Sep 18, 1911.  Discharged recovered.

Additional notes:
Died 9/19/1921, buried in Seaford, Delaware.


History and clinical notes:
History:  First symptoms were noticed about the middle of Nov last, but the cause is not known.  Began at first to neglect her little house, wandered away frequently and several times spoke and has threatened to kill her relatives that came near her.  Became more quiet for 2 or 3 weeks, but lately has become much worse.  Goes to the [ill. – stores?] and dances and gesticulates.  Runs up and down the stairs and no one has any ability to quiet her.  Appetite has been good and she has rested fairly well at night.

Standard form attached:  Dated May 20, 1912.  “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 [Wm. H. Hancker], Signed [daughter].”


History and clinical notes:
History:  Patient was born in Delaware but left the state when a child and says he came back for protection because, as he says, “somebody is after me.”
Mar 4, 1911.  Very talkative, but otherwise well behaved.
Apr 20.  During the visits of the officers, he constantly begs for his dismissal and says he is a “show man” and wants to start a show at Atlantic City, NJ.
Oct 17.  Does not improve, constantly complains of “sore eyes” without any cause for same.
Dec 15.  Confined to bed, does not eat or sleep and is losing flesh rapidly.
Dec 19.  Rapidly growing worse and refuses all nourishment.
Dec 23, 1911.  Died.  Exhaustion from Acute Mania.


On certificate of:
Drs. H.G.M. Kollock and Charles H. Blake

History and clinical notes:
History:  Brought to hospital Feb 26, 1911 but papers did not arrive until Feb 28th, 1911.  Has been violent since admission and today kicked out the end of crib bed.
Mar 23, 1911.  Quiet and bewildered at times.
Apr 20.  No improvement since last report.
Aug 6.  Very much improved and is more cheerful.
Oct 7, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.


History and clinical notes:
History:  Patient has had syphilis; has ataxic gait and tremulous tongue.  Has been a heavy drinker.
Mar 4, 1911.  Inclined to be disagreeable.
Mar 23.  No mental change, but is quiet and respectful.
Apr 2.  Patient collapsed today and is unconscious.
Apr 3.  Somewhat brighter today and took a glass of milk for breakfast.
Apr 12.  Is able to sit up today but very much bewildered.
Apr 20.  Confined to bed, somewhat weaker but takes a moderate amount of nourishment.
Sep 12.  Had an infection of first finger of left hand which became gangrenous and necessitated amputation; wound did well and is entirely healed.
Feb 22, 1913.  Has developed Erysipelas (idiopathic) involving entire face.
Mar 1.  Has recovered from Erysipelas and face again presents a normal appearance but he is very weak and refuses nourishment.
Mar 5.  Rapidly growing weaker and still refuses nourishment.
Mar 9, 1913.  Died.  General paralysis of insane.


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

History and clinical notes:
History:  Patient is quiet and wanders away from home and needs help to disrobe.
Mar 4, 1911.  Insists upon wandering about ward and when told by attendant to set down, he attempted to hit him with a chair.
Mar 23.  Very restless and destructive to clothing.
Apr 7.  Has developed an erysipelas (idiopathic) involving nose and face.
Apr 10.  Erysipelatous condition is clearing up but lungs are becoming oedematous.
Apr 11.  Continues to grow worse and refuses nourishment.
Apr 12, 1911.  Died 10:30 p.m.  Pulmonary Oedema and Erysipelas (idiopathic).

Final disposition:
Died of pulmonary oedema and erysipelas (idiopathic)


History and clinical notes:
History:  Patient was bright and cheerful when admitted but said she sometimes is afraid she is losing her mind, is unable to think quickly and memory is not retentive.  Sometimes has epileptic-form attacks, usually seems quite well during the day but is restless at night, wanders about the house and has hallucinations.
May 1918.  Patient kept in bed, has epileptic convulsions about once a week; physically very weak.  Mentally getting worse.  At times tries to fight.  Very hard to manage.
Jun 15, 1919.  Patient getting very weak.
Jul 26.  Patient had a few convulsions today, very weak, does not take any food.
Jul 27.  Patient had 2 convulsions last night and is in Status Epilepticus still.
Jul 29.  Still in Status.  Resp. 58.  Pulse 48.  Condition grave.
Jul 30, 1919.  Patient died at 1 p.m.  Status Epilepticus (3 days).


History and clinical notes:
History:  Patient was discharged from this Hospital Feb 21st, 1910 improved.  Sister who brings patient states that she has been well ever since she left here and that she has been a clerk in a newspaper office.  First symptoms of insanity noticed about 2 weeks ago.  She is very quiet and has not been maniacal as yet.  Mother has been sick in bed and not able to watch her or they would not have brought her so soon.
Apr 1, 1911.  Very restless since admission, imagines that her mother and the Doctor who examined her were down on her; has other delusions of a persecutory character.
Jun 1.  Very must better than she was.  Delusions have disappeared.
Jun 10, 1911.  Patient paroled today, left by herself.
Sep 18, 1911.  Discharged recovered.


History and clinical notes:
History:  A “pick up” no history obtainable.  Patient has extensive old burns of back and left arm, and old fracture of rib with faulty union, and a contusion of forehead and scalp.
Apr 5, 1911.  Visited by a son today, who states that patient has had epilepsy for years, had several attacks yesterday.
Oct 17.  Good physical health but has occasional epileptic attacks.
Jan 3, 1912.  Condition unchanged.
Mar 23, 1912.  Paroled.
Aug 5, 1912.  Discharged improved.


History and clinical notes:
History:  Brought from New Castle by sister, who says he cannot be cared for at home, is stupid and wanders from home, but is quiet.
Apr 16, 1911.  Quiet since admission.
Oct 17.  A physical decline since admission.
Nov 2.  Confined to bed most of the time; is unable to walk without assistance, is untidy and eats very sparingly.
Nov 22.  Rapidly growing weaker, refuses nourishment.
Nov 26, 1911.  Died.  General paralysis of insane.


History and clinical notes:
History:  A former patient.  For previous history see Book VI, page 223.
Apr 6, 1911.  Quiet since admission, eats and sleeps well.
Apr 20.  Has lost flesh since admission and is somewhat anemic.
Oct 17.  Some improvement physically, no mental change.
Feb 15, 1914.  Is emaciating and has a persistent cough.
Apr 12.  Has developed TB and was removed to Tuberculosis Pavilion today.
Jun 6.  Some physical improvement, has gained in flesh and the cough has abated.
Jul 18, 1914.  Paroled.
Mar 9, 1915.  Discharged improved.


History and clinical notes:
History:  Patient was brought to hospital on April 2nd, 1911 but papers did not arrive until April 4th, 1911.  Mental change was first noticed about 6 months ago, she could not sleep, was very nervous, and sometimes noisy.
Jan, 1917.  Has been very noisy and troublesome since she came here, frequently [illegible] any patient who might come near her, has been in restraints almost constantly.
Jan, 1918.  Very little improvement.
Apr, 1918.  For the past few months patient was without restraint and has done considerable work, cleaning her room and the hall adjoining.
Apr 7.  Patient has severe cold, and was placed in bed.  Examination by Dr. Briggs revealed lobar pneumonia.
Apr 10.  Very much worse.  Disease will not [illegible] remedies.  Continuously failed (?) and died Apr 13th, 1918.
Apr 13, 1918.  Died.  Lobar pneumonia.


History and clinical notes:
History:  Patient has been in N.C.Co. Hospital for a few weeks but became violent and noisy, would tear her clothes and destroy furniture; no other history obtainable.
Oct 10, 1912.  Patient’s general condition rather poor.  Loss of weight and general weakness.  Has had troublesome cough for last three weeks, but no expectorations, worse at night.  On physical exam, found lateral curvature of spine toward right, prominence of right scapula.  In examining chest found increased breath sounds all over chest.  No rales present.  Medication given and cough has responded quite well.
Dec, 1912.  Patient in bed, quite weak for past two or three weeks.  Expectorations are profuse and offensive.
Feb 1, 1913.  Very feeble; cough and expectoration continues.
Feb 18.  Patient continued to fail and passed away at 10 p.m. last night.
Feb 17, 1913.  Died.  Pulmonary gangrene.


On certificate of:
Drs. William H. Kraemer and P.W. Tomlinson

Form:
recurrent mania, manic depressive psychosis

History and clinical notes:
History:  Patient was “picked up” in Wilmington this a.m.; officers could not furnish history, but patient states he was in N.J. Hospital (Trenton) for insane, for a period of six months and was discharged on Nov 24th, 1909.  Is a fluent talker and has a retentive memory, but is delusional.
Apr 14, 1911.  Says “I have millions to back me.”
Apr 15.  Threatened to assault attendants and make his escape.
Apr 20.  Is better behaved and more inclined to obey rules of the hospital.
Jul 25.  At present is quiet and well behaved, but when visited by his wife he is irritable and blames her for keeping him in the institution, says he is not insane and has never been mentally afflicted.
Aug 17.  Has steadily improved – enmity towards his wife has disappeared.  Was allowed to go home by himself today.
Aug 17, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
"August 7, 1913.  His PO address #336 West 30th St., New York"


History and clinical notes:
History:  Has been an inmate of Sussex Co. Almshouse but could not be properly cared for, at times he is very cross and irritable.
Apr 16, 1911.  Is very irritable and never gives a civil answer when addressed.
Oct 17.  Physical health is failing.
Aug 26, 1912.  Confined to bed, is noisy, untidy, and restless.  Eats very little.
Dec 16.  Rapidly growing weaker and takes only small quantities of liquid nourishment.
Jan 2, 1913.  Died.  Exhaustion from mania (chronic).


History and clinical notes:
History:  No history obtainable other than patient has been drinking to excess.
Apr 16, 1911.  Very nervous and does not sleep well, imagining police are after him and attempts to break his restraint.  Gave Hyoscine Gr 1/75 last night and he obtained a few hours rest.
Apr 20.  Continues to improve, eats and sleeps well, and is rational in his conversation.
Apr 24, 1911.  Paroled.
Sep 18, 1911.  Discharged recovered.


On certificate of:
Drs. Joseph Carrow and Charles A. Ritchie

History and clinical notes:
History:  No history obtainable, other than patient talks constantly about religion.
Jul 25, 1911.  Is very disagreeable and inclined to be violent.
Oct 17.  Condition remains unchanged.
Sep 8, 1912.  Shows signs of improvement, has ceased to be quarrelsome.
Jul 6, 1913.  Very much improved, works about the wards and is trustworthy.
Sep 8, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.


History and clinical notes:
History:  Brought by officers at 8 p.m., no history obtainable, patient was bewildered and answered questions with some hesitancy.
May 5, 1911.  Has shown no improvement since admission.
May 10.  Removed against advice of Supt.  Paroled.
Sep 18, 1911.  Discharged improved.

Standard form attached:  Dated May 10th, 1911.  “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].”


History and clinical notes:
History:  Present trouble supposed to have been due to death of a very dear friend and benefactor; at times she is noisy and inclined to be violent.
Jan 1, 1912.  Has been no trouble to care for since her admission.  Sews and knits – sits by the register all day and imagines that she is talking to her relatives who communicate with her through the register.
Jan, 1915.  No change in any in any (sic) respect.  General health fairly good.
Oct, 1916.  No change in any respect.
Jul 1, 1917.  Dry gangrene of the toes of right foot has appeared.  Was placed in bed.
Sep, 1917.  Still in bed.  Gangrene extending involving two toes.
Dec 1, 1917.  Gangrene has not involved all the toes.  Patient is very feeble and is getting very much weaker.
Jan 1, 1918.  Gangrene has involved all the toes and has also started in left toes.  Very feeble.
Jan 6, 1918.  Died suddenly, 5:30 a.m.  Cerebral embolism.


History and clinical notes:
History:  Patient has been an imbecile since birth and none of her relatives sisters or mother desire to care for her.  At the last meeting of the Board of Trustees they consented to receive her for $5.00 per week.

Note at top of page: “Fee to be paid by Security T. & S. Co.”

Additional notes:
1930 census, at DSH in Farnhurst; 1940 census, listed as an inmate at the "Delaware Colony" -- Stockley, Sussex County; she died in Smyrna in 1951, age 81, of cerebral arterio-sclerosis; her mother had been 43 when Margaret was born, so perhaps she had Down syndrome, although she lived to be 81, which is remarkable for anyone at the time period!  She was the 10th of 11 children.  Mother had died in 1908, and she was sent to DSH in 1911.


History and clinical notes:
History:  Patient was retired from Penn Railway 3 years ago as engineer.  Shortly after his retirement symptoms of insanity was noticed.  He was depressed, kept by himself and brooded over his retirement a great deal.  Several times has spoken of killing himself.  A short time ago took a revolver and attempted to shoot himself; his wife tried to take it away from him – it exploded – but did not injure him.  Lately has been so much worse that his relatives were afraid to keep him longer.  Has also threatened to kill his wife.
May 1, 1911.  Very much improved, eats and sleeps well and is quite cheerful.
May 11, 1911.  Removed today against advice of Supt.  Paroled.
May 20, 1911.  Returned today; attempted suicide by inhaling gas and cutting throat (8 sutures).
May 30.  Wounds entirely healed, is quite cheerful but complains of his feet.
Oct 17.  Has a fistula in ano.
Oct 15, 1914.  Very well behaved but a constant complainer about imaginary ills.
Oct 4, 1916.  A good patient but at times very melancholy.
Jan 22, 1918.  Is depressed and delusional at times, manner and attitude good.

Standard form attached:  Dated May 11, 1911.  “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/marked by X].”

Final disposition:
Still in hospital; from Familysearch.org -- died Jan 26, 1924 at Farnhurst; buried in Cathedral Cem.

Additional notes:
The Sunday Morning Star
May 21, 1911, p. 1

Newspaper article from on-line: “Aged Man Tries Suicide.  Thomas Murtha, 80 years old, slashed throat with knife.  Returned to Farnhurst today.  Had been patient there, but was dismissed a week ago as considerably improved.
	Thomas Murtha, aged 80 years, a retired railroad engineer living at No. 725 Pine street, attempted to commit suicide yesterday afternoon shortly after 2 o’clock by slashing his throat with a large butcher knife at his home.  Dr. M. Ostro was immediately summoned by a member of the family and he sewed up the wound in the aged man’s throat, but had not penetrated the wind pipe.
	Dr. Ostro states last evening that Mr. Murtha would recover, as the wound was not serious.
	Mr. Murtha had been under treatment at the State Hospital at Farnhurst, but was removed to his home a week or so age, as it was thought that he had recovered from his nervous condition.
	The deed was committed in the bathroom at the man’s home.  His family had been keeping their eyes upon him ever since he was brought from the State Hospital, and when he went to the bathroom his son-in-law, who lives with him, followed upon his heels, but he was not quick enough to prevent him slashing his throat.  The butcher knife, with which he committed the deed, had been sneaked upstairs.
	Dr. Ostro had a hard time sewing up the man’s throat, as Murtha used all his strength in trying to keep the doctor away from him.  It took three or four persons to hold the man down while the doctor sewed up the wound.
	Eight stitches were required to close the wound, after which the man had to be strapped in bed in order to keep him from pulling the bandages off his throat.
	Dr. Ostro stated that the knife came within a hair’s breadth of cutting the man’s windpipe, from which death would have resulted.
	The old man was watched closely last night in order to keep him from tearing the bandages away from his throat and today he will be returned to the State Hospital at Farnhurst.


History and clinical notes:
History:  A former patient was admitted under date of May 25, 1910 and removed from hospital by his wife June 15, 1910 against advice of Supt.  Has shown no improvement during his absence.  For previous history see Book VI, page 211.
Jul 25, 1911.  Does not improve, is quiet, eats and sleeps well but is very untidy.
Aug 16.  For past 2 days bowels extremely loose.  Is quite weak today.  Temperature 103°.  Alcohol baths, etc. ordered.
Oct 17.  Improved since last report, bowels have been checked and he is on regular diet.
Jan, 1912.  Has remained in bed since last note.
Apr 1.  Very weak last few days.
Apr 8.  Failed rapidly and died 11:15 p.m.
Apr 8, 1912.  Died.


History and clinical notes:
History:  Brought by officers, no history obtainable, was quiet when admitted and called those about her “dear” and “son.”
May 22, 1911.  Was visited by her grandson today, who stated that she has wandered from her home in Jersey May 2.  He was allowed to remove her.
May 22, 1911.  Discharged unimproved.


On certificate of:
Drs. James P. Loftland and George W. Marshall

History and clinical notes:
History:  Has had Epilepsy since infancy, during attacks he is violent and attempts to injure those about him.
Jun 30, 1911.  Is well behaved between attacks.
Oct 17.  Has occasional epileptic seizures.
Dec 8, 1912.  No change since last report.
Jan 12, 1914.  Has frequent “seizures” and is very noisy and violent during attacks.
Jun 2.  Has developed a lobar pneumonia, pulse 150, resp. 40, temp 104°.
Jun 4.  Delirious most of the times, is very restless and takes little nourishment.
Jun 6.  Rapidly growing weaker.
Jun 8, 1913.  Died.  Pulmonary embolism, lobar pneumonia.

Final disposition:
Died -- pulmonary embolism, lobar pneumonia


History and clinical notes:
History:  Has had epilepsy since childhood and has been kept home; lately he has grown violent and sometimes breaks dishes and furniture.
May 13, 1911.  Has frequent spells, is abusive and uses obscene language.
May 18.  Only ate one meal today.
May 20, 1911.  Paroled.
May 30, 1911.  Returned by his Father today.
Jun 30.  No change since his return to institution.
Sep 5.  No improvement, is untidy, vulgar and is very difficult to manage.
Nov 29, 1911.  Removed against advice of Supt.
Aug 5, 1912.  Discharged unimproved.

Standard form attached:  Dated May 20th, 1911.  “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 [father].”

Standard form attached:  Dated November 29th, 1911.  “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:
From ancestry.com -- died 5 March 1914, buried in Portsville UMC Cem.  Under first name of Dallas.  Died of pulmonary tuberculosis.


On certificate of:
Drs. Frances L. Springer and Harold L. Springer

History and clinical notes:
History:  Patient has shown signs of mental enfeeblement for past 3 years, is irritable and sometimes tears her clothes and destroys furniture.
Oct 21, 1911.  Patient has been so feeble that it has been necessary to confine her in bed.
Oct 20 (sic).  Patient had increase in number of respirations and complained of tightness in chest and dyspnoea.  Temp 99.  Resp. 48-54.  Physical Exam: Revealed pleuritic friction both anterior and posterior of chest; on auscultation right lung presented area size of [illegible] of consolidation just below 5th rib.  Treatment:  Patient in bed, liquid diet, cotton jacket.  Medications:  Strych sup. Gr 1/60 bid.  Aromatic [illegible] m XV q 2 h, quantities of water.
Oct 28th, 1911.  Repair has never started.  Has been slowly failing; was visited by her brother today.  Has been unconscious for 2 days.  Lobar pneumonia.  Died Oct 28, 1911 at 7:45 p.m.


On certificate of:
Drs. Edward M. Vaughan and Dorsey W. Lewis

History and clinical notes:
History:  Brought to institution on May 11th, 1911, but trustees’ certificate did not arrive until May 15th, 1911.  Patient is stupid and sometimes untidy, refuses food and medicine and has to be “tubed.”
May, 1912.  Patient quiet, sometimes untidy.  Incipient tubercular.
May, 1913.  Removed to TB.  Eats poorly.  Oedema of feet and legs, short of breath.  Circulation good but pulse high tension, hectic.
Mar 8, 1915.  Is very weak and spends most of the time in bed, has oedema of feet and ankles.
Nov 25.  Complains of general weakness, eats sparingly and seldom drinks water.
Dec 24, 1915.  Rapidly growing weaker and refuses food.
Jan 1, 1916.  6:15 p.m.  Died.  Chronic interstitial nephritis.


History and clinical notes:
History:  Patient has been employed in fire room of N.C.Co. Hospital for past year and was a good workman; about two months ago he began to act strange and neglect his work, has lost some flesh but says he has as good health as any man living.  Is noisy at night.
Jun 30, 1911.  Very quiet and anxious to go home.
Jul 24, 1911.  Paroled.
Feb 9, 1912.  Discharged improved.

Standard form attached:  Dated July 24th, 1911.  “I hereby remove my uncle 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 [niece].”


History and clinical notes:
History:  Patient was picked up on the streets of Wilmington a few days ago and was taken to the Delaware Hospital; was transferred to the County Hospital day before yesterday.  Is untidy about his habits, smears faeces over the wall at night.  No particulars of his history is known.
May 30, 1911.  Has only been in institution three days and confined to bed.
May 30, 1911.  Died.  Mitral insufficiency, asthma.

Final disposition:
Died of mitral insufficiency and asthma after only 3 days at DSH


History and clinical notes:
History:  Patient was operated [on] about six years ago where it was stated that an ovary and appendix were removed.  Since that time, patient has refused to eat at times but enjoys diet on the sly.  Patient becomes careless about clothes at time.
[No further entries, although listings for correspondents continue through 1915].

Additional notes:
No notes after history.  From death certificate -- died 7/28/1924 at DSH Farnhurst of pulmonary tuberculosis, buried in Bridgeville, Del.


On certificate of:
Drs. Irvine M. Flinn and J. Harmer Pile (??)

History and clinical notes:
History:  Patient had resided at Old Ladies’ Home for last 4 years and for last six months has developed this mental condition.  She talks and mumbles to herself and does not recognize people.  Tears her clothes and is quite untidy.  Appetite has been good until last week when it started to fail.  Has been restless at night.  Physical examination made by Dr. Gardner revealed following: ecchymoxic spots on both legs.  The afternoon of the day the patient arrived patient had a severe convulsion and after that time patient had convulsions continuously and patient became comatose the following morning and remained so until death, which occurred at 6:45 a.m. June 12, 1911.
Jun 12, 1911.  Died.  Apoplexy.


On certificate of:
Drs. Edward M. Vaughn and Henry F. Smith

History and clinical notes:
History:  Has been at Elwyn School for Feeble Minded but owing to appropriation for maintenance of such cases from Delaware being exhausted, they refused to care for him longer.
Jul 24, 1911.  Is very mischievous and frequently strikes other patients.
Oct 17.  Condition about the same as when last reported.
Mar 20, 1912.  Paroled.
Aug 5, 1912.  Discharged unimproved.

Additional notes:
1920 census, was in Penna. Training School for Feeble Minded Children (Elwyn); 1940 census was at Delaware Colony in Stockley, Sussex County; died 9/24/1957 at Stockley of hemorrhage due to metastatic cancer to inguinal glands on left from cancer of the penis.  Buried in the Stockley Center Cemetery.  Father was Charles, last name spelled Regenauer.


History and clinical notes:
History:  Patient first showed signs of mental change about one week ago, imagines it is Lent and he must fast, is very quiet and talks but little and when he does it is about some religious subject.  Is aenemic and has lost flesh.
Jun 21, 1911.  Refuses to eat and has to be “tubed.”
Jun 30.  For past few days has been drinking his milk but refuses to eat solid food.
Jul 10.  Eats an occasional meal and shows mental and physical improvement.
Jul 17, 1911.  Removed against advice of Supt.  Paroled.
Jul 26.  Returned today.
Aug 1.  Refuses to eat and has to be “tubed” – is losing flesh.
Oct 17.  Some physical improvement, appetite improved.
Jan 3, 1912.  No change since last report.
Mar 18, 1912.  Removed against advice of Supt.  Paroled.
Apr 10.  Returned today very much emaciated.
Aug 25.  Rapidly growing worse.
Jun 16, 1913.  Was taken home today, very feeble.  Paroled.
Oct 20, 1913.  Discharged unimproved.

Standard form attached:  Dated July 17th, 1911.  “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:
Died 7/28/1913 of tuberculosis under care of Dr. Springer, buried in Cathedral Cemetery.


On certificate of:
Drs. Irvine M. Flinn and J. Burton Rutherford

History and clinical notes:
History:  When admitted she was very much confused, thought she was visiting friends, says she eats and sleeps well and then contradicts the statement, constantly picks at her clothing and twists her skirts into a knot, seems cheerful but at times her eyes fill with tears.  Since patient was admitted she has become weaker each day.  On the afternoon of admission became very strenuous and had to be restrained.  That night and following day patient was in a semi-conscious state and remained in that condition until death at 11:20 a.m.
June 20, 1911.  Before death pulse 160.  Resp. 60  Temp 104.2° F.  Cause of death: Cerebral apoplexy.


History and clinical notes:
History:  A former patient for previous history see Book VI, page 160.
Jun 9, 1911.  Is somewhat bewildered and at time irrational.
Jul 10.  Some improvement since admission, is quiet and more rational.
Jul 24.  Condition about the same as when last reported; is working about the grounds.
Sep 14.  Works about stables and is well behaved.
Oct 14.  Had a chill today, temp 103°, was placed in bed and cotton jacket applied, has a slight cough and involvement of base of left lung.
Dec 11.  Some physical improvement and spends most of the time out of doors.
Jan 1, 1912.  Shows a marked decline since last report; is losing flesh, has a persistent cough and a profuse foul-smelling expectoration.
Jan 27, 1912.  Rapidly growing weaker; cannot retain nourishment.
Feb 5, 1912.  Died – pulmonary gangrene.


History and clinical notes:
History:  No history obtainable.  Has refused several meals, says he is accustomed to better food, is very neat about his personal appearance and objects to wearing hospital clothing.
Jul 10, 1911.  Is very quiet and seldom talks.
Jul 24.  Pediculi found on body and the usual remedies were applied.
Sep 14.  Does not improve but is always asking to go home, sometimes he will sit for hours twisting his fact and mouth in various positions and muttering to himself.
Oct 17.  No mental change, at times is very contrary and not willing to obey the orders of attendants.
Dec 10.  Is quarrelsome at times, struck a fellow patient today and was placed in muffs.
Oct 15, 1914.  No mental change, constantly mutters to himself and occasionally is violent.
Oct 4, 1916.  Works in dining room but occasionally becomes unruly when refused permission to go home.
[No further entries].

Additional notes:
Listed as a patient at DSH in 1917-18 for World War I draft.  1920 census at DSH (under Dechario), in 1930 census under another spelling, and in 1940 census as Amillia Dechiara.  Was living as a boarder in NYC with many other lodgers in 1910 census.  Died 7/3/1962.


History and clinical notes:
History:  Has been depressed for past four years but has attended to her household duties, imagines she has been “conjured” by her deceased husband’s relatives.  Was operated upon by Dr. Dick of Salisbury, Md., about one year ago, a double oophorectomy [her ovaries were removed].  Since admission patient has improved.
Oct 21, 1911.  Paroled.
Feb 9, 1912.  Discharged improved.


History and clinical notes:
History:  Has been paying some attention to a daughter of his employer but both father and daughter objected, which has affected him so much that he threatened to kill the father.
Jun 30, 1911.  Quiet since his admission and says he is only on a visit.
Jul 10.  Says someone is going to kill him and asks the physicians to protect him.
Jul 24.  Does not improve, is very morose but gives us no trouble.
Sep 14.  No improvement since last report.
Oct 15, 1914.  Quiet and well behaved, begs the officer not to send him home.
Oct 4, 1916.  Condition unchanged, is very meek and submissive.
Jan 23, 1918.  No change in mental or physical condition.
[No further entries.]

Additional notes:
Daughter of employer/landlady was only 14 years of age in 1910 census.  Still at DSH in 1930 and 1940 census records.  Died 5/30/1942.  Buried at DSH #534.


History and clinical notes:
History:  Change in mental condition was first noticed about two weeks ago, when she became noisy and disturbed, at times she refused food and did not sleep.  When admitted she was very stupid and both pupils not contracted.  Physical condition apparently good.
Jul 20, 1911.  Very much improved.  Assists in light work on ward.
Jul 31, 1911.  Was visited by brother today who removed her.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
Two names, Mary Ponzo, Priscilla Denby.  Died 9/6/1931.


History and clinical notes:
History:  Patient has probably been drinking to excess, no other history obtainable.
Jul 24, 1911.  Is very quiet, eats and sleeps well, has gained in weight.
Jul 26.  Very much improved and is always quiet and well behaved.
Jul 29.  Paroled.
Feb 9, 1912.  Discharged recovered.


History and clinical notes:
History:  Patient was “picked up” at New Castle, by police, says he is from Chesapeake City and come up to see “the girls.”  Was brought to hospital on July ___ 1911 but papers did not arrive until July 15th, 1911.
Jul 18, 1911.  Confined to bed since admission and cannot take solid food.
Jul 19.  Rapidly growing weaker.
Jul 20, 1911.  Died – phthisis pulm.


Form:
manic depressive psychosis, depressive type

History and clinical notes:
History:  Patient employed at DuPont’s shoveling nitrate of potash and was noticed acting rather peculiar in as much that he stopped work and gazed at sun and repeatedly threatened foreman and was feared by surrounding people.
Jul 24, 1911.  Is quiet and bewildered, is very slow in replying to questions.
Sep 14.  No improvement since last report.
Oct 17.  Very quiet and respectful.
Oct 15, 1914.  Does not improve, is somewhat arbitrary and inclined to be violent.
Oct 4, 1916.  No change since last report.
[No further entries.]

Additional notes:
"Henry Clay Village" - Breck's Mill, now part of Hagley, once a village of workers for DuPont along the Brandywine.  Works for DuPont shoveling nitrate of potash.  According to ancestry.com and death certificate, he died at DSH on 2/26/1923 of tuberculosis of the lungs, complicated by tuberculous osteomyelities.  Buried at DSH, Grave #334.  Note: "12-19-12 Paid up policy for $40.90 in envelope."


History and clinical notes:
History:  Patient had first attack of apoplexy 12 years ago.  He gives a specific history at an early period of adult life and at times of his attacks speaks of his early life and is very religious.  General condition good.  Appetite good.
Sep 14, 1911.  Is confined to bed, eats and sleeps well but is untidy.
Oct 17.  Condition unchanged, is confined to bed.
Feb 21, 1912.  Has lost flesh since last report.
Jun 22, 1912.  Died – cerebral apoplexy.


History and clinical notes:
History:  Has had epilepsy since childhood, attacks lasting usually from 3 to 4 days, was stupid and irritable when admitted.
Jul 29, 1911.  Suffering from an enteritis, was ordered to bed and placed on restricted diet, is very stupid.
Jul 30.  Rapidly growing worse and has been unconscious for past twelve hours.
Jul 30, 1911.  Died – Enteritis (acute).

Final disposition:
Died of acute enterities.  Buried at DSH, Grave #207.


On certificate of:
Drs. Everett Shipley and Anna C. Shipley

History and clinical notes:
History:  Patient gave birth to child last May and since that time has lost property and money and family noticed that she acted peculiar and threatened to take their “life blood” and felt she was being wronged and has been afraid to go to sleep for fear of poisoning during sleep.  Patient had 2 children die of marasmus whom she states were poisoned by a man whom she said “wronged her.”
Sep 1, 1911.  Patient steadily improved and was removed to Ward “A”.
Sep 3.  Patient was employed in kitchen.
Sep 10.  Anticipated sending patient home following day but again had delusions of persecution and believed she was being poisoned here in the institution.
Oct 7, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
She managed to stay out of DSH in future years, but child who was 3 mos. old in 1911 and the 'cause' of her problems, did not survive.  She died in 1943 and was buried in Seaford.


History and clinical notes:
History:  On admission, patient was feeble and weak and it was impossible to elicit any history.  Since admission it has been necessary to restrain her as she is so weak she would fall.  Has a leg ulcer on left leg above ankle which is being treated daily.
Oct 1, 1911.  Patient has not improved.  Is quite feeble and remains in bed frequently.
Nov 30.  Has been in bed almost constantly since last note.  Has several bad sores, which are intractable.
Jan 1, 1912.  Very weak; friends have been to visit her.
Jan 19.  Has failed rapidly, and died this 12:30 p.m.
Jan 19, 1912.  Died.  Senile asthenia, chronic valvular disease of heart.

Final disposition:
Died of senile asthenia and chronic valvular disease of the heart


History and clinical notes:
History:  Certificate states that he has been in Hospital (Homeopathic) since July 25th.  That he fell off a hay wagon sticking on his feet.  Was brought to Hospital unconscious.  Has seemed very stupid since regaining consciousness.  A few days before coming to Hospital had a number of convulsions.
Aug 14, 1911.  Has been delirious ever since admission.  Very hard to arouse.  Bowels loose.  Heart action very irregular, dicortic (??) beat.  Lungs full of rales.
Aug 18.  No improvement, continued to fail rapidly and died at 4 a.m. today.
Aug 18, 1911.  Died.  Pulmonary edema.


History and clinical notes:
History:  Officers who bring patient know nothing of his history.
Sep 14, 1911.  Is very quiet but is markedly enfeebled, has a condition involving hand which his undoubtedly syphilitic.
Oct 17.  Hand is improved, no mental change.
Oct 25.  Wound entirely healed and some mental improvement.
Nov 1.  Paroled.
Jan 22, 1912.  Returned to hospital from Police Station.
Feb 21.  Is inclined to be violent at times and very noisy.
Sep 6.  Has delusions of grandeur, says he is Ruler of the Universe, is also violent at times and has marked hesitancy of speech.
Jan 1, 1913.  Had a “stroke” today and was placed in bed.
Jan 8.  Rapidly growing worse and refuses nourishment.
Jan 10, 1913.  Died – apoplexy (cerebral).


History and clinical notes:
History:  Patient was picked up in Christiana Hundred raising a great deal of disturbance, went to one or two houses and threw the furniture out in the road.  Patient states that he is a Lion Tamer connected with Haag’s Circus.
Sep 14, 1911.  Is a noisy and troublesome patient, tears his clothes, secretes filthy rags about his person and eats scouring soap, says he is “The Christ” and has supernatural power.
Oct 17.  Some improvement since admission but is filthy in his habits and vulgar and profane in his conversation.
Dec 10.  A very troublesome patient, is untidy and destructive as regards clothing, etc.
Jan 16, 1912.  Condition unchanged since last report.
Oct 15, 1914.  Noisy most of the time and untidy about his personal appearance.
Oct 4, 1916.  No improvement since last report.
Jan 23, 1918.  Memory impaired; is very noisy at times, uncleanly and untidy, uses profane and abusive language.
[No further entries].

Additional notes:
http://www.circusesandsideshows.com/circuses/mightyhaagshows.html  1920 census -- in DSH; 1930 census -- in DSH; died in DSH 10/24/1938.  Buried at DSH, Grave #493.


History and clinical notes:
History:  Patient seemed well until four weeks ago when she had an attack of diarrhea which responded to treatment.  Two weeks ago she refused to walk and most of her conversation is on the subject of suicide and death.  Has been practically in bed for past 4 weeks and has been untidy.  Previous to this time has been thrifty (?).  Has been rapidly losing weight.  Appetite poor.  Previous history Case Book II, page 545, discharged 10/11/1894.
Sep 14, 1911.  Patient much improved physically.  Regained power in lower limbs.  Gyn Exam: revealed following:  Externally: Prominent labia majora.  Much caseous material present in labial folds and abrasions present.  Irritated urinary meatus.  Internally: Uterus small, position normal.  No tenderness, ovaries not palpable.  Hemorrhoids: small, but not accompanied by bleeding.
Sep 25, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
Died 8/18/1943 at Smyrna.  From ancestry.com --  "Josephine dies at 7:35 am of Chronic Arteriosclerosis (for past 6 years). Treated from 6/24/38 to 8/18/43. She dies in the State Welfare Home."


History and clinical notes:
History:  Patient was healthy in early childhood but when 10 years of age contracted meningitis but seemed to recover when 19 years ago [age 27] had typhoid fever and since that time family have noticed her acting peculiar.  She roams about house at night, is violent at times and swears when crossed.  Has lost flesh recently but appetite remains very good.
Sep 14, 1911.  Patient placed in Ward B from cottage.  Is quiet and not offensive in any manner.  Gyn Exam: revealed following:  Externally: Leucorrheal discharge visible.  Parts normal.  Internally:  Anteflexed uterus.  Cervix low, slightly indurated.  Induration extending somewhat into body.  Probably mass posterior to cervix in musculature.  No tenderness in ovarian region.  Hymen revealed signs of previous examinations.
[No further entries.]

Additional notes:
1920 and 1940 census -- still at DSH; parents were Levi and Rebecca, brothers Levi and John Edward.  Died at Smyrna, State Welfare Home, 5/4/1962.  buried in Templeville, Maryland.


History and clinical notes:
History:  No history obtainable, other than patient has been confined in Phila Hosp (Blockley) but unable to ascertain just when.
Sep 20, 1911.  Has been quiet since admission – was allowed to go home with her friends today.
Feb 9, 1912.  Discharged improved.


History and clinical notes:
History:  Patient has been in habit of roaming away from home and has threatened to kill family several times and was brought to institution by officer.
Sep 15, 1911.  Is very talkative and restless, is anxious to go home, wrote a note to Dr. yesterday demanding his release.
Oct 17.  Very much improved, is quite cheerful and a good worker.
Nov 21, 1911.  Paroled.
Aug 5, 1912.  Discharged recovered.


On certificate of:
Drs. John D.M. Cardeza and Oliver J. Gray

History and clinical notes:
History:  Patient lost wife and child by death one year ago and since that time has been despondent, was quiet when admitted and rational in his conversation.
Sep 14, 1911.  Is very quiet and wants to be by himself most of the time, occasionally plays a game of pool, but otherwise shows but little interest in his surroundings.
Oct 17.  No improvement; is morose and wants to sleep most of the time.
Dec 11.  Does not improve and masturbates when not watched.
Jan 16, 1912.  No change since last report.
Feb 7, 1912.  Removed from institution against advice of Supt.  Paroled.
Oct 20, 1913.  Discharged unimproved.

Three copies of standard form attached:  Dated 2/7/1912, 5/7/1913, and 3/22/1913.  “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, then two by T.H. Davies], Signed [father].”

Additional notes:
1910 census, married to Edna, both 22.  She died in 1910.  Daughter Alice died 17 May 1910 [cause: premature birth].  Edna Alice Briggs Baldwin (wife) died 18 May 1910 [cause: childbirth].  He died 6/27/1956 of diabetes mellitus (after 4 years).  They are buried together in Riverview Cemetery, Wilmington.  At 1920, 1930, and 1940 censuses, at DSH.


On certificate of:
Drs. J.P. Lofland and George W. Marshall

History and clinical notes:
History:  A former patient; present attack began three days ago followed a heated argument with a fellow townsman and since that time he has been very irrational and difficult to control.  For previous history, see Book VI, page 196.
Sep 14, 1911.  Is very noisy and untidy.
Oct 17.  Marked improvement and is a good worker on the ward.
Dec 10.  Condition about the same as when last reported.
Feb 16, 1912.  Paroled.
Aug 5, 191.  Discharged recovered.


History and clinical notes:
History:  A former patient in this institution having been first admitted July 20th, 1896 and was discharged June 10th, 1910.  Patient returns today and is very thin and anemic, would not speak above a whisper.
May, 1918.  No change in patient’s mental condition; physically she is weak.  Very anemic.
Aug 20.  Patient suffering from Ascites.  Put in bed – treatment.
Jan 5, 1920.  As result of Ascites, patient has atelectasis of lungs.  Very weak.  
Jan 18, 1920.  Patient died at 9:20 a.m.  Pulmonary atelectasis (12 days), contributing Ascites (5 mos.).

Final disposition:
Died of pulmonary atelectasis and ascites


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

History and clinical notes:
History:  Was brought to hospital on Sept 17th, 1911 but papers did not arrive until today, Sept. 19th, 1911.  Patient has been a hard drinker for several years and from vascular and circulatory changes has “lost his mind” several times during the past 5 years.  For past 3 months there has been a steady, growing impairment of mentality, marked depression and less capable of reasoning, his insanity has never assumed the ordinary acute alcoholic delirium but rather a melancholy depression but is sometimes violent upon resistance.  He sometimes tries to reach the river, suggesting the possibility of suicide.
Oct 17.  Appetite improved and is more cheerful.
Nov 12, 1911.  Paroled.
Aug 5, 1912.  Discharged recovered.

Additional notes:
From Familysearch.org, and death certificate he apparently died on May 13, 1913, is buried in Odd Fellows Cemetery in Milford.  Cause of death: general paralysis of the insane and alcoholism.


On certificate of:
Drs. Hilaire G. Burton (??) and P.W. Tomlinson

History and clinical notes:
History:  Brought by officers who could furnish no history but patient says “they are trying to do away with me.”
Oct 17, 1911.  No marked changes since admission, still imagines his fellow workmen “put a spell on him.”
Dec 11.  Continually asking “When am I going home?”, is stubborn at times and will not obey rules.
Jan 16, 1912.  No improvement since last report.
Jan 20, 1912.  Paroled.
Aug 5, 1912.  Discharged improved.

Standard form attached:  January 20, 1912.  “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 [brother, plus woman with same last name – Mrs.].”


History and clinical notes:
History:  Has been peculiar in her actions for about 1 year.  About 2 months ago had a fall and fractured one of her ribs; since that time her mind failed rapidly – talked incoherently and her memory of recent and past events has been lacking.  Has been steadily losing flesh and strength.  Is very anemic and [illegible].  Very poor physical health.  Sleeps but little but has a fair appetite.
Oct 7, 1911.  Several days after arrival patient became very noisy and troublesome and at time required restraint.  When not restrained threw false teeth and spectacles out window.  On night of above date, patient fell in ward hall and bruised forehead but caused no discoloration.  Language very profane.
Oct 20.  Patient confined to bed due to extreme weakness.
Nov 1.  Has been in bed constantly, too weak to be up and about.  Is noisy, talkative, and very restless, extremely incoherent in her conversation.
Nov 20.  Patient is steadily failing, exhausting herself by maniacal excitement.
Nov 25.  Weak today.  Daughter has been with her all day.
Nov 26.  Patient passed quietly away without a struggle at 5:25 a.m.
Nov 26, 1911.  Died.  Exhaustion from acute mania.

Additional notes:
Threw her glasses and false teeth out the window!


History and clinical notes:
History:  A former patient, for previous history see Book 5, page 444.
Oct 17, 1911.  Has been very noisy for past week but is again quiet.
Dec 11.  Quiet and well behaved; eats and sleeps well and has gained in weight.
Jan 16, 1912.  Marked improvement since last report.
Jan 20, 1912.  Paroled.
Mar 27, 1912.  Returned today.
Apr 8.  Is excitable and does not rest well at night.
Jul 30.  Very much improved, eats and sleeps well and is rational in his conversation.
Aug 12.  Condition remains unchanged.
Aug 28, 1912.  Paroled.
Dec 13, 1912.  Discharged improved.


History and clinical notes:
History:  Patient condition dates back 6 months when he had a fit, probably epileptic in character.  Since that time he has been having 1 fit a week.  Complains of pain over frontal region and scalp is much excoriated over that region from scratching.  Appetite poor; sleeps well.
Oct 17, 1911.  Is delusional at times and asks the attendants to protect him.
Dec 11.  Requires restraint to protect him from scratching his scalp and keeping it excoriated.
Jan 16, 1912.  Difficult to care for; is noisy and untidy.
Feb 12.  Constantly picking at his skin and has to be restrained, confined to bed, is emaciating rapidly and has a severe cough.
Feb 20.  Rapidly growing worse and refuses nourishment.
Mar 1, 1912.  Died.  Phthisis pulmonalis.


History and clinical notes:
History:  Patient was brought to hospital Sept. 21st, 1911 but papers did not arrive until Sept 23, 1911.  Has been drinking to excess.
Sep 28.  Very much improved, is bright and cheerful and very anxious to go home.
Oct 2, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
From Delaware death records, died 12/1/1912 of alcoholism


History and clinical notes:
History:  No history other than patient gets up at all hours of the night, wanders about and is sometimes noisy.
Oct 2, 1911.  Is noisy at night and refuses to take nourishment.
Oct 9.  Rapidly growing weaker and only occasionally will he take any food.
Oct 13, 1911.  Died.  Exhaustion from mania (acute) and senile asthenia.

Final disposition:
Died of exhaustion from mania (acute) and senile asthenia


History and clinical notes:
History:  Brought to hospital Sept. 25, 1911 but papers did not arrive until Sept. 27th, 1911.  Patient for past three years has been acting somewhat peculiar.  For a long time has been writing obscene letters to her relatives and others until she has created a good deal of trouble.
Jan, 1912.  Very little change since her admission.
Jan, 1914.  Patient has not improved in any respect.  Is somewhat more feeble.  Walks very unsteady.  Conversation very incoherent.
Feb 1.  Has been in bed, pulse dicrotic.  Is quite feeble.  Heart’s action extremely irregular.
Feb 11.  This a.m. became unconscious with stertorus breathing.  Continued to fail and died at 8:10 p.m. this evening.
Feb 11, 1915 [first indication of 1915 date].  Died.  Valvular disease of heart.


History and clinical notes:
History:  Patient had been drinking to excess and above condition developed.  Patient came Sept. 27th 1911 but paper arrive Sept. 28th, 1911.
Sep 28, 1911.  Several days ago patient had some sort of convulsion and fell from a Market St. car, some bystanders threw several buckets of water on him in their efforts to resuscitate him, later he was taken to Del. Hosp., Wilmington and in the course of an hour or more was taken to his home; as a result of fall from trolley car he received a lacerated wound of scalp.  When admitted to DSH he was very talkative but did not realize where he was; had a slight cough, respirations 42, temp 103°, was placed in bed, cotton jacket applied.  Spts. Ammon. Arom. 10 qtts every two hours.
Sep 29.  Very much worse today, temp 104° (axilla) pulse 150, resp. 42, is delirious but takes nourishment.
Sep 29, 1911.  Died.  Lobar pneumonia (contributing) exposure.

Final disposition:
Died of lobar pneumonia, with contributing cause being exposure


History and clinical notes:
History:  Patient states that she has “spells” in which she falls.  From all indications she has had fits in which she has fallen and lacerated her forehead.  Upon entrance noted pedicularis capitus, which necessitated shaving head.  Has quite a hesitancy in speech.
Oct 20.  Patient has had epileptic fits since admission and has to be kept in restraint.
Jan, 1913.  No improvement.  Frequently has convulsions and very irrational in her conversation.
Jan, 1916.  No change.
Feb 22, 1918.  Was placed in bed yesterday.  Seemed apathetic.  Had quite a number of convulsions previous to that time.  This a.m. pulse was quite weak.  Died at 1:40 p.m.
Feb 22, 1918.  Died 1:40 p.m.  Status epilepticus.


History and clinical notes:
History:  Patient is quite feeble and husband says she three “strokes” in past 3 years and he is unable to care for her at home; had a bruise on forehead when admitted as a result of a fall.
Nov 1, 1911.  Patient quite weak, in bed most of the time.
Dec 1.  No change.  Still remains in bed.  Right side hemiplegia quite marked.  Cannot make herself understood.  Tongue paralyzed.
Jan 15, 1912.  Failing fast.  Very hard to get her to take nourishment.
Jan 22, 1912.  Died this a.m. 9:30.  Cerebral apoplexy.


History and clinical notes:
History:  No history obtainable other than patient developed epilepsy about 6 years ago and could no longer be cared for at home.
Oct 17.  Has had no “spells” since admission.
Dec 10.  Condition remains unchanged.
Jan 16, 1912.  Is well behaved but occasionally has an epileptic attack.
Oct 24.  Is quarrelsome with other patients but for past month has spent most of his time in bed.
Nov 16.  Has a severe cough, rales covering major portion of right lung, is emaciating rapidly and takes but little nourishment.
Dec 10, 1912.  Died – phthisis pulmonary.


History and clinical notes:
History:  Patient has been in this condition for 16 years; started with nervousness and a desire to be alone.  Was a brilliant student; graduated from Normal School in Phila., and received scholarship to School of Design where she studied for four years.  Menstrual period occurs twice a year and scanty.  Bowels very irregular, appetite poor.  Patient restless at night and sleeps during day.
Oct 20, 1911.  Patient has been very quiet since admission.
Mar 26, 1912.  Patient has remained quiet but talks seldom.
May 11.  Patient has remained quiet but talks seldom (sic).
May 3, 1918.  No change in patient’s condition, only since a few days there is an abscess on her sternum. 
May 9.  The abscess is opened by an incision.  Over ½ a pint of pus from a suspicious [ill.] Tub. chancre.
May 20.  Upon examination found phthisis pulmonalis.
Jan 5, 1919.  Patient getting worse mentally and physically.
May 25.  Patient very weak – put to bed.
Sep 10.  Patient hardly can swallow, physically getting worse.
Sep 17.  Her brother came and took her home in dangerous conditions against the wish and advice of the Supt.
Sep 17, 1919.  Paroled.  Unimproved.
May 27, 1920.  Discharged unimproved.

Standard form attached:  Dated September 17, 1919.  “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 [M.A. Tarumianz], Signed [mother].”


History and clinical notes:
History:  Brought by officers who state that patient has been grieving since he was deserted by his wife, who took $600 ? of his funds with her.
Oct 17, 1911.  Is quiet but very surly, eats and sleeps well.
Oct 30, 1911.  Paroled.
Nov 3.  Returned today.
Dec 26.  Has been quiet since his return but is irritable at times and frequently refuses to go to meals.
Jan 16, 1912.  No change since last report.
Feb 21.  Eats and sleeps well but seldom talks.
Oct 24.  No change since last report, is very quiet.
Oct 15, 1914.  Does not improve, is very disagreeable.
Oct 4, 1916.  Very disagreeable at times but does not attempt violence.
Jan 23, 1918.  Is depressed – talks very little – is delusional.

Additional notes:
1930 census -- at DSH; died 6/23/1939.  Buried at DSH, Grave #501.


History and clinical notes:
History:  First symptoms manifested last April; began to worry and fret about her home – said it was dirty and that she could not keep it clean although she was constantly cleaning.  This idea persisted.  Lately has had marked delusions of persecution; once or twice has threatened suicide.  Lately is very moody and depressed; wrings her hands and moans audibly; says people are after her and that she does not want to live.  Has slept but little at night; appetite capricious.  Has steadily lost flesh and strength.  Patient was not married until she was 48 years old.
Jan 18, 1912.  Paroled.
Aug 5, 1912.  Discharged improved.

Standard form attached:  Dated January 18, 1912.  “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:
1920 census -- living with husband William at home in Milford; died 10/24/1929 of heart trouble, buried in Odd Fellows Cemetery


History and clinical notes:
History:  Officers who brought patient know but little of his history accept that he had been a hard drinker.
Nov 1, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
Died 10/22/1924, died of pulmonary oedema, buried in Cathedral Cemetery.


History and clinical notes:
History:  No history obtainable as he was brought by officers except he has been drinking to excess.
Nov 3, 1911.  Has entirely recovered and anxious to go home.
Nov 6, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.

Additional notes:
Died 2/4/1916 of valvular heart disease at NCCH/Almshouse.  Buried in riverview.


On certificate of:
Drs. E.S. Anderson and C. de J. Harbordt

History and clinical notes:
History:  Officer knows but little of his history; certificate states that the attack was caused by sun stroke last July and that he has gradually been getting worse since that time.
Dec 11, 1911.  Is very stupid; sits on bench with head bowed down and it is difficult to get him to talk.
Jan 16, 1912.  No change since last report.
Feb 1.  Struck a patient (name redacted) producing a severe contusion of left eye.
Oct 24.  Some mental improvement since last report.
Jan 8, 1913.  Removed to T.B. today, is tubercular, lungs and peritoneum affected; has small quantity of fluid in abdomen.
Jan 30.  Is confined to bed and is rapidly losing flesh.
Feb 24, 1913.  Died.  Phthisis pulmonalis.


History and clinical notes:
History:  A former patient, has always been harmless but could not be properly cared for at home.  For previous history, see Book 3, page 235.
Dec 26, 1911.  Is working in dining room, is always well behaved.
Oct 24, 1912.  Is very nervous, is untidy, secrets soiled rags and old paper about his person.
Oct 15, 1914.  Better as regards personal habits, works in dining room Wd. B and is well behaved.
Oct 4, 1916.  Condition about the same as when last reported.
Jan 23, 1918.  Is quiet and well behaved, is usefully employed in dining room.
Mar 30.  Was removed by his sister today.
Oct 16, 1918.  Discharged unimproved.


History and clinical notes:
History:  Patient was quiet when admitted and said “I do not see why they send me here for I did not abuse my sister.”  Dr. Springer said she threatened to poison the family as well as herself, she has been devoted to an invalid sister and has cared for her for years but recently has formed a hatred for her and refused to give her any attention.
Feb 9, 1912.  Much improved.  Paroled.
Aug 5, 1912.  Discharged recovered.

Additional notes:
Died 10/22/1920 of goitre; buried in Silverbrook.  Maybe she just needed a break from caring for her invalid sister?  In 1900 census three siblings William V., Emily A., and Sarah E. were all living together in Wilmington.  William was married, but not the sisters.  Sarah died in 1919, Emily in 1920, and William in 1928.


History and clinical notes:
Patient was admitted evening of Nov 20th and is quiet and of good habits.  In eliciting a history from patient she stated that her condition started upon departure of husband.  They had been married 9 years and he seemed devoted until his affections were transferred to another woman in whose house they roomed.  This landlady put patient out of house and kept husband and she started to worry because of ill treatment.  Has been chief cook at Germantown Hosp., Pa. and has had very good positions in private homes.  Appetite good.  Bowels constipated.  Complains of insomnia.
May 11, 1912.  Industrious and very clean.
May 7, 1913.  Continues as well and is as industrious as ever.
Jan 1, 1914.  Has failed during past few months.  Has a severe cough, rales over both lungs.
Aug 1.  Has failed steadily.  Is still up and about at times, but is weak and very thin.  Is suffering from Pul. Tub. both lungs are more or less involved.
Sep 12.  Rapidly growing weaker, has a persistent cough and expectoration, emaciating rapidly, can take but little nourishment.
Sep 26, 1914.  Died – phthisis (pulm)


History and clinical notes:
History:  Had been drinking to excess but seemed to be sober when admitted.
Dec 8, 1911.  Very quiet and seldom talks.
Dec 26.  Slightly depressed; eats and sleeps well.
Jan 16, 1912.  Is quiet but rather insolent at times.
Jan 10.  Fell on floor today and produced a fracture of upper 1/3 of left forearm (radius).
Feb 16.  Arm in good condition – no deformity.
May 16, 1912.  Paroled.
Dec 13, 1912.  Discharged recovered.

Additional notes:
Died 4/23/1918 at NCCH of valvular heart disease; buried in Lombardy Cem.


History and clinical notes:
History:  No history obtainable other than patient was in Delaware Hosp. suffering as a result of some head injury.
Dec 11, 1911.  Has given us no trouble since admission.
Jan 16, 1912.  Is well behaved and anxious to go home.
Feb 15.  Very much improved; always quiet and respectful.
Feb 17, 1912.  Paroled.
Aug 5, 1912.  Discharged recovered.

Accompanied by a note on DSH at Farnhurst stationery, dated December 15, 1911.  Typed in blue ink: “Received of Wm. H. Hancker forty-five (45) dollars being the amount belonging to patient, James Dorsey, to be used exclusively for the care and maintenance of the children of the said Dorsey.”  Signed “Frank Stout, Special Agent, Delaware S.P.C.C.”

Additional notes:
Died 9/19/1914, accidentally, of burns, when he "fell into the digester at crematory" of Wilmington Sanitation Company.  Buried in Conowingo, Maryland.


History and clinical notes:
History:  Has been drinking to excess for past week, was very restless when admitted.
Nov 29, 1911.  Was very noisy and violent last night, broke restraint and got out of crib and fought the attendants that attempted to restrain him.  Gave hypo of hyoscine 1/75 and he slept after 10 p.m.  Dr. Harris present while he was restrained.
Dec 1.  Marked improvement, eats and sleeps well.
Dec 8.  Is a very good patient, works about ward and is respectful.
Dec 9, 1911.  Paroled.
Feb 9, 1912.  Discharged recovered.


History and clinical notes:
History:  Patient has been troublesome at home for over 4 months and relatives had trouble to keep him from going into streets without clothes.  Threatened last week to kill 8 year old nephew.  Has been in Almshouse about 10 years ago.
Dec 26, 1911.  Has been quiet since admission.
Jan 16, 1912.  A very good patient, give us no trouble.
May 10.  Fell while walking on Ward D, producing an intra-capsular fracture of right hip.
Oct 24.  Fair union has resulted and he is able to use it slightly, gets out of bed and sits in chair all day.
Jul, 1913.  Confined to bed, is quiet, eats and sleeps well.
Jan 15, 1914.  Had a stroke today which affected right side.
Jan 17.  Is very weak and takes little nourishment.
Jan 26, 1914.  Died.  Embolism (cerebral).


History and clinical notes:
History:  Officers who brought patient could furnish no history.
Dec 26, 1911.  Has delusions of persecution.
Jan 16, 1912.  Condition remains unchanged, is quiet and eats well.
Feb 13.  Removed from institution by his sister against advice of Supt.
Feb 13, 1912.  Paroled.
Feb 20.  Returned today, officer who brought him states that patient constantly asked for a revolver and said he wanted to kill someone.
Oct 15, 1914.  Condition unchanged, is quiet and well behaved, expresses delusions occasionally.
Oct 4, 1916.  No change since last report.
Jan 23, 1918.  Conversation irrelevant, uses profane and abusive language, violent at times.
[No further entries].

Handwritten (in pencil) letter on stationery printed “Office of J.G. Dawson, M.D., Milford, Del.  Dated Feb 8, 1912.  “Dr. Hancker, Farnhurst, Del.  Dear Doctor, The bearer of this note, Mrs. L.B. Hoell, is a sister of Silas Hynson [patient] who was committed to your institution a few weeks ago, is thoroughly able to care for her brother – financially and resides at Palermo, N.J.  She is desirous of taking care of him at her home, should you deem it safe to allow her to removed him there would be no objection by his only brother, C.C. Hynson.  Yours, J.G. Dawson.”  On the back, handwritten in pencil: “C.C. Hynson, 3rd Lighthouse Depot, Tompkinsville, Staten Island, N.Y.”

Additional notes:
1920 census -- at DSH.  Died 2/15/1925 at Farnhurst of cerebral hemorrhage.  Buried in Union Cemetery, Milford.  Says on death certificate that he was a retired farmer.


History and clinical notes:
History:  After having elicited history from relatives, found that patient was delivered of a macerated foetus four months ago and since has acted peculiar.  After delivery of foetus contracted typhoid fever and since has refused all nourishment and medicine and has an idea that her relatives are going to place her in a house with colored people.  Patient states that husband abuses her.
Jan 2, 1912.  Patient is taking nourishment and medicine but still confined to bed and cries frequently because she is in an insane asylum.
Mar 26.  Patient confined to bed and never talks.  She is very much emaciated and weak.
Apr 7.  Patient still confined to bed and becoming more emaciated daily and morose.  Husband took her home in ambulance.
Apr 7, 1912.  Paroled.
May 7.  Returned – confined to bed in a much weakened condition and body had never been bathed.
Jun 1.  Patient steadily growing weaker daily.
Jun 14, 1912.  Patient extremely weak.  Patient died 8 p.m.  Pulmonary tuberculosis.


History and clinical notes:
History:  Patient left this Hospt. May 7, 1910.  Since leaving has married and has a child 6 months old.  Husband states that shortly after child was born she was quite depressed for a time and while they were making arrangements to send her here she became much better.  For past few days has been quite bad again.  Threw her child away from her and threatened to kill it and it was [illegible] advisable to return her.
Mar 2, 1912.  Patient has shown no indications of insanity since her return to the hospital.  Was allowed to go home with her brother this p.m.  Paroled.
Mar 8.  Returned and has been restrained since return.
May 26.  Patient not restrained now as she is remaining very quiet.
Aug 28, 1912.  Paroled.
Dec 13, 1912.  Discharged recovered.

Written in pencil below case notes:  Book VI, p. 138 (previous stay), See Book VII, p. 125 (future admission)

Additional notes:
In 1920 census, there is a widowed Emma Benton living as a roomer/boarder in Wilmington with son Edward 7.  Might be her.  According to 5X8 cards, she was at DSH from 1917 to her death 4/18/1955.  Died of heart disease.  Married by 1912.


On certificate of:
Drs. Philip H. Money and William H. Cooper

History and clinical notes:
History:  Certificate states that he has been insane for 2 years; that lately, he has gradually grown worse and has threatened to burn the house down until his wife was afraid to live with him.  Mr. Knotts, who brings patient to Hospital, states that he is in very comfortable circumstances.
Feb 4, 1912.  Confined to bed since admission, is suffering from asthma and his breathing is labored.
Feb 6.  Has a cough and marked dullness over lower lobe of right lung, takes but little nourishment and is failing rapidly.
Feb 9, 1912.  Died – Pneumonia (lobar).


On certificate of:
Drs. William C. Pierce and P.W. Tomlinson

History and clinical notes:
History:  A former patient, for previous history see Book V, page 310.
Feb 6, 1912.  Has been acting strangely for past few days, bowels are constipated, feet and ankles oedematous.
Feb 10.  Some improvement and talks rationally also says he is hungry but when he was admitted he refused to eat.
Feb 16.  Quiet, eats and sleeps well.
Mar 1.  In poor physical health, has all the characteristic symptoms of Diabetes Mel., and is failing rapidly.
Apr 2, 1912.  Paroled.
Aug 5, 1912.  Discharged improved.

Additional notes:
He died in Philadelphia on 4/18/1912 and was buried with his wife Catherine in Salem Cemetery, Delaware.


History and clinical notes:
History:  Brought by husband who states that patient has acted strangely since Jan 1st, 1912.  Does not eat well, losing flesh, imagines the Lord has forsaken her and has threatened suicide.
Mar 26, 1912.  Patient attempted to run away several days ago while out with attendant for walk and has since been in restraint.  Believes she needs conversion (??) and is very noisy at times.
May 11, 1912.  No so noisy and works on ward.
May 22, 1912.  Paroled.
Dec 13, 1912.  Discharged improved.

Additional notes:
1910 census -- living with husband and two children.  Supposedly had another child in 1911, but total children listed as only 2.  Not found in 1920.  In 1930 and 1940 census, she is at DSH.  No death info.


History and clinical notes:
History:  A few years ago patient received an injury to head while playing football and since that times he has complained of headaches; last night he tied a towel around his neck and attempted to hang himself.
Feb 11, 1912.  Slept well last night and ate breakfast; seems bewildered and is very slow in answering questions.
Feb 12.  Very much disturbed and attempts to disrobe and also tries to choke himself – requires restraint.
Feb 16.  No improvement since last report and requires constant care.
Feb 21.  Difficult to get him to take nourishment.
Oct 24.  Walks about grounds and adjoining territory in charge of attendant McGee, thus far has shown but little improvement.
Oct 15, 1914.  Is in good physical condition, no mental change.
Oct 4, 1916.  No mental change; goes out walking every day with “Special Attendant.”
Jan 23, 1918.  Memory and judgment impaired, conversation irrelevant.  Is usually quiet and well behaved.
Jan, 1919.  Physically well; no change in his mental condition; walks about the grounds in charge of Attendant Wm. Roberson.
Jul 11, 1919.  Upon request of patient’s aunt, Miss Kate McClafferty, patient sent to Ocean City to his people for 2 weeks in charge of special attendant Mr. Wm. Roberson.  Paroled.
July 24, 1919.  Patient brought back.
Sep 11, 1920.  Patient’s relatives took him to the country for one week.  Paroled.
Sep 19.  Patient brought back.
[No further entries].

Additional notes:
In the 1930 and 1940 censuses, Clement is listed as living with his aunt Kate McClafferty (dance instructor) and his brother George Byrd Dougherty, in Wilmington.


History and clinical notes:
History:  Mr. Wheatley who brings patient knows but little of her history.  Certificate states that she has been insane for about 1 year.  It also states that she has a brother insane and that she has an ulcer on inner side of left knee.
Mar 26, 1912.  Patient has been very quiet.  Has an idea she swallowed a ground hog or snake.
Apr 19, 1912.  Much improved.  Paroled.
Aug 5, 1912.  Discharged improved.


History and clinical notes:
History:  Patient asks to be taken to hospital as she has had peculiar notions.  Since admission has been noisy at times, so much so that it became necessary to remove her to Ward B.  On admission had an idea that her physicians were detectives.
Mar 26, 1912.  Is quite industrious at times.  Sews very well and is very neat about herself.
May 11.  Must more industrious and less worrisome.  Improved.
May 25, 1912.  Paroled.
Dec 13, 1912.  Discharged improved.

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


On certificate of:
Drs. Joseph B. Waples and John H. Hammond

History and clinical notes:
History:  Has been acting strangely for past two years but he remained at his work steadily until a few days ago when he came home and struck his wife over the head with a bucket.  Is a very robust man for his age and has always had good health.
Mar 12, 1912.  Is very noisy, untidy, and difficult to care for, sometimes requiring efforts of 4 attendants to dress and undress him.
Apr 10.  Rapidly growing weaker, emaciating rapidly and it is with difficulty that he takes nourishment.
Apr 22, 1912.  Died – chronic parenchymatous nephritis.


History and clinical notes:
History:  A former patient, see Book V, page 479.  Officer could furnish no history but when patient was admitted he was quiet.
Mar 12, 1912.  No change since admission, is very quiet.
Mar 20.  Marked improvement since last report.
Apr 3, 1912.  Paroled.
Aug 5, 1912.  Discharged improved.

Additional notes:
Cause of imbecility makes no sense.  No further info.


History and clinical notes:
History:  She states that first symptoms noticed about 2 years ago.  Since that time her mind has been slowly failing.  Lately does not seem to know anything.  Wanders away unless closely watched.  Sleeps but little at night.  Physical health not failing.
May 11, 1912.  Patient has become very untidy since admission and is most incoherent.
Feb 1, 1913.  Still noisy and troublesome and untidy in her habits.
Mar 1, 1913.  Has been in bed several days – too weak to be up and about.
Mar 24.  Has been in bed steadily since last note.  Is gradually growing more feeble.  Circulation has been very sluggish for past 2 or 3 days.  Tonight has a high fever, pulse extremely full and rapid.
May 7, 1913.  Still in bed, pulse variable, seems to be holding her own.
May 21.  Has been failing during past few days.  This eve very much weaker.  Is unable to talk and is in a semicomatose condition.
May 22.  Patient continued to fail and passed away at 4 a.m.
May 22, 1913.  Died – exhaustion from chronic mania.


History and clinical notes:
History:  Has been a patient at “Hope Farm” for past 6 mo. and first signs of mental enfeeblement were noticed shortly after admission to Hope Farm; she is depressed and moans most of the time, eats and sleeps fairly well.
Mar 8, 1912.  Removed to “T.B.”
Mar 26.  Patient has been very nervous and cries almost constantly.  Tears things up in the wards.
Jul 4, 1912.  Paroled.
Aug 5, 1912.  Discharged improved.


History and clinical notes:
History:  Has been cared for at home but her mother died a short time ago and father was too poor to engage a housekeeper.  Is unable to dress herself but eats and sleeps well and is not untidy.
[No further entries].

Additional notes:
Died at DSH 6/27/1943.  Buried at DSH, Grave #550.


History and clinical notes:
History:  Patient has just recovered from typhoid fever but has been in a bewildered state since recovery and is sometimes violent, no other history obtainable upon admission.
Mar 12, 1912.  Is very restless and sometimes refuses nourishment.
Apr 6.  Noisy and untidy, inclined to be violent at times.
May 12.  Does not improve and restless during night.
Jun 10.  Has been more quiet for past 10 days and very morose.
Jul 6.  Somewhat disturbed for past few days, appetite good but wakeful at night.
Jul 24.  Was deported today by U.S. Immigration Bureau.
Aug 5, 1912.  Discharged unimproved.

Additional notes:
Died 7/22/1921.  Or, another person of same name died 3/22/1959 at Gov. Bacon.


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

History and clinical notes:
History:  Officer who brings patient knows but little of his history.  He states that patient voids urine and faeces involuntarily.  Patient is very feeble and very poor physical condition.  
Mar 12, 1912.  Lies motionless in bed and can only be aroused with difficulty; eats a moderate amount.
Mar 29.  Rapidly emaciating, can only take small amount of liquid nourishment.
Apr 25.  Refuses nourishment and lies motionless in a semicomatose state.
Apr 30, 1912.  Died – apoplexy (cerebral).


History and clinical notes:
History:  Dr. Frantz who accompanies patient states that on Jan 3, 1912 patient fell from a trolley car, injuring his spine about middle of dorsal vertebrae; that he was confined to his bed for about 6 weeks and that he still complains of pain over injured region.  About one month ago relatives noticed that he was more talkative than usual.  Did not read as much as he formerly did and lately has talked about getting rich.  Buys things that he had no use for and then tries to sell them at an exorbitant figures.  Says he is going to make a new musical instrument, etc.  Has a good appetite and but (sic) sleeps but poorly at night.  Is in fairly good physical health.
May 12, 1912.  Is very much improved, rational in his conversation and says he knew we was acting in a queer manner but could not control himself.
May 27, 1912.  Paroled.
Dec 13, 1912.  Discharged recovered.

Additional notes:
Back in DSH in 1916, where he died on 1/28/1916 of exhaustion from general paralysis of the insane, plus extra-capsular fracture of femur.  Buried in Silverbrook.


On certificate of:
Drs. Frederick S. Bootay and Frank Bellville

History and clinical notes:
History:  Patient had specific urethritis about one year ago – he underwent treatment and to all appearances a cure was affected.  At times he is violent, says his urethra is stopped up and he cannot void his urine.
May 8, 1912.  Is a typical hypochondriac and has a new ailment every day.
Oct 24.  Has a delusion that he has killed someone and says he wants to be transferred to “Greenbank.”
Oct 15, 1913.  Is confined to bed and is losing flesh rapidly; does not want to take nourishment, is very cross and irritable.
Oct 20, 1913.  Died – exhaustion from melancholia and tuberculosis (general).

Final disposition:
Died of exhaustion from melancholia and general tuberculosis


History and clinical notes:
History:  Patient brought by officers.  No history elicited.  Officer says “he has been after a woman for years.”  History states that insanity was due to domestic troubles and drink.
May 8, 1912.  Rather indolent; constantly asking to go home, is quiet and sleeps well.
Oct 24.  Does not improve and occasionally demands the keys of attendant that he may open the door and go home.
Oct 15, 1914.  No changes, is melancholy at times, cries and begs to go home.
Oct 4, 1916.  Is delusional at times, but is always quiet and a good worker.
[No further entries].


On certificate of:
Drs. Robert B. Hopkins and John H. Hammond

History and clinical notes:
History:  About one year ago patient had an attack of gall stones and was taking large doses of morphia during attacks, several months ago an operation was performed and since then she has not taken any opiates but has acted in a peculiar manner, imagines people are after her and that burglars are in the house.
Apr 6, 1912.  Since admission patient has been confined to bed and has had more or less pain which seemed to be over liver and intestines.  Over same area was elicited a tenderness on pressure.  There is an increased liver dullness on percussing.  Pulse ranges from 90-104.  Temp range 99.5-100.3; note a hectic flush which is always present and profuse perspiration.  On examination of abdomen there is tenderness and and (sic) much discomfort in moving right leg.  Bowels always constipated.  Treat:  Liquid diet.  At times turpentine stupes (??) applied to abd.  Cystogen gv v q 4 hr.
Apr 11.  Patient somewhat improved.  Seems brighter; still confined to bed.
Apr 16.  Patient very much improved.  P.R. normal, temperature varies probably due to incipient tubercular condition.  Patient is sitting up for short intervals.
Apr 20.  Patient sitting up daily and mental condition much improved.
Apr 28.  Patient left hospital with husband.
Apr 28, 1912.  Paroled.
Aug 5, 1912.  Discharged recovered.

Additional notes:
Died 6/16/1916 and is buried in Beaverdam Cem., Harbeson, Sussex County.  One daughter born 1913, died 1994.


On certificate of:
Drs. Irvine M. Flinn and J. Bacon Stubbs

History and clinical notes:
History:  Has always been a good worker and had good health until one month ago, since then she says she has a “misery” in her head and it feels as though somebody was driving a nail into her head.
May 11, 1912.  Patient much improved.  Has no idea of pains or aches throughout her body.  Works on ward.
Jun 14.  About same as when last noted.  Works on ward and is very tidy.
Jul 13, 1912.  Paroled.
Dec 13, 1912.  Discharged improved.

Additional notes:
Died 1/30/1913 of Cerebral apoplexy.  Buried in Mt. Olive Cemetery, Wilm.


On certificate of:
Drs. Charles H. Blake and Henry G.M. Kollock

History and clinical notes:
History:  Friends who bring patient to the Hospital know but little in regards to details of case.  Mind has been affected for about 1 year and for about this same period has done but little work.  Lately has wandered away, seems bewildered, does not know where he is going.  Modern Woodmen has been taking care of him.
Apr 8, 1912.  Expectorated a small amount of blood and complains of pain in chest.
Apr 23.  Had a profuse hemorrhage from lung at 9:15 this a.m.
Apr 25.  Had another hemorrhage at 6 p.m.; is rapidly growing weaker.
Apr 26, 1912.  Died.  Pulmonary hemorrhage; contributing pulm. Abscess.

Final disposition:
Died of pulmonary hemorrhage, contributed by pulmonary abscess


History and clinical notes:
History:  Patient was paroled from here Nov 28th, 1910.  See C.B. VI, pg. 236.  Dr. Shipley states that he has done fairly well until about 4 weeks ago when he became very unruly and they could not care for him longer at his home.
May 8, 1912.  Is mischievous and requires careful watching, has an imaginative brain and is untruthful.
Oct 24.  No change since last report.
Nov 15, 1912.  Paroled.
Mar 7, 1913.  Discharged unimproved.

Standard form attached:  Dated November 15, 1912.  “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 [R.L. Purse], Signed [mother].”


History and clinical notes:
History:  Patient has had condition for 6 months and has been violent at times.  Attacks last 2 or 3 hours when she is very destructive.  There is a history of injury to head and specific disease.  Patient has a very unsteady gait and hesitancy of speech and complains of pain around waist line.
Apr 16, 1912.  Has been in bed since admission and complains at times of pains in chest, so severe that she cannot turn on side.  Upon treatment, she responded.  Had side treated with Tincture of Iodine and had salts taken (??) and had very good results.
May 11.  Patient has somewhat improved.  Gait – has improved much.
Jun 14.  Patient about same.  Not any more improvement noted since previous date.
Nov 1.  About same.  Has slight swelling over eye due to falling out of bed.
Jan 1, 1913.  Much weaker, in bed most of the time.
Mar 1.  Has gradually failed, bed sores very troublesome.  Been in bed since last note.
Mar 19.  Has been unconscious for past two days.  Passed away at 9:15 tonight.
Mary 19, 1913.  Exhaustion from Gen. Par.


History and clinical notes:
History:  Officer states that he has been peculiar for several years but his people have tried to get along with him.  Last week had an altercation with his sister and attacked her, knocking her down and kicking her in the stomach, threatened to kill her.  Officer further states that patient has about 3 or 4 thousand dollars in bank.
May 8, 1912.  No change since admission and gives us no trouble.
Jul 5.  Very much improved, is more cheerful and eager to do some work about the wards.
Aug 7.  Was visited today by Mr. S.J. Jones of Chicago, an old school friend, who arranged to take Mr. Davey back to Chicago with him.
Aug 9, 1912.  Paroled.
Dec 13, 1912.  Discharged improved.

Standard form attached:  Dated August 7, 1912.  “I hereby remove my Thom. Davey 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 [S.J. Jones].”

Additional notes:
Taken to Chicago by a friend.  Died 8/30/1940


History and clinical notes:
History:  No history obtainable, was quiet when admitted.
May 5, 1912.  No change since admission, is very quiet and seldom talks.
Oct 24.  Condition about the same as when last reported, works about ward and is quiet but bears watching.
Oct 15, 1914.  No mental change, is incoherent in his conversation.
Oct 4, 1916.  No change since last report, is in good physical health.
Jan, 1917.  No change since last report.
Apr, 1917.  Patient’s mental and physical condition not improving.
Oct, 1917.  No change in patient’s condition.
Jan, 1918.  Patient getting weak physically, and no improvement in his mental condition.
Jul, 1918.  Patient suffering from nephritis, legs swollen, very weak, hardly can walk, put on mild diet and [illegible words].
Jul 26.  Patient getting very weak.
Jul 27.  Patient died at 7 p.m. from chronic valvular heart disease.
Jul 27, 1918.  Died.

Additional notes:
1910 census, living at home with mother Margaret, age 72 (father John apparently already dead), brothers Michael and Thomas and sister Mary, all just a few years older than he.  At 1920 census, is just Margaret, Michael, and Mary.  By 1930 is just Michael and Mary, in their 50s.  Mother Margaret died in 1926, is buried with son John in Cathedral Cemetery.  He was the youngest child, but it isn't clear how old Margaret was when he was born, as her birth data is not known.


History and clinical notes:
History:  Has suffered from epilepsy for past two years and each series of attacks seem to be more violent; yesterday during an attack she took a bed apart and broke it to pieces.  Had several abrasions on face when admitted.
Apr 16, 1912.  No change in patient’s condition since admission.  She made a statement that the attacks come on when she menstruates.  Patient had two marks on back on admission.
May 11.  No change in mental condition, but has become very untidy.
Jun 14.  Patient no so untidy, but mentally no change.
Nov 1.  About same.  Is still confined to cottage.
May 1, 1912 [dates makes no sense].  Same condition.
[No further entries].


Insane Relatives:
sister and nephew were patients there at DSH

History and clinical notes:
History:  Brother who brings patient states that disease was first noticed about 5 years ago.  She was more cross and irritable and hard to get along with.  She has continued more or less in this condition until about 6 months ago when she began to have well marked delusions of persecution and since then it has been very hard to get along with her as she is very cross and irritable and they (her people) are afraid to live with her.
May 11, 1912.  Patient has been very disobedient and sent to cottage.
Jun 14.  More quiet and transferred to Ward A; not as talkative as upon entrance.
Oct 14.  Patient much improved.
Oct 29, 1912.  Paroled.
Mar 7, 1913.  Discharged improved.


History and clinical notes:
History:  Brought to hospital on Saturday evening Apr 27th, 1912; papers did not arrive until Apr 28th, 1912.  Has been a steady drinker for a number of years but always attended to his work.  On Saturday 4-27-12 he acted in a peculiar manner and has delusions of a dangerous character.
May 8, 1912.  Marked improvement, eats and sleeps well, and has no delusions.
May 16, 1912.  Paroled.
Dec 13. 1912.  Discharged recovered.

Additional notes:
Died 3/12/1932 of stomach cancer at NCCH.  Buried in St. Peters, New Castle.


History and clinical notes:
History:  Has always had good health until a few weeks ago when his wife died and since that time he has been morose, has attempted suicide and had fears that he would injure his only child.
May 8, 1912.  Very nervous and continually asking to go home, saying he has about $6,000 to collect.
Jun 12.  Very much improved, is not restless and is eating and sleeping well.
Jun 17, 1912.  Paroled.
Dec 13, 1912.  Discharged improved.

Additional notes:
Wife died Jan 6, 1912, he entered DSH in May.  His 11 year old son, also named Martin, grew up and married.  Apparently the older Martin and his wife Mary had a child in 1893, named John Elmer, who only lived 4 months.  Older Martin died July 2, 1922.


History and clinical notes:
History:  Indicted by Court of General Sessions (May term) for breaking into dwelling house with intent to commit larceny but later declared “not guilty by reason of insanity.”
Aug 27, 1912.  Is inclined to be troublesome, generally sits with head down and keeps his body swaying from side to side.  Eats and sleeps well and is in good physical health.
Oct 24, 1912.  No improvement since last report.
Oct 15, 1914.  No change since last report.  Is a good worker.
Oct 4, 1916.  Condition unchanged since last report.
[No further entries].

Additional notes:
1920 census -- at DSH; he died at Stockley in 1967.


History and clinical notes:
History:  Patient was first admitted Dec of 1897 and discharged Mar 3, 1898.  Brother who brings patient states that he worked and was fairly well for 7 years.  Since that time he has not attempted to work.  At first he drank a great deal, but lately has abstained.  Is gradually getting worse.  Masturbates habitually and is frequently very untidy.  Eats voraciously and eats anything he can lay his hands on.  Is sometimes disturbed and very hard to get along with.
Aug 27, 1912.  Very nervous, bites his fingers constantly and is very untidy.
Oct 24.  Condition remains unchanged, transferred to Ward D today.
Dec 20.  Is losing flesh and is very noisy.
May 1, 1913.  Bowels very loose, is have as many as 10 evacuations daily.
May 18.  Bowels not so loose but it rapidly failing.
May 20, 1913.  Died.  Enteritis (acute).


History and clinical notes:
History:  Brought from N.C.Co. Workhouse, where he has been undergoing sentence of thirty days for vagrancy; during his incarceration he has acted in a peculiar manner and as a result he was examined and committed to DSH.
Jun 15, 1912.  Is very feeble and is constantly tearing his clothes and bed covering.
Aug 27.  Is very feeble and untidy, appetite poor and does not sleep well.
Oct 24.  Is feeble and untidy; transferred from Ward #2 to Ward #4.
May, 1913.  Losing flesh and eats very poorly.
Jul 8.  Vomits occasionally and continues to lose flesh.
Nov 12, 1913.  Very much worse; can only take liquid nourishment and stools are “tarry.”
Dec 9, 1913.  Died.  Carcinoma of pylorus.

Final disposition:
Died of carcinoma of pylorus (stomach cancer)


History and clinical notes:
History:  A former patient, for previous history see Book VI, p. 325.
Jun 15, 1912.  Is quiet during day but at night imagines someone is trying to gain entrance to his room, has a hesitancy in speech and an uncertain gait.
Aug 27.  Condition remains stationary.
Oct 24.  Condition is slightly progressive, gait unsteady and tongue tremulous.  No delusions expressed.
Aug 12, 1913.  Steadily getting worse, is very untidy.
Dec 1.  Confined to bed and is emaciating rapidly.
Dec 26, 1913.  Died.  General paresis of insane.


History and clinical notes:
History:  Patient fell from a building and injured head 15 years ago, but nothing peculiar in his actions until Nov, 1911; since that date he has been indolent and has once attempted suicide; also from patient’s conversation we are led to believe he is a pervert (sexual).
Jun 15, 1912.  Is untidy and difficult to care for, expectorates on floor and tears his clothes.
Oct 24.  Condition and habits unchanged, has been placed in bed on account of an angioneurotic condition of limbs.
Nov 13.  Is noisy and untidy, abused himself by striking his body with his fists and says he is doing penance for his sins.
Nov 30.  No change since last report.
Dec 6, 1912.  Removed today, by his father, against advice of Supt.  Paroled.
Mar 31, 1913.  Returned today by his father.
Apr 5.  Is very noisy, tears his clothes and attempt to drink contents of cuspidor.
Nov 12.  Is losing flesh, masturbates when not closely watched.
Jan 20, 1914.  No improvement; does not take time to chew his food, frequently vomits immediately after eating.
Mar 18.  Does not eat well, has watery stools and is rapidly losing flesh.
Mar 25, 1914.  Died.  Enteritis (acute).

Standard form attached:  Dated December 6, 1912.  “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].”

Handwritten note on unlined paper attached.  Dated March 28, 1913.  “Marydel, Md.  Dr. Hancker, Dr. Frame wrote me two weeks ago that you were willing to take my son John back again.  My boy has been in such bad shape.  I was afraid I would not be able to bring him to the Hospital.  We have to keep him tied up all the time.  I saw Dr. Frame this morning; he informed me providing I got my son away as soon as possible you would not demur under the circumstances.  I will return him under your charge on Monday.  Yours respectfully, John Hughes, Senior.”


History and clinical notes:
History:  Patient had an attack similar to present one about 1.5 years ago but recovered in about two months.  When admitted he was very restless and kicked his feet around and it was necessary to restrain him.
Aug 27, 1912.  Is more quiet but delusional, irrational at times.
Oct 24.  Does not show any improvement.
Aug 1, 1913.  Shows marked improvement during the past few weeks; has freedom of the grounds and is a good worker.
Sep 6, 1913.  Paroled.
Apr 14, 1914.  Discharged recovered.

Standard form attached:  Dated September 6, 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].”


History and clinical notes:
History:  A former patient, was discharged Feb, 1912 and since that time has been wandering about, would not remain at home.  For previous history, see Book VI, page 132.
Jun 14, 1912.  Much improved.  Quiet and works around ward.
Nov 1.  About same.  Industrious and works well.
May 7, 1913.  Has been very well and working at Dr. Hancker’s home but has now become rather silly and insists on running back to work in hospital kitchen.  Put back on ward.
Sep, 1913.  Has been constantly noisy and irresponsible, slightly less and quieter of late.  Has to be kept on the ward.
Apr 10, 1914.  Very much improved.  Has been working at the Supt. house for some time.
May 9, 1914.  Paroled improved.
Oct 7, 1914.  Discharged improved.


History and clinical notes:
History:  Has had epilepsy since infancy and is growing worse, is sometimes very unruly during attacks, is physically strong and well developed for her age, has only menstruated twice.
Jun 14, 1912.  Patient restless and incoherent in movements.  Has a scar on neck said to be due to falling on stove while in a fit when she was at home; quiet.
Oct 16.  Patient has had numerous epileptic fits.
Nov 1.  Patient has not had as many fits.
May, 1913.  Has had many fits – sometimes two or three in 24 hours.  Fell once cutting her nose.  Another time pushing her teeth through lip, but made good recovery.  Menstruated the past two months.
Sep 1913.  Has been better until about 1st of Sept; took cold and developed pneumonia complicated with catarrh of the bile ducts.  Base of left lunch chiefly involved and areas of consolidation in apex.  Temperature irreg. and atypical, 105.2 being highest.  Was allowed to sit up on Sep 12 for an hour.  Lung condition practically clear.  Had a very severe epileptic attack.  They are not quite as frequent but much more severe.  Menstruates regularly.
[No further entries].

Additional notes:
1930 census -- at DSH.  Died 6/9/1931 at Farnhurst.


On certificate of:
Drs. John H. Hammond and Joseph B. Waples

History and clinical notes:
History:  Has been peculiar in his actions for past 3 years, would never associate with other boys and has practiced masturbation; yesterday he threw his mother on the floor and attempted to beat her with the heel of his shoe.  Was quiet when admitted and rational in his conversation.
Jun 25, 1912.  Well behaved since admission, works about ward and manifests no delusions.
Aug 27.  Has been troublesome since last report and attempted to escape.
Oct 24.  Is untidy and not inclined to obey rules of institution; transferred to Ward D.
Oct 15, 1914.  Is violent at times, very untidy, does not take sufficient nourishment and is emaciating.
Oct 30.  Coughs and expectorates profusely, rales in both lungs, marked dyspnoea.
Nov 10.  Rapidly emaciating, refuses nourishment and is very weak.
Nov 16, 1914.  Very weak and refuses food.
Nov 20, 1914.  Died.  Phthisis pulm.


History and clinical notes:
History:  No history obtainable upon admission, was quiet and could not be induced to talk; from papers found in pocket, patient has evidently been taking a course in Chemistry from I.C.S. Scranton, Penna.
Jun 9, 1912.  Quite disturbed all night, very incoherent in his conversation.
Jun 11.  Has been excited and very restless since he came.  Has to be restrained and tied to bed – thrashes about and has muttering delirium.
Jun 13.  No improvement has been fed with spoon constantly, all day, milk and beef ext.  Has taken by this means nearly 1 qt. milk.  Was visited by his father and brother, as they had been notified to come out to see him.  Died suddenly at 4:45 p.m., shortly after visit of Supt.
Jun 13, 1912.  Died.  Exhaustion from acute mania.


History and clinical notes:
History:  Brought by officers and no history could be elicited.  Attack began 2 months ago.  When admitted, officers stated that she was in search of husband.
Jun 14, 1912.  Patient is very restless and burdensome to herself.  Upon examination per abdomen found an extensive tumor, which appeared to be ovarian in type.
Jul 1.  Very stupid since admission; sleeps most of the time.
Aug 20.  No marked change since last note; sleeps constantly and it is hard to keep her awake even when she is eating.
Sep 17.  No change since last note.  This evening while attendants were taking her to bath, when patient dropped to floor.  Dr. Davies arrived shortly after attack but nothing could be done and she expired in a few moments.
Sep 17, 1912.  Died.  Cerebral embolism, 6 p.m.


History and clinical notes:
History:  Brought to hospital June 26th, 1912 but papers did not arrive until June 27th, 1912.  Husband states that on the night of June 25th, 1912 she attempted to kill her baby and she could not be cared for at home; when admitted her body was covered with ecchymoxic spots (which patient says were produced by her husband beating her).  Has been noisy and violent since admission.
Oct 10, 1912.  Patient much more quiet and slightly more cheerful.  General condition improved.
Nov 1.  Patient has had all restraint removed and is very cheerful and anxious to hear from Mr. List (husband).
Nov 19, 1912.  Patient continued to improve and was allowed to go home with her husband today.  Paroled.
Mar 7, 1913.  Discharged recovered.

Additional notes:
Louise died in 1925.  1920 census lists 6 children.  At age 19, her third child (the one she supposedly tried to kill) was living in New York, working as a servant.


History and clinical notes:
History:  Has been in Almshouse for week or two.  They could not care for him or he refused to keep his clothes on; says that he has a severe skin disease, etc.  Is untidy in habits.
Jun 30, 1912.  Confined to bed since admission; does not eat or sleep well, has a weak and irritable heart with loss of compensation.
Jul, 1912.  Rapidly growing worse and in a semi-comatose state.
Jul 10, 1912.  Is unconscious and legs are oedematous.
Jul 12, 1912.  Died.  Myocarditis.


History and clinical notes:
History:  Patient has had two strokes and is unsteady in his gait, is tidy and well behaved but mind if becoming enfeebled and he wanders away from home.
Jul 16, 1912.  Has been quiet since admission, eats and sleeps well.
Oct 24.  Condition remains unchanged.
Aug 12, 1913.  Is growing weaker and has difficulty in walking; also failing mentally.
Jan 8, 1914.  Is confined to bed, has had a “stroke” and right side is paralyzed.
May 20.  Rapidly losing flesh and has difficulty in taking nourishment.
Jun 20, 1914.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  Patient could not be cared for at home, wanders away and sometimes refuses to go to bed and when remonstrated with he sometimes becomes violent.
Jul 16, 1912.  Appetite poor and is very restless, requires restraint.
Jul 31.  Patient has been steadily failing since last note.  Very incoherent in his conversation until last 2 days since then will not speak.  Refuses all food.  Predigested beef has been administered every hour.
Aug 4, 1912.  Died.  Exhaustion from mania (acute).


History and clinical notes:
History:  Patient came from Middletown unaccompanied and gave no history.
Jul 14, 1912.  Has been quiet since admission.
Jul 16.  A newspaper account stated that patient lost his wife about one year ago and since that time he has lived a secluded life and avoided mingling with his friends, is depressed.
Jul 25.  Is well behaved, eats and sleeps well.
Aug 27.  Condition remains unchanged; is very quiet and seldom talks.
Oct 24.  Does not eat well and is losing flesh.
Jan 6, 1913.  Appetite improved, but has occasional spells of vomiting; does not gain flesh and is very aenemic.
Oct 15, 1914.  No mental change, is very quiet, seems weak and frequently has digestive disturbance.
Oct 4, 1916.  Is very quiet and always begging to go home.
[No further entries].

Additional notes:
1910 census, wife Amelia was 60, which was 10 years older than John.  He died at Farnhurst November 7, 1928 of chronic interstitial nephritis.  Buried at DSH, Grave #376.


History and clinical notes:
History:  Has been acting in a peculiar manner for past year and today threatened suicide, was quiet when admitted but would not talk.
Jul 25, 1912.  Has been very quiet since admission.
Aug 27.  Has an enlarged prostate and old strictures, has some trouble in voiding urine.
Sep 5.  Shows marked improvement, physically and mentally.
Sep 23, 1912.  Paroled.
Mar 7, 1913.  Discharged improved.

Additional notes:
Back at DSH May 11, 1916 until death on 1/20/1919 of valvular heart disease.  Buried in Newark Cemetery.


History and clinical notes:
History:  Has had epilepsy for past eighteen years but has always worked and supported his family; during the past 6 months attacks are more frequent and during attacks he is violent and requires restraint.
Jul 25, 1912.  Very much disturbed since admission.
Aug 23.  Marked improvement since last report.
Aug 27.  Has suffered from pleurodymia for past three days but is much improved today.
Oct 12.  Has a slight epileptiform seizure during the night, which only lasted a few seconds.
Nov 1.  Marked improvement since last report.
Dec 11, 1912.  Paroled.
Jul 18, 1913.  Discharged improved.

Additional notes:
Back at DSH June 20, 1916 until death on 6/25/1916 of exhaustion from acute mania and epilepsy, buried in Seaford.


On certificate of:
Drs. William Marshall, Jr. and J. Lynn Pratt

History and clinical notes:
History:  First symptoms appeared one week ago when patient became irrational in her conversation and at times violent.  Has a mother in DSH.  No special history obtainable.
Oct 10, 1912.  Noisy and restless and laughs boisterously without any provocation.  Suspicion of pregnancy due to cessation of menses and increase in size, but exam failed to elicit any positive signs.  Thought to be due to flatulency.
Nov 1.  Patient has been quieter for last week.
Jan 1, 1914.  Patient has improved very much.  Works on the ward is quite rational and cheerful.
Apr 28, 1914.  Was removed by her sister today.  Paroled.
Oct 7, 1914.  Discharged recovered.

Additional notes:
Removed by sister.  Died October 13, 1927 in Milford of general paresis.  Death certificate says she was totally blind and totally deaf.  Also had heart and kidney disease.  Buried in Dover.


History and clinical notes:
History:  Was a patient in this institution about 20 years ago for a period of three weeks; her son says she has been peculiar ever since and could no longer be cared for at home.  Is remarkably well preserved for her years and is in good physical health; says she has seen all the nurses and M.D.s standing in front of her home and knew they would eventually get her.
Aug 26, 1912.  Objects to being bathed, transferred to Ward B.
Oct 10.  Quiet and transferred to A Ward.
Nov 1, 1912.  Patient quiet but cries frequently.
[No further entries].

Additional notes:
"Remarkably well preserved for her years!"  Died at Farnhurst on December 16, 1930, of chronic myocarditis, and a simple fracture of left femur.  Aged 94.  She was buried in Elmira, NY.


History and clinical notes:
History:  Was a former patient and was removed against advice of Supt. (see Book VI, page 59) and has been kept at home since his removal from institution.  Is very noisy at times and inclined to be violent.
Jul 25, 1912.  Noisy at night and tears his clothing; is also untidy.
Aug 27.  Very quiet and tidy about his personal appearance.
Oct 24.  Shown no improvement, is careless about his personal appearance and seldom talks.
Oct 28.  Marked improvement within the past few days.
Oct 30.  Removed today against advice of Supt.
Oct 30, 1912.  Paroled.
Mar 7, 1913.  Discharged unimproved.

Standard form attached:  Dated October 30, 1912.  “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 [mother].”


History and clinical notes:
History:  Has been in N.C.Co. Workhouse for past ten years on a charge of burglary, last March he cut two fellow prisoners without provocation; he also says the “white people” are trying to poison and other means of killing him, but he says “you can’t kill this nigger.”
Jul 25, 1912.  Has given no trouble since admission.
Aug 27.  Condition about the same as when last reported.
Oct 24.  Inclined to be unruly and disagreeable at times.
Nov 2.  Sometime during the night, patient cut his restraint, picked lock on window screens, bent the outer bare (sic) and made his escape, having no wearing apparel other than a blanket and sheet.
Nov 2, 1912.  Eloped.
Mar 7, 1913.  Discharged unimproved.
[No further entries].

Additional notes:
Eloped.  "You can't kill this nigger."  Died 12/5/1946, buried in Smyrna at Delaware Home and Hospital Cemetery.  Could not find any information on where he was between eloping from DSH and dying at the Smyrna home.


History and clinical notes:
History:  A former patient who was removed against the advice of Supt., for previous history see Book VI, page 314.  Suffers from dysmenorrhea and sometimes amenorrhea, flow is scanty and attended by pain and during periods she is depressed; seems to have some delusions in regard to Dr. Spruance and one week ago she threw a stone through his window; she was later arrested, examined by physicians and committed to DSH.
Oct 3, 1912.  Patient broke through window and ran away, but was caught by attendant, brought back much exhausted.
Nov 1.  Has been very troublesome this last week and had to have restraint continued.
Jan 7, 1913.  Mr. and Mrs. Brear (parents) accompanied by Dr. William D. Canby of Elkton, Md., appeared at institution and signed necessary papers prior to her removal to Cherry Hill, Md. Asylum.  Paroled.
Apr 3.  A few days ago Dr. Spruance telephoned that patient was in Newark, Delaware and that she had telephoned him and swore and threatened him.  Thought patient was seen walking in front of institution on her way to Wilmington.  Dr. Spruance was notified and he in turn the police who picked patient up and she was returned to the institution this a.m. (Apr 4, 1913).
May 7.  Very unruly and violent, destructive to clothing, kept in restraint.
Jul 7.  Still very noisy and at times violent, kept in restraint.
Sep 9.  Removed from hospital – condition as heretofore – and restraint has to be worn continuously.
Sep 9, 1913.  Paroled.
Apr 14, 1914.  Discharged unimproved.

Additional notes:
Had a thing for/against Dr. Spruance.  Parents John and Sarah D.  1910 census living with family; 1920, living with mother and sister;  5/12/1925.


History and clinical notes:
History:  Officer who brought patient says that he has been acting strangely for past 3 weeks and is sometimes violent; while bringing him from RR station to hospital he became very unruly and bit the officer’s hand.
Jul 25, 1912.  Quiet since admitted, eats and sleeps well.
Aug 27.  No change since last report.
Oct 24.  Is restless at times and runs up and down the ward.
May 22, 1913.  Is better behaved.
Oct 15, 1914.  Is quiet but shows no mental improvement.
Oct 4, 1916.  Condition about the same as when last reported.
Jan, 1920.  No change in his mental condition; physically getting weaker.
Mar 14.  Patient has lobar pneumonia.
Mar 18, 1920.  Patient died at 11:50 p.m.  Lobar pneumonia, 4 days.


History and clinical notes:
History:  Has been kept at home until above date but has been difficult to manage for past two years.  Brother-in-law states that patient had a fractured skull while an infant.
Aug 27, 1912.  Is childlike in habits and conversation.
Oct 15, 1913.  Confined to bed and is failing mentally.
Oct 15, 1914.  Condition unchanged (mentally) but is up and about ward in fair physical health.
May 12, 1915.  Eats very little and has lost considerable flesh, frequently vomits after eating.
Aug 8.  No improvement since last report; does not take sufficient nourishment.
Oct 10.  Is rather weak but not confined to bed, bowels are loose and he frequently vomits.
Oct 18, 1915.  Went into collapse this evening and succumbed at 8:15 p.m.  Died.  Gastro-enteritis.


History and clinical notes:
History:  Brought from Friends’ Almshouse, Phila., on August 7th, 1912 but papers did not arrive until today, 8/9/12.  Has been an inmate of Friends’ Asylum for past 2 years, is very quiet and seldom talks.
Jan, 1913.  Is up and about – no improvement mentally, very reticent.  Will not talk to anyone and is very irritable if interfered with.
Jan, 1915.  No change in any respect.
Jan, 1916.  No improvement.
Nov 12.  Has not been as well lately, was placed in bed today.
Dec 1.  Still in bed; appetite very poor and has lost considerable flesh.
Apr 20, 1917.  Still in bed today; one toe of right foot was quite black (dry gangrene).
May 1.  Gangrene has extended involving all toes of right foot.
Jun 1.  Very much weaker.
Jun 9.  Some septic infection noticed during past few days.  Died today at 1:40 p.m.
Jun 9, 1917.  Died.  Gangrene of foot (septic infection).

Final disposition:
Died gangrene of foot (septic infection)


History and clinical notes:
History:  Patient’s trouble began four months ago, since which time she has been very nervous, appetite poor, does not sleep well and bowels are constipated; at times she is noisy and destructive.  No history of any mental trouble in family and father and mother lived to be over 90 years old.
Aug 14, 1912.  Refuses to eat and had to be “tubed.”
Oct 10.  Eats better and has been eating eggs.
Oct 14, 1912.  Patient has improved, but not quite well enough to return home.  Was removed today against advice of Supt.  Paroled.
Mar 7, 1913.  Discharged recovered.

Standard form attached:  October 14, 1912.  “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:
Died in Pennsylvania, 6/3/1913 of "Insanity - consequent starvation from fear of food".  Buried in Wardan Cemetery, Dallas, Pa.


History and clinical notes:
History:  Patient was very much confused when admitted, but soon became very calm and furnished some history relative to his condition.  Has had a sever cough for past 4 months and profuse sweating at night, is very nervous at time and imagines someone is going to kill him.
Aug 22, 1912.  Very much improved since admission and is eating and sleeping well.
Aug 27.  Marked improvement and is about ready to be paroled.
Aug 31, 1912.  Paroled.
Mar 7, 1913.  Discharged recovered.


History and clinical notes:
History:  Was brought from St. Elizabeth Hosp., Washington, DC, where she had been an inmate for past two months.  When admitted she seemed cheerful and realized just where she was being brought although she could not see the advisability of being in an asylum as she knew she was mentally sound; however, she said, she somewhat enjoyed being amongst the insane and observe(ing) the peculiarities of the patients.  Is brilliant in her conversation, says she has read law as a mental tonic and while not sufficiently familiar with practice before the bar, yet she knew she could have a Writ of habeas corpus issued at any time she desired to leave this institution.  After a prolonged conversation, she manifested some of her delusions, viz.: is very anxious to return to Washington, as the reputation of two women is at stake, unless she reveals some facts in her possession, she also wishes to “clear up” two murders that have recently been committed, speaking entertainingly upon the psychology of dreams and says she has had one dream in particular that she would like to have analyzed and feels that Dr. Morton T. Prince of Boston, Mass. is the only man that can enlighten her.  Seems to be well versed in numerous ailments she has had and speaks of undergoing treatment for cystitis and psoriasis and is just recovering ? from cirrhosis of liver, is apparently in good physical health.
Oct 4, 1912.  Physical exam: Chest exam negative.  Lower right quadrant: Tenderness over liver area and dullness extended into abdominal region.  Extreme soreness under border of ribs.  Gives history of having passed stones and having passed clay colored stools.  Kidney region tender.  Periods are irregular and have been since last January.  Last period was 8 weeks ago.
Nov 1, 1912.  Patient has had a general furunculosis.  Has had a severe condition in left ear, which was operated by Dr. Tybout.  Has been much relieved since.
May 7, 1913.  Has had an attack of psoriasis.  Now much improved.  Mental condition variable.  Has complained of pain over heart.  Examination shows slight roughening of valves.  General condition good.
[No further entries.]

Additional notes:
At DSH for 1930 and 1940 censuses.  Sunday Morning Star of May 16, 1948 carried a notice of her death and asking for any debtors or creditors of her estate to contact the Equitable Trust Company of Wilmington, Del.  The NY times of August 13, 1904, ran this story: A new edition of "Waes Hael, The Book of Toasts," by Edith Lea Chase and Capt. W.E.P. French, United States Army, is in preparation by The Grafton Press. It is to be bound in tan buckram with a design in three colors. Tied to the silk book marker is a miniature loving cup made of clay. The book is divided into six parts.  Not clear if this is the same person.  Niece of Preston Lea, Governor of Delaware.  Died 4/29/1948, buried in Wilmington & Brandywine Cemetery


History and clinical notes:
History:  Has been drinking to excess for past two weeks, is sleeping poorly and eats but little, was bewildered when admitted and did not realize where he was.
Aug 18, 1912.  Has been very stupid since admission; tears his clothes; was so weak today had to be put in crib.
Aug 19.  Very restless all night, very hard to get him to take nourishment.
Aug 20.  Has an abrasion on inner side of thigh, due probably to his restlessness, probably caused by rubbing against side of crib.
Aug 21.  Patient is much weaker; takes nourishment better but is very stupid and delirious.  Brother removed him this evening.
Aug 21, 1912.  Paroled.

Additional notes:
Died 8/26/1912, according to death cards.


History and clinical notes:
History:  Has been drinking to excess and ceased drinking suddenly, on Tuesday; since that time he has been nervous and procured but little sleep.
Aug 25, 1912.  Very much improved, transferred from Wd. D to Wd. C.
Sep 2, 1912.  Paroled.
Mar 7, 1913.  Discharged recovered.


History and clinical notes:
History:  Father who brings patient to Hospital states that he is very intemperate – for the past ten years has been an inveterate cigarette fiend; smoking 30 or 40 packs of them every week.  Formerly drank a great deal; would steal money to buy cigarettes.  Laterally (sic) talks at times incoherent, speaks about going to heaven and seeing his friends, [ill] very nervous and irritable at times.
Oct 24, 1912.  Cigarettes have been restricted entirely and he does not ask for them, some physical improvement.
Feb 11, 1913.  Paroled.
Apr 5.  Returned today.
Oct 15.  Is well behaved.
Oct 15, 1914.  Condition unchanged, is well behaved, talks foolishly at times and has a boisterous cough.
Jan 13, 1915.  Paroled.
Jan 16, 1915.  Returned today – would not behave at home.
Oct 4, 1916.  Gives us no trouble, is always cheerful and seems to be satisfied with his surroundings.
Mar 1, 1917.  Mental condition unchanged, has been failing physically for the last two months, has lost weight, is continually scratching his face and hands.
Jun 5.  Has been loosing rapidly (sic) in weight, coughs and expectorates frequently, was transferred to T.B. today.
June 6, 1917.  Died today of pulmonary tuberculosis. 12:15 a.m.

Standard form attached:  January 13, 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:
Middle initital was "F" according to death certificate and head stone.  Buried in Wilmington & Brandywine Cemetery.


On certificate of:
Drs. Henry W. Briggs and William Wertenbaker

History and clinical notes:
History:  Patient brought to hospital Aug 31st, 1912 but papers did not arrive until today (9/3/12).  A former patient, for previous history see Book VI, page 28.
Nov 1, 1912.  Patient has been over at Dr. Hancker’s home for several weeks.
May 1, 1913.  Some loss of flesh, otherwise as usual.
Jun 8, 1914.  Patient has been on ward TB and has gained flesh and strength.  Was allowed to go home with her relatives today.  Paroled.
Oct 7, 1914.  Discharged improved.

Additional notes:
Died at DSH on August 27, 1915 of chronic gastroenteritis made worse by phthisis.  Buried in Smyrna


History and clinical notes:
History:  Brought from Almshouse.  Patient is very violent and talkative.  Constantly removes her clothing.  Talks a great deal about her children.
Jan 13, 1913.  No change since her admission.  Removes her clothing at times and is quite hard to care for.
Jan 1, 1914.  Patient very much the same.  Has been in Cottage for some time.
Jan 1, 1915.  Patient quite feeble lately and has been in bed some time.
Nov 21.  Patient has been constantly in bed since last note.  Ate her dinner today as usual.  Was seen several times during this afternoon.  When her supper was taken to her she was dead.  She was resting on her right side in a peaceful attitude.  Death must have been instantaneous.
Nov 21, 1915.  5:15 p.m.  Died.  Val. Dis. Of Heart.


History and clinical notes:
History:  Nurse from Almshouse states that she will not keep her clothes on and that she tears everything in shreds.  Patient is single; has two children, one six months old.
Nov 1, 1912.  Patient very noisy and incoherent and talkative.
May 1, 1913.  Continues to be very noisy.  Laughs continually.
May 1, 1914.  No change, mind very feeble.  Has been expectorating a great deal of late.  Has lost flesh and strength.  Left lung dull on percussion, rales over entire surface.
May 7.  Was placed in bed today.  Is too weak to be up and about.
Sep 20.  Rapidly growing worse, very much emaciated and takes only liquid diet.
Oct 22, 1914.  Died.  Phthisis pulm.

Additional notes:
MR with 2 kids.  Buried in Middletown.  Parents Eliza and George.


History and clinical notes:
History:  On the 17th of last month, patient had a fainting spell – the first she ever had.  Last Monday, refused to talk to her husband, which was unusual.  The next day said she remembered her action the day before but could not explain it.  At times talks quite rational while again she will not talk.  Has neglected her household duties.  Bowels have been somewhat loose; slept fairly well.  Husband states that her “menses” have been very irregular and that he thinks that that is the cause, although her age precludes this.  General health has been fairly good.
Nov 1, 1912.  Patient seems very much better and talks very rational but one day when visited by her husband, he said she talked several times incoherent.
Nov 16, 1912.  Has improved steadily since last note.  Was allowed to go home today with her husband.  Paroled.
Mar 7, 1913.  Discharged recovered.

Additional notes:
Died 10/24/1918 of uterine cancer, spread to intestinal glands.  Buried in Duncannon, Pa.


History and clinical notes:
History:  Patient walked from Wilmington and ask if the M.D. couldn’t give him something for the peculiar feeling he had in his head; after some interrogating he admitted that he had been using cocaine and also said he frequently thought he should kill Mrs. Walter by whom he was employed; he was immediately taken into custody and later committed by Drs. Wales and Tomlinson.
Oct 24, 1912.  Is very well behaved, works about ward, and delusions in regard to Mrs. Walter have disappeared.
Oct 27, 1912.  Paroled.
Mar 7, 1913.  Discharged recovered.


History and clinical notes:
History:  A former patient, for previous history see Book VI, p. 237.  Officer who brings patient states that, for past two days his action have been queer and he is also violent at times.  When admitted he was quiet and rational in his conversation.
Oct 24, 1912.  Quiet since admission, eats and sleeps well, rational in his conversation.
Oct 15, 1913.  Works in dining room and is well behaved.
Oct 15, 1914.  Condition unchanged, seldom has anything to say and at times morose.
Oct 4, 1916.  Is well behaved and seldom has anything to say.
[No further entries].

Additional notes:
Last name spelled Bryne in 1930 and 1940 census, at DSH.


History and clinical notes:
History:  Brought from Kent Co. Almshouse, officer who brought him states that patient wants to wander about and is always in a bewildered state, disrobes himself and is untidy.
Sep 25, 1912.  Has been confined to bed since admission, is untidy, tears his clothes, very restless and refuses food.
Oct 12, 1912.  Rapidly failing; in a semiconscious state.
Oct 16, 1912.  Died.  Exhaustion from mania (acute).


History and clinical notes:
History:  No history other than patient is sometimes violent and recently was adjudged guilty of assault.
Oct 24, 1912.  Has been quiet since admission.
Oct 15, 1913.  Has occasional epileptic seizures.
Jul 1, 1914.  Has a persistent with muco-purulent expectoration, very foetid breath and rapid emaciation.
Jul 8, 1914.  Rapidly growing worse, is in a comatose state.
Jul 9, 1914.  Died.  5 p.m.  Pulm. gangrene.


History and clinical notes:
History:  No history other than patient has been an inmate of Kent Co. Almshouse for years and has frequent epileptic seizures.
Jan, 1915.  Patient is imbecile; only makes unintelligible noises.  Has been in bed constantly since she came here.  Frequent epileptic seizures.
May 13, 1917.  No change since last note.  Has been in bed all the time.  Has had a number of convulsions since last eve.  This a.m. at 9 o’clock she was breathing stertorusly and died at 4:10 p.m.
May 13, 1917.  Died.  Status epilepticus.


History and clinical notes:
History:  Patient was discharged from here Sept 2nd, 1910.  See this case book, page 94.  Husband states that she has been fairly well since she left here.  Although at times would have violent outbursts of anger.  About 2 weeks ago, her daughter married and left house; since that time has been much worse.  Does not sleep, seldom eats and does not care for herself and at times has an outbreak of excitement when she is destructive to her clothing and noisy.
Oct 12, 1912.  Paroled.
Oct 23.  Returned.  Very dirty and had the presence of peliculosis capitus.
Nov 23, 1912.  Has improved rapidly during last month, was removed by husband today.
Mar 7, 1913.  Discharged recovered.


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

History and clinical notes:
History:  Following the death of his wife, some months ago, he suffered a stroke of apoplexy and since that time his mind has grown feeble and he is unable to dress himself.  He has sufficiently recovered from his physical ailment to be able to walk fairly well.  When admitted he said “Dr. I am not insane but a little foolish.”
Oct 24, 1912.  Is well behaved, neat as to personal appearance, some improvement since admission.
May 22, 1913.  Some difficulty in walking, eats and sleeps well.
Jun 25.  Feet and legs oedematous, albumin and casts in urine.
Jul 6.  Oedema more marked, slight amount of fluid in abdomen, labored breathing.
Jul 22.  Rapidly growing worse.
Jul 24, 1913.  Died.  Chronic parenchymatous nephritis.


History and clinical notes:
History:  Was recently arrested and indicted for highway robbery but was adjudged not guilty by Reason of Insanity and was committed to DSH by order of court.
Oct 24, 1912.  Is well behaved, but bears watching.
Nov 2.  Condition about the same as when last reported; works in dining room Wd. D.
Nov 22, 1912.  Escaped through door on north wing of Wd. D, supposedly by the aid of an old key.  Eloped.
Mar 7, 1913.  Discharged – not insane.

Additional notes:
Criminal who escaped custody.  Died 1/20/1960.


History and clinical notes:
History:  Patient has been going around town removing outside shutters from windows, also placing “For Rent” signs on doors of occupied houses; yesterday when arrested two pistols and some cartridges were found on his person.
Oct 5, 1912.  Said he was going home and attempted to assault the attendants; was overpowered and placed in restraint.
Oct 24.  Continues to be disagreeable and wants to see an attorney.
May 22, 1913.  Is still delusional.
Oct 15.  Condition remains unchanged.
Oct 15, 1914.  No mental change, very disagreeable; requires restraint and careful watching.
Oct 4, 1916.  Condition about the same as when last reported.
Oct 29.  Complains of pain in chest, temp 102 F, moist rales and hurried respiration.
Nov 10.  Patient is well, up and around again.
Oct 10, 1918.  Patient has developed an attack of influenza.
Oct 18.  No improvement.  Pneumonia has developed, and is very low.
Oct 21, 1918.  Continued to fail and died at 3:30 p.m.


On certificate of:
Drs. Thomas O. Cooper and P.W. Tomlinson

History and clinical notes:
History:  Has been growing feeble (mentally) for past ten years and at present is difficult to care for, sits about the room all day and is sometimes untidy; has considerable oedema of hands and feet.
Nov 1, 1912.  Patient has been confined to bed for last two weeks.  Is very weak and feeble and heart action very low at times.
Nov 6.  Patient quite feeble; has been in bed constantly since admission.
Nov 10.  Today patient became unconscious, heart’s action extremely labored.  Son was with her all the afternoon.
Nov 11, 1912.  Patient died at 12:30 a.m.  Aortic stenosis.


History and clinical notes:
History:  Brought by officers who could furnish no history but patient states he has been having some domestic trouble, was quite rational when admitted.
Oct 17, 1912.  Is rational and very well behaved.
Oct 30.  Is very surly and indolent, always trying to avoid doing any work about wards.
Nov 18.  No change since last report; was removed today contrary to advice of Supt.
Nov 18, 1912.  Paroled.
Jan 16, 1913.  Returned to institution today.
May 22.  Is very disagreeable and indolent.
Oct 15.  Seldom smiles but is not so indolent as when last reported.
Oct 15, 1914.  Is quiet and well behaved, refuses to work and wants to sleep most of the time.
Jun 1, 1915.  Patient has Pul. Tuber. – was transferred to TB building some time ago.
Aug 1.  Is steadily losing flesh and strength.
Aug 22.  Has steadily failed since last note.  Has been in bed since that time.  This a.m. pulse very weak and feeble.  Died 4:30 p.m.
Aug 22, 1915.  Died.  Pul. Tub.

Standard form attached:  November 18, 1912.  “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:  Brought from N.C.Co. Workhouse where he has been for past month on a charge of larceny – no other history obtainable, other than he was a patient here 11 years ago.
Oct 17, 1912.  A very troublesome patient and makes various threats to physicians and attendants.
Oct 24.  Is violent and destructive, continues to threaten officers and attendants, says he has spent most of his life in jails and asylums and has “always been able to bluff” his attendants.
Apr 19, 1913.  Was visited by his brother today who removed him with the understanding that he would send him to his sister in New York.  Paroled.
Jul 18, 1913.  Discharged unimproved.

Standard form attached:  Apr 19th, 1919 [actually 1913].  “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 [brother].”

Additional notes:
Greyhound therapy.  Supposedly sent to his sister in New York.  No further info that clearly corresponds to him.


History and clinical notes:
History:  Has been considered peculiar for past 3 years.  Last Tuesday evening he said “The holy ghost appeared before him and told him to kill his sister” and fearing he would carry out this command, caused his relatives to have him committed.
Oct 17, 1912.  Quiet since admission.
Oct 24.  Marked improvement since last report.
Nov 6, 1912.  Paroled.
Mar 7, 1913.  Discharged recovered.


History and clinical notes:
History:  Patient fell and had an injury to head about 3 months ago and since then, she has been acting in a strange manner; once she attempted to cut her step-daughter with a knife.
Nov 1, 1912.  Patient is steadily growing weaker.  Has been confined to bed for last week.  Has had a troublesome cough, which has been under treatment.
Jan 1, 1913.  Patient has been in bed constantly since last note.  Is steadily growing more feeble.  At times is quite noisy and it is with difficulty she can be kept in bed.
Jan 20.  Still in bed; face is a little drawn to right-side.  Considerable loss of sensibility, lower extremities.
Feb 1.  In bed; very much weaker.
Feb 16.  Rapidly growing weaker.  Takes little nourishment.
Feb 17.  Sinking.
Feb 18, 1913.  Died.  Cerebral apoplexy, arterio-sclerosis.

Final disposition:
Died of cerebral apoplexy and arteriosclerosis


History and clinical notes:
History:  Mental change was first noticed one year ago; business began to “fall off” and he neglected what little trade he had, would close up his shop and wander about aimlessly, did not sleep well and was despondent and sometimes an inclination to be violent.
Oct 24, 1912.  Is very quiet and when questioned relative to his condition, he usually repeats part of the sentence.
May 22, 1913.  Is rapidly failing, is untidy and tears his clothes.
Oct 15.  Confined to bed, eats and sleeps well but is unable to walk without assistance.
Dec 15.  Rapidly growing weaker, takes liquid nourishment with difficulty.
Jan 7, 1914.  Died.  General paralysis of the insane.


History and clinical notes:
History:  Patient commences to act peculiar Sept 25th by forgetting where she placed different articles.  Has always been industrious about her house.  Since admission in hospital has had the idea that her family has been murdered.  In Sept. had excessive menstruation.
Oct 17, 1912.  Has been under impression that we have murdered her husband and children.  Is very noisy at night.
Nov 1, 1912.  Patient is still very restless and worrisome.  Bleeds profusely at times.  She is at the menopausal period.
Dec 23, 1912.  Paroled.
Jul 18, 1913.  Discharged recovered.

Additional notes:
Was able to trace most of her children, all by her first husband, Jeppa T.H.C. Passwaters.  Still a whole passel of Passwaters in southern Delaware.  Sallie lived until 1945 and is buried next to her first husband in Bridgeville, Sussex County, Delaware.


History and clinical notes:
History:  Brought from N.C.Co. Hospital on October 14, 1912 but papers did not arrive until today; has been in County Hospital for a few weeks and suddenly became noisy and violent.  No other history obtainable.
Oct 17, 1912.  Is very noisy and uses vulgar language.
Feb 20, 1913.  Does not improve and is very noisy.
May 13, 1913.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  Patient is very “hard of hearing.”  Due probably to a middle ear condition that has lasted many years.
Nov 1, 1912.  Quiet and pleasant.
Apr, 1913.  Somewhat unruly – frequently does not go to meals.
May 1, 1913.  No change.  Except goes regularly to meals and seems quiet.
[No further entries].

Additional notes:
She died in 1930 and is buried in Lombardy Cemetery in Wilmington with her husband.


On certificate of:
Drs. Robert Ellegood and James Brayshaw (??)

History and clinical notes:
History:  Patient has been an imbecile since birth.  All family are idiotic and no complete history can be obtained.  Admitted to Cottage.
Nov 1, 1912.  Patient about same.
May 7, 1913.  No change.  Made good recovery from Phleg[illegible] tonsillitis Apr 6th.
Mar 15, 1915.  No change mentally.  Is very noisy at time; was pushed down stairs this a.m. by another patient and fractured middle third of left radius.
Mar 17.  Patient removes dressing every chance she has, especially at night.
Mar 18.  Arm swollen.  Dressings have been replaced twice since accident.  Patient very restless.
Mar 27.  Patient arm much swollen all dressings removed.  Considerable swelling around fracture.
Mar 28.  Large quantities of pus was removed this a.m.
May 29.  About 1 pt. of pus was removed this a.m. from arm around injury.
Apr 1.  Arm much better this a.m.
May 1.  Is up and about this a.m.
Feb 1, 1916.  Has been up and about since last note but has been very poorly – at times quite noisy and troublesome.  Another abscess has formed in arm that was affected previously.  It was opened this a.m., became infected from slight injury of finger.
Mar 1.  Has been in bed since last note – arm is better, but her general health has been very bad.  Has had a bad cough for past week or two.  Both lungs are more or less affected.
Mar 10.  No improvement.  Very much weaker.
Mar 11, 1916.  Died this a.m.  7 o’clock.  Lobar pneumonia.

Additional notes:
Descendants with the last name of Horseman/Haddock/Chelton/Taylor still live in southern Delaware.  Parents were Kendall Stockley Wells and Sophia A. (Lewis) Wells.  Father Kendall died at DSH in 1925.  Buried at DSH, Grave #352.  Jennie is buried at DSH, , Grave #259.


History and clinical notes:
History:  Son-in-law who brings patient to Hospital states that her mind has been failing rapidly for past 6 months.  One month ago had a stroke of apoplexy, since then has been very hard to care for, takes her clothes off and has struck her grandchildren.  Sleeps fairly good.  Appetite is good.  Is steadily growing worse.
Nov 12, 1912.  Has been very quiet and orderly since her admission.  Was removed by her son today.  Paroled.
Mar 7, 1913.  Discharged improved.

Additional notes:
Died 11/15/1914, buried in Fork Branch Church Cemetery, Delaware.


History and clinical notes:
History:  Officer who brings patient states that patient has a similar outbreak about once a month; does not drink to excess.  When officers attempted to arrest him this morning, he fought them and stabbed one of them in the arm; he also cut up some mattresses and was breaking some furniture.  Says he has pedicularis pubis.
Nov 23, 1912.  Father has promised to take him South to recuperate.  Paroled.
Jan 18, 1913.  Returned to institution today.
Feb 15, 1914.  Shows no mental change, is quiet and does some work on wards; untidy in regard to his clothing.
Oct 5.  No change since last report.
Oct 4, 1916.  No improvement; is in good physical health.
[No further entries].


History and clinical notes:
History:  Was picked up by police for stopping people on the street and inviting them to fight; has been drinking and smoking to excess and combined with loss of sleep, has produced a mental breakdown.  Has a brother in this institution.
Nov 15, 1912.  Very much improved; is working in Wd. D dining room and is very neat and orderly.
Dec 23, 1912.  Paroled.
Jul 18, 1913.  Discharged recovered.


History and clinical notes:
History:  Present trouble first noticed four months ago, at that time her menstruation did not appear and she began to act in a stranger manner, wander from home, would take things which did not belong to her, which was all contrary to her usual habits.  Had two uncles, inmates of this institution.
Jan 2, 1913.  Paroled.
Jul 18, 1913.  Discharged recovered.

Standard form attached:  January 2, 1913.  “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 [father].”

Additional notes:
In 1920, 1930, and 1940 censuses was living at home with her parents and one or more siblings.  Died in 1964.  Never married, never had kids.


History and clinical notes:
History:  Nurse of Almshouse states that he is very violent – tears his clothing and strikes those that come near him.  Is apparently suffering from paraplegia as he crawls on the floor and cannot use his lower limbs.
Nov 10, 1912.  Confined to bed since admission and is almost helpless; grinds on his teeth, tosses his head about and has a muttering delirium.
Nov 28.  Rapidly growing worse, temp. high, labored breathing, refuses nourishment.
Dec 10, 1912.  Died – Pachymeningitis Interna.


History and clinical notes:
History:  Mental enfeeblement noticed 3 mo. ago, makes threats occasionally and says he is going to kill someone; is untidy at times.
Jan 4, 1913.  Quite feeble this morning; has a slight cough, hurried breathing, temp 103 – slight dullness on percussion over base of left lung.
Jan 6.  Rapidly growing worse and refuses nourishment.
Jan 7, 1913.  Died.  Pneumonia (lobar).


History and clinical notes:
History:  Has shown periods of depression for several weeks, yesterday she became violent and not be cared for at home; appetite impaired and does not sleep well.  Patient was paroled from this institution under name of Martha Mattee, see Case Book 5, page 446.  Was discharged Aug 5, 1912.  
May 7, 1913.  Much stronger and lung condition slightly improved over that of two months ago.  Small gain in weight.
Jul, 1913.  Continues about the same; able to help about the ward.  Same cough.
Oct, 1913.  Condition about the same, although area in lung involvement seems a trifle greater; cough continues about the same.
Dec 12.  Losing flesh rapidly, tubercular involvement of larynx.
Mar 10, 1914.  Rapidly growing worse, has suffered a “stroke” and is confined to bed.
Apr 2.  Very much worse today and takes but little nourishment.
Apr 8, 1914.  Died.  Cerebral apoplexy and tubercular laryngitis.

Final disposition:
Died of cerebral apoplexy and laryngitis (tubercular).


History and clinical notes:
History:  Court commitment of judges Conrad and Pennewell.  Patient was found not guilty after trial by reason of insanity for stealing horse and wagon.
Nov 25, 1912.  Quiet since admission, eats and sleeps well.
Mar 17, 1913.  Condition same as when last reported.
Sep 24.  Well behaved and a willing worker.
Mar 24, 1915.  No change since last report; is always quiet and respectful.
Oct 3, 1916.  Works in dining room and is well behaved.
Oct, 1917.  No change in his mental and physical condition.
Oct 16, 1918.  Patient has epidemic influenza.
Oct 24.  Developed lobar pneumonia.  T 104.5 P 130 R 56.
Oct 30.  Patient very weak.  T 102. P. 130. R60.
Nov 3, 1918.  Patient died at 12:35 a.m.  Lobar pneumonia, contributing cause epidemic influenza.

Final disposition:
Died of lobar pneumonia contributing cause epidemic influenza.  Buried in Spiral cemetery #296.


History and clinical notes:
History:  Present trouble dates back ten years and is attributed to domestic trouble, was divorced by his wife.  Was quiet when admitted but has occasional outbreaks, eats well and wants to sleep most of the time.
Jan 18, 1913.  Is very indolent and begs to go home every day.
Jan 30.  No change since last report.
Feb 5.  Paroled.
Jul 18, 1913.  Discharged improved.

Standard form attached:  February 5, 1913.  “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].”


History and clinical notes:
History:  Brought from N.C.Co. Workhouse where he was undergoing a sentence of sixty days, was sentenced in Municipal Court.  A few days ago while working in exercise yard, he secreted a hatchet in his trousers and later struck a fellow prisoner on the head – without provocation, seems to have delusions of persecution and says people have been following him for past three years.  When admitted he attempted to assault an attendant.
Jan 18, 1913.  Is very disagreeable, inclined to be violent and requires restraint.
Sep 24.  No mental changes since last report.
Mar 24, 1915.  Condition remains unchanged; is always surly.
Oct 3, 1916.  Very disagreeable and bears constant watching.
Jun 5, 1917.  Very little change mentally.  Has lost some flesh physically.  At 1 p.m. today patient was put to bed – pulse very rapid and respirations very rapid – at 1:30 p.m. patient died.
Jun 5, 1917.  Died.  Valvular disease of the heart.


History and clinical notes:
History:  Brought by officers, patient says he was a patient at “Blockley” since Sept 6, 1912 and was just brought home by his parents, was quiet when admitted but said “people were running machines over his head.”
Jan 18, 1913.  Insists he is sane and yet appeals to Doctors to protect him from the people who are attempting to electrocute (sic).
Mar 17.  Is delusional and occasionally makes threats.
Sep 24.  Does not improve and claims the officers prevent his relatives from visiting him.
Mar 24, 1915.  Has delusions of persecution and is inclined to violence at times.
Oct 3, 1916.  No mental change, frequently asks why he is not discharged.
[No further entries].

Additional notes:
Was at DSH in 1940 census.  Died there in 1952.  Died of broncho-pneumonia, chronic myocarditis, meningioma of left front lobe.  Buried at Cathedral Cemetery.


History and clinical notes:
History:  No history obtainable other than patient had a chancre 6 years ago.  Was quiet when admitted but had some difficulty in walking.
Dec 22, 1912.  Confined to bed, unable to walk, but eats and sleeps well.
Sep 24, 1913.  Condition remains unchanged.
Mar 24, 1915.  Mind becoming more feeble, marked hesitancy in speech, grandiose delusions.
Nov 1.  Is growing more unsteady on his feet and is compelled to lean against wall when walking.
Dec 1, 1915.  Developed a convulsion at 9:30 p.m. and died 10:35 p.m.  General paralysis of the insane.


History and clinical notes:
History:  Friends who bring patient state that she was all right – mentally until about 5 years ago when she fell from the trolley and injured her head.  Since that time she is very irritable and cross.  At periods, especially when interfered with in any manner strikes and scratches those around her and throws anything that is near at hand.  Has a good appetite but rests but little at night.
Feb 15, 1913.  Grippe attack, otherwise just as usual.
Mar 20.  Has sudden attacks of being violent and has to be put in jacket occasionally.
Apr 19.  About as usual.  Not to be trusted.
May 7.  Condition good; seemingly less inclined to be violent.
Aug.  Same as last entry.
Oct.  Slight attack of bronchitis from which good rapid recovery.  Condition good.
Apr 15, 1918.  Always restless and troublesome, this morning very weak, died shortly after being placed in bed.
Apr 15, 1918.  Died.  Arteriosclerosis.

Additional notes:
Hit her head when she fell from a trolley.


History and clinical notes:
History:  A former patient, for previous history see Book VI, page 322.  Is untidy and sometimes violent.
Dec 22, 1912.  Is very troublesome, tears his clothes and kicks at fellow patients when passing by.
Mar 17, 1913.  Troublesome, very untidy, uses vile language and tears his clothes.
Sep 24.  Condition remains unchanged.
Jan 2, 1915.  Has frequent epileptic seizures and is rapidly losing flesh.
Feb 20.  Is confined to bed, pulse rapid and weak, respirations hurried.
Mar 1, 1915.  Taken home by his father.  Paroled.
Sep 23, 1915.  Discharged unimproved.

Note:  Actually, he died just four days after going home with his father, on March 5, 1912.  His death certificate says he died of tuberculosis.

Additional notes:
Actually, he died just four days after going home with his father, on March 5, 1912.  His death certificate says he died of tuberculosis.


History and clinical notes:
History:  Officers could furnish no history but he has been an inmate of Penna. Hosp. for Insane.  Very talkative, says secret organizations are conspiring to ruin him and is incoherent in conversation, excepting as regards his business affairs, on which he seems quite clear.
Dec 18, 1912.  Removed by his mother against advice of Supt.  Paroled.
Jul 18, 1913.  Discharged improved.

Standard form attached:  September 18, 1912.  “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:
Died in 1950 at the Governor Bacon Health Center, after a stay of 1 year, 8 months, 9 days.  Died of coronary thrombosis, arteriosclerotic cardiovascular disease and multiple degenerative joint disease.  Death certificate signed by Dr. Tarumianz, who was by then in charge of Gov. Bacon as well as DSH.


On certificate of:
Drs. Henry G.M. Kollock and Charles H. Blake

History and clinical notes:
History:  For previous history, see Case Book 5, page 414.  No history obtainable other than patient is violent at times, when brought to hospital she objected to entering the hospital.
Jan 6, 1913.  Is much better and is now on ward without restraint.
Jun 1.  Has been failing physically of late.  Has lost flesh.  Has considerable cough and some expectoration.
Jul 1.  Has steadily failed; both lungs involved.  Has a steady resp, temperature going up in the pm.  T 103.
Jul 15.  Steadily worse, quite weak.
Jul 23.  Patient very weak this a.m.  In a comatose condition.
Jul 23, 1913.  Died 4:15 pm.  Phthisis pulm.


On certificate of:
Drs. Caleb R. Layton and James H. Chipman

History and clinical notes:
History:  No history obtainable, when admitted she had an eruption on her face, caused by picking and scratching.  When attendants bathed patient immediately on her arrival at Cottage E, they found scratches on face and neck, extensive bruises on hip and knees and welts on thigh that had the appearance of being made by a strap or stick.  Is very violent on ward and extremely noisy (see Disturbance Sheet dated Sept 9th).
May 7, 1913.  Good condition.
Aug 13.  Good condition.  Gained in weight.  Had series of boils.
Oct 13.  Good condition.  Normal weight again.
May, 1918.  Physically getting weak.
Feb 9, 1919.  Patient suffers from lobar pneumonia.
Feb 21.  Patient’s condition very critical.
Feb 22, 1919.  Patient died at 12:45 p.m.  Lobar pneumonia (13 days).

Note:  Buried at DSH, #301.


History and clinical notes:
History:  A former patient, was discharged 2-21-1910.  Since her discharge, she has been well; until 5 weeks ago when she again became very talkative and incoherent; eats and sleeps well.  For previous history, see Book VI, page 100.
Dec 20, 1912.  Very little change.  Very restless and talkative and abusive to her relatives.
Jan 7, 1913.  A little better, but very talkative and not inclined to appreciate what is done for her.
Feb 25, 1913.  Paroled.
Jul 18, 1913.  Discharged recovered.


On certificate of:
Drs. Francis L. Springer and H.L. Springer

History and clinical notes:
History:  A former patient, for previous history see Book VI, pages 8 and 187.  Has been a patient on two different occasions.
Dec 20, 1912.  Has been very much depressed; will not speak to anyone and at times takes but little nourishment.
Jan 7, 1913.  Very much improved, is now on Ward B, reads some and takes some interest in her surroundings.
Feb 25, 1913.  Paroled.
Jul 18, 1913.  Discharged recovered.


On certificate of:
Drs. John H. Hammond and James H. Chipman

History and clinical notes:
History:  Brought by Dep. Sheriff, who could furnish no history; when patient was admitted he was quiet and would not answer questions.
Dec 22, 1912.  Has occasional epileptic attacks and is quite nervous prior to and following attacks.
Dec 30.  Is troublesome at times, insists upon going home and when prevented becomes violent and abusive.
Mar 17, 1913.  Does not improve and is at times violent.
Mar 26.  Has frequent epileptic attacks.
Sep 24.  Recently attempted to escape and says he will do so again.
Mar 24, 1915.  Has frequent epileptic seizures and during attacks is violent.
Oct 3, 1916.  No change since last report.
[No further entries].

Additional notes:
Died 2/20/1935, still a patient; buried in DSH Cemetery #437


History and clinical notes:
History:  Brought by officers who could furnish no history; when admitted patient was very feeble and said “people were putting poison on him.”
Dec 22, 1912.  Very restless and wants to walk about ward most of the time.
Mar 26, 1913.  Condition remains unchanged.
Sep 24.  Is very untidy, otherwise no change.
Mar 24, 1915.  No mental or physical change since last report.
Dec 12, 1915.  Confined to bed, is able to get up but seems to prefer to lie in bed.
Oct 3, 1916.  Confined to bed and failing physically; frequent watery stools containing large amounts of blood.
Oct 12.  Rapidly growing weaker; bowels continue loose with large amount of blood.
Oct 21, 1916.  Died at 7:30 a.m.  Dysentery (Amebic).


On certificate of:
Drs. William F. Huey and (ill.) T. Cubbage

History and clinical notes:
History:  Dr. Huey states that the first prominent symptoms of insanity were noticed last Sept., but that for 2 years she has shown peculiarities that were not naturally to her.  Lately she imagines that she is being persecuted, that electricity and bombs are being thrown at her.  All delusions are of a persecutory type.  Part of her trouble cause by change of life.  Menstruation still showing at times.  Is also suffering from habitual constipation.
Mar 5, 1913.  Very little change since admission – still thoroughly controlled by her delusions.  Was visited by her husband today who removed her against advice of Supt.  Paroled.
Jul 18, 1913.  Discharged unimproved.
Note below: “See page 357 for later admission.”

Standard form attached:  March 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].”


History and clinical notes:
History:  Has been drinking to excess for past month and is at present suffering with mania-potu.
Dec 30, 1912.  Markedly improved, delusions and hallucinations have disappeared, had a good night’s rest and is rational.
Jan 20, 1913.  Is in good mental and physical condition.
Jan 25, 1913.  Paroled.
Jul 18, 1913.  Discharged recovered.


History and clinical notes:
History:  Was a patient in Kirkbride’s during months of Aug and Sept and was then taken home by his brother but has shown no improvement.  Since Oct 1912 he has been employed by Curtis Pub. Co. as a solicitor and of late he has been appropriating money collected for his own use, also writing checks for small amounts without having funds in bank to meet same.  Was a good student while at school and industrious, always wanted to be busy.  When admitted he was very nervous and insisted he was mentally and physically sound and demanded an examination by some expert, whom he would name.
Mar 17, 1913.  Is more inclined to submit to the various rules of the hospital but is irritable and cannot account for his detention.
May 19, 1913.  Paroled.
Oct 20, 1913.  Discharged improved.

Standard form attached:  May 19, 1913.  “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:  Patient was brought from the Depot; the officer who brought him did not come to the Hosp.  The patient is feeble and undoubtedly could be cared for at home.
Jan 7, 1913.  While walking across hall, patient fell and struck his head against a bench producing a wound above right eye.
Jan 8.  Is very stupid today and takes but little nourishment.
Jan 20.  Takes very little nourishment and is emaciating rapidly.
Jan 25.  Refuses nourishment and is in a semi-comatose state.
Jan 26, 1913.  Died.  Exhaustion from senile dementia.

Final disposition:
Died of exhaustion from senile dementia.


On certificate of:
Drs. Irvine M. Flinn and Edgar J. Bullock

History and clinical notes:
History:  Has been out of employment for some time and as a result became depressed; on the morning of Dec 30th, 1912 he shot himself, the bullet did not penetrate the skull but is embedded in scalp.  He was sent to Homeopathic Hosp., Wilmington and wound was dressed; this a.m. he escaped in his night-gown and ran to Brandywine Creek and when found was beating his head against a projecting rock; was later examined and committed to DSH.
Jan 25, 1913.  Was “X-rayed” today, bullet is embedded in outer table of skull about ½ inch from point of entrance.  Is very morose and has attempted suicide on two occasions.
Mar 26.  Some improvement since last report.
Jun 25.  Continues to improve but is morose at times.
Jul 5, 1913.  Removed today against advice of Supt.  Paroled.
Jul 13.  Returned today, is very melancholy.
Sep 6.  Some improvement since last report, is more cheerful and occasionally speaks of going home.
Jan 1, 1914.  Continues to improve.
Jan 31, 1914.  Paroled.
Apr 14, 1914.  Discharged recovered.

Standard form attached:  July 5, 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].”


History and clinical notes:
History:  Certificate states that he has been a hard drinker.  Lately has visited Gov. Miller’s house several times and used abusive language to all whom he met there.  Has been more or less insane when under the influence of liquor for past 18 months.
Jan 30, 1913.  Has entirely recovered.  Paroled.
Jul 18, 1913.  Discharged recovered.


History and clinical notes:
History:  A former patient, was discharged Feb 9th, 1912.  For previous history, see Book VI, page 295.  When admitted today, he sat motionless with his head very erect and eyes fixed; would not talk and was very much emaciated, had numerous bruises on his body.
Mar 17, 1913.  Is gradually growing worse.
Mar 26, 1913.  Condition unchanged since last report; is confined to bed and rapidly emaciating.
Apr 29, 1913.  Died.  Exhaustion from general paralysis.


History and clinical notes:
History:  Has been an inmate of N.C.Co. Hospital for past year; for past two month he has been very contrary and refused to obey rules of the institution, would wander away and could not find his way home; sometimes he tears his clothes and is inclined to be violent.
Feb 10, 1913.  Fell upon floor today, producing an intra-capsular fracture of left hip; has marked shortening and severe pain upon motion.
Mar 26.  Confined to bed and does not attempt to use limb.
May 22.  No change since last report.
Sep 24.  Confined to bed, no mental change.
Mar 9, 1915.  Had a stroke today and is unconscious.
Mar 11.  Is still unconscious, stertorus breathing.
Mar 12, 1915.  Died.  Cerebral embolism.

Final disposition:
Died of cerebral embolis. M Buried in DSH Cemetery #244.


History and clinical notes:
History:  Patient has been traveling about photographing institutions and manufacturing plants, afterwards selling the pictures to employees.  Three weeks ago photographed this institution and a number of employees.  For sometime past he has been writing to newspapers and asking them to publish articles in his behalf, he has also consulted members of various detective bureaus asking them to protect him from violence at the hands of Labor Organizations.  He claims he is being followed in every town and that he has been ejected from RR trains (although he would have proper transportation) all due to members of the various organizations.  When asked why he is followed, he says “because they think I am a detective.”
Mar 17, 1913.  Some improvement; delusions have about disappeared.
Apr 7, 1913.  Paroled.
Jul 18, 1913.  Discharged recovered.


History and clinical notes:
History:  Patient was “picked up” at Wilmington RR Station by police; she had a ticket for Annapolis, Md. and gave an address but authorities could not get a reply to telegrams.  Has been detained at City Hall for several days pending investigation and during that time she has acted in a peculiar manner.
Feb 18, 1913.  Grippe attack.  Talks only when strongly urged; morose.
Mar 20.  Seems brighter but volunteers nothing.
Apr 19.  Continues as usual.
May 19.  Has been found concealing knives about her person and looks more sullen.  Attempted suicide.
Aug, 1913.  Seems bright and helps about ward; very quiet.
Oct 1913.  Good general condition.
Jan, 1915.  No specific changes.  Reticent and at times irritable.  Does some work about ward.
Feb 15.  Has been in bed for past few days complains of pain through her abdomen 2 or 3 inches above umbilicus.  States that the pain radiates from the front to back.  Purgatories have been given with but little effect.  No special pain on pressure.  No temperature.
Feb 20.  Abdomen distended this a.m.  High enema was given; no marked effect.
Feb 25.  Abdomen very much larger, extending from lower border of sternum to pubis – very tense, breathing affected from pressure on lungs.
Mar 5.  Very weak this a.m.; respirations increased.
Mar 7, 1915.  Patient gradually failed and died; 11:30 p.m. on March 6th.  Peritonitis secondary to intestinal obstruction.


History and clinical notes:
History:  Patient comes from a mentally deficient family, has been acting as a servant and under the care of Associated Charities.  A few years ago she was seduced, became pregnant and gave birth to a child which lived three years; about one week ago she ran away with a man who deserted her in Phila.; she claims she did not have sexual relations with him.
Feb 8, 1913.  Patient is a weak-minded girl.  Was visited by her mother today who removed her against the advice of the Supt.  Paroled.  Not insane.
Jul 18, 1913.  Discharged.

Standard form attached:  February 5, 1913.  “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/helped by another daughter].”


History and clinical notes:
History:  Was “picked up” by police at Wilmington, says he ran away from some institution in Connecticut, clothing were marked B.W.  Is very stupid and we are unable to obtain history, other than patient attempted suicide some time ago, by striking his head with an axe.
Mar 26, 1913.  Some improvement since admission, will answer interrogations but is not inclined to engage in conversation.
May 22.  Continues to improve, works in laundry.
Jun 15, 1914.  Is quarrelsome at times and inclined to be violent.
Mar 24, 1915.  Quiet at present time and is working in laundry.
Dec 12.  Was placed on the ward today, was disobedient in regard to rules and threatened violence.
[No further entries].

Additional notes:
Died 8/24/1947 at Farnhurst of TB of right hip and gluteal abscess.  Buried at DSH, Grave #584.


History and clinical notes:
History:  A former patient, for previous history see Book VI, page 413.  Is very talkative and has delusions of grandeur.
Mar 26, 1913.  Is talkative and untidy, tears his clothes and is generally troublesome.
May 22.  Does not improve and is very untidy.
Sep 14.  Had an attack today of apoplectic form in character and was placed in bed.
Sep 24.  Some physical improvement but still confined to bed.
Jun 15, 1914.  Is up and about ward, some physical improvement but mind more enfeebled.
Jan 10, 1916.  Was found this a.m. with an extra capsular fracture of left hip.  Extension applied.
Jan 23.  Extension taken off today.  Both lungs markedly congested at base, respirations 38, pulse 140, temp 101.2.
Jan 26.  Refuses nourishment and is in a stupor most of the time.
Jan 28, 1916.  Died.  General paralysis of the insane, ex. capsular fracture of femur.

Final disposition:
Died, general paralysis of the insane;extra-capsular fracture of femur


History and clinical notes:
History:  A former patient, admitted May 22, 1900, paroled June 23rd, 1900.  See Book IV.  At present patient is in poor physical health and is delusional, accusing her husband of unfaithfulness and cruelty but officer who brings patient states that husband is a good, industrious man.
Apr 21, 1913.  Paroled.
Jul 18, 1913.  Discharged improved.

Standard form attached:  Apr 21, 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 [X mark of husband].”


History and clinical notes:
History:  Was just brought to institution with her mother, the child is very nervous and threatened to cut her throat when told she was to be brought to DSH; she is poorly nourished and small for her age.
Feb 5, 1913.  Was taken to the home of her aunt (Mrs. Toulson) by permission of her father [name redacted].
Feb 5, 1913.  Patient has grown stronger, has a better color.  There has been no indication of insanity.  Was ill through overwork.  Was removed by her aunt, Mrs. Toulson today by request of patient’s father.  Paroled.  Not insane.
Jul 18, 1913.  Discharged.

Final disposition:
Removed to home of aunt with father's permission on 2/5/1913

Additional notes:
Died 10/20/1918 -- maybe.  Not sure it is the correct M.R.


