# Demographic info and clinical notes

History and clinical notes:
History:  Husband states that patient has been very noisy and troublesome for 4 weeks; has visional (sic) and aural hallucinations, is very talkative and often sings.
Nov 20, 1917.  No change in any respect.  Imagines that people are talking to her at times.  Does not realizes that anything is the matter with her.
Dec 14.  This a.m. patient escaped, possibly by climbing over door on porch back of Ward B.  Was seen by attendants and patients about 6 a.m. shortly after this time was missed.  Searchers followed her footsteps in the snow as far as trolley line where they were missed.
Dec 18.  Returned today by State Detective, Fred B. Murphy of Dover.
Jun 15, 1918.  No change in patient’s mental condition; physically very well, has marked delusions of persecution.
Jul 10, 1919.  This morning between 4:30 and 6 a.m. patient escaped by opening the door with a hair pin and escaping through the fire escape.  Searchers went all over without any result.  Sent telegram to her people and Dover Police Station.  Paroled.  Eloped.
Jul 11, 1919.  Patient brought back by officers of Dover.

Additional notes:
She stayed at DSH until her death there on 12/7/1930.  She is buried at Silverlake Cem., Dover.  She died of chronic myocarditis.


On certificate of:
Drs. Samuel Marshall and John B. Derrickson (difficult to read)

History and clinical notes:
History:  Officer who brings patient states that patient has been troublesome for several years and has served a term in the workhouse (Green Bank).  Is always rational and does not drink.  Occasionally throws stones at someone.
Oct 26, 1917.  Has been quiet and well behaved since admission.  No delusions or hallucinations elicited; says he will “sho” be a better boy if allowed to go home; is cleanly and tidy.
No further entries.

Additional notes:
Stayed at DSH through 1940 census, and he died at DSH on 1/3/1965.  Buried in the Spiral Cemetery, Grave #718.  Burial record said he was admitted in 1963, so he may have been discharged for many years before returning in 1963.


History and clinical notes:
History:  Has been in police station 3 days, is unmanageable, violent and very dangerous.  Has convulsions frequently, has been drinking for sometime.
Oct 23, 1917.  Patient has been quiet since admission, seems depressed, no delusions elicited, complains of wounds received while in police station.
Nov 1.  Patient is well oriented to time, place, and person; memory and judgment good; physical condition good.
Nov 8, 1917.  Is in good mental and physical condition and was allowed to go home.  Paroled.
May 14, 1918.  Discharged improved.


History and clinical notes:
History:  Patient fell from a trolley car in Chester 4 years ago, was unconscious in a hospital for several hours.  After she returned home seemed normal apparently for some years, then became depressed, would not do her work, is very destructive and untidy.
Jan 1918.  No improvement mentally, much the same state as she was when admitted.
Oct 1919.  Patient has been failing for some weeks.  Lungs are affected, is suffering from TB.
Oct 1, 1920.  Patient has been in bed for past 5 or 6 months, is very much emaciated.
Oct 26, 1920.  Patient continued to fail and died at 11:50 this morning.  Phthisis pulmonalis.


History and clinical notes:
History:  Has been out of the state about 10 years and joined the Army from N.Y.  Relatives know now nothing of the history of the case.  Was discharged from the Army about 2 weeks ago and was returned to his home; he was profoundly depressed and has not talked since he returned and has been quiet and well behaved.
Jan 18, 1918.  Patient is profoundly depressed and laughs in a foolish manner and does not answer questions asked him.  Is quiet and well behaved; physical condition good.
Nov 27, 1920.  Wasserman negative.
No further entries.

Paper #1, letterhead: United States Public Health Service, Report of Physical Examination, War Risk Insurance.  Place:  Farnhurst, Del.  Date: October 20, 1919.
1.  Claimant’s name:  Edward Rothwell (C)/.
2.  Service organization and Rank: Private
3.  Present address:  Delaware State Hospital, Farnhurst, Del.
4.  Age:  26.  Color:  Black.  Previous Occupation:  Unknown.
5.  Brief military history of claimant’s disability:  Unknown.
6.  Present complaint: Mental.
7.  Physical Examination: (General examination desired, but most detailed report of part which is the seat of disability).  This report should give in detail all physical findings and in addition when necessary laboratory findings of sputum, urine, blood, etc., X-Ray, blood pressure, etc., depending on the location of the disability.  “Patient admitted to this hospital November 1, 1917.  Physically well.
8.  Diagnosis:  Manic-depressive; mixed type.
9.  Prognosis:  Unfavorable.
10.  Is claimant able to resume former occupation?  No
11.  Do you advise it?  No
12.  Is claimant bed ridden?  No
13.  Is claimant able to travel?  No
14.  Do you advise hospital care?  Yes
15.  Will claimant accept hospital care?  Yes
16.  Any other remarks.
Signature _________________ [blank]
Address __________________. [blank]
[Back of form is blank].


Paper #2, letterhead: Office of Medical Officer in Charge, Treasury Department, United States Public Health Service, 1512 Walnut Street, Philadelphia, Pa.  October 17, 1919.

Supt. State Hospital
Farnhurst, Del.

Dear Sir: - 
	You are requested by the Chief Medical Advisor, to furnish this office with a physical examination report of Edward Rothwell, claim 54138, who is now a patient at your institution.
	Enclosed find examination blanks, three cards “A”, one card “D”, and a hospital card of admission, which you are requested to fill out and return to this office.  Also find a hospital discharge card which is filled out and sent to this office when the patient is discharged.  Respectfully yours, Fairfax Irwin (stamped signature), Senior Surgeon, U.S.P.H.S., Supervisor G District.


Paper #3 – typed on the reverse side of a piece of letterhead from DSH at Farnhurst, Dr. Hancker, Supt.  Hand-written at top: Sent Nov. 2nd, 1920.  Typed:  Delaware State Hospital, Nov. 2nd.  1.  Rothwell, Edward  2.  Private, Co.L. 21st. Inft.  4.  Delaware State Hospital, Farnhurst, Delaware.  5.  Washington Rothwell.  6.  Middletown, Delaware.  6.  27, black, laborer.  7.  No history.  8.  None.  9.  Physical disorders of no pathognomonic value.  General nutrition – good.  Skin – no scars, no eruptions.  Lungs-heart, pulse, circulation: normal.  Genito-urinary system: normal.  Gastro-intestinal system: normal.  [Continued on the backside of a second piece of letterhead from DSH].  10.  Tendon reflexes exaggerated.  Dilated pupils.  Pupils react to light and accommodation normally.  Taste and hearing: normal-.  Vasomotor disorders, dermographism.  11.  Simple progressive enfeeblement of the mind – auditory hallucinations, illusions of sight, the faculty of attention is disturbed, memory relatively little impaired, the faculty of judgment is affected; delusions of depressive character, hypochondriacal, changeable with grandiose ideas; these delusions are changeable, silly and at times senseless; disorders in the sphere of the emotions; impulsive actions, silly and senseless and at times dangerous and destructive, and manifested without any purpose; patient will repeat the same words and phrases over and over; the presence of food will often arouse an interest; sudden motor explosions, impulsive actions, silly laughter, stereotypy of speech and movement; at times quite indifferent to family, friends, and recreations; frequent laughter without adequate cause; increasing loss of will power.  12.  Diagnosis: dementia praecox – hebephrenic form.”

Additional notes:
His death certificate says his usual occupation was an an errand boy for an undertaker.  He died 9/3/1955, has a military headstone, buried in Dales Cemetery, Middletown.  In 1930 census, he was in the US Veterans' Bureau Hospital in Phila.  He was apparently there until he died in 1955 of heart disease.  Has a Pennsylvania Death Certificate.


History and clinical notes:
History:  Patient has not worked or supported his wife for the past 3 years.  Says he does not have to work.  Acts very silly at times.  Says he can whip his wife or anyone else and at times has grandiose delusions.
Jan 18, 1918.  Memory and judgment impaired, conversation irrelevant.  Has some grandiose delusions, physical condition good.
Jan, 1919.  No change in patient’s mental condition.  Physically getting weaker.
Oct 31st, 1920.  Patient died at 12:20 am.  General paralysis of the insane.  From personal knowledge, 2 years, 11 months, 24 days.


History and clinical notes:
History:  Father states that patient has always been rather peculiar, and about one week ago, began to have many religious ideas.  Says Christ will appear in this house at a certain time and insists upon his family to wait for his coming.  Also has aural hallucinations.  Has never been violent and never drinks.
Nov 16, 1917.  Patient is more subdued and much more quiet than when admitted.  Was visited by father today who removed him against the advice of the Supt.  Paroled.
Dec 21st, 1917.  Returned today as family could not care for him at home.
Feb 5, 1918.  Has delusions of persecution, says he should be dead and talks of suicide.  Is well oriented, quiet and well-behaved.
Mar 18.  Patient’s mental (sic) is somewhat improved.  Is depressed and often cries, makes threats of suicide in his letters.  Was taken home today by his wife.  Paroled.  [Note: admission info says he is single].
Jul 29, 1918.  Patient brought back by his father who states that they could not take care of him longer, as his delusions are very [illegible – perhaps “annoying them”].  Talks that he is a prophet, ordered by Lord to act quickly about some important matter – suffered from religious delusions.
Dec 1, 1918.  No change in patient’s mental condition.
Dec 15.  Patient’s father came and took him home for holidays, against the wish of the Superintendent.  Paroled unimproved.
Apr 17, 1919.  Discharged unimproved.
No further entries.

Additional notes:
Taken home by father, AMA.  Returned to DSH a week later, 5/8/1919, where he stayed until his death on 9/20/1959.  Buried in Riverview Cem., Wilm.


History and clinical notes:
History:  History given by friend who states that patient had spinal meningitis when a child.  For a number of years has been depressed at times, recently he has gone out without his clothes on, threatened to strike his sister, has delusions of persecution, often cries; eats and sleeps well.
Jan 18, 1918.  Patient has improved both mentally and physically, occasionally has hysterical attacks; is depressed at times.
Mar 30, 1918.  Was allowed to go home today with his friends.  Paroled improved.
Oct 16, 1918.  Discharged improved.


History and clinical notes:
History:  Father states that patient has been having epileptic convulsions since she was 8 years of age.  Is troublesome at times, but has never been violent.
Jan 1918.  Patient has convulsions almost every day.
May 1918.  No change in patient’s condition; still having the epileptic convulsions every day, sometimes 8 spells a day.
June.  Patient has only one spell in 3 weeks.
Jul 31.  No spells in 4 weeks.
Aug 3.  Patient’s father took her home for trial – keep at home until the convulsions appear.  Paroled improved.
Aug 10, 1918.  Was returned by her relatives today, who stated that she was very nervous and she wanted to come back.
No further entries.

Additional notes:
Died 6/11/1925, at home, in status epilepticus, buried in Indian River Mission Cemetery, Millsboro.


History and clinical notes:
History: For former history, see Case Book VII, page 393.  Her father died here, Nov 30, 1917 and this is supposed to have brought on the recurrence.
Jan 1, 1918.  Very noisy and troublesome at times.  Says she is pregnant and that she has dozens of children.  At times has torn her clothing.
May 1, 1918.  Has gradually become more quiet and more ladylike.  Was transferred to Ward B.
Jun 1st.  Very much better.  Works about the ward and is cheerful and happy.
Jul 2, 1918.  Was allowed to go home by herself today.  Paroled.
Oct 16, 1918.  Discharged recovered.

Additional notes:
1920 census, living with husband, her mother, and her brother.  1930 census, living with husband and one child (and mother and brother still).  Died 9/18/1942.


History and clinical notes:
History:  History given by son-in-law who states that patient was paralysed about 7 weeks ago and could not use his extremities for three weeks.  Has many delusions, accuses his wife of being immoral, is noisy at times, does not sleep well and is very feeble.
Jan 18, 1918.  Memory very poor; is delusional, is quiet during the day but very noisy at night.
Jan 29, 1918.  Was visited today by his relatives, who took him home against the advice of the Supt.  Paroled.
Feb 2nd, 1918.  Returned today as family could not care for him at home.  Was very weak on his return to the hospital today.
Feb 10.  Is very noisy at night.  Is rather feeble but eats well; has many delusions.  
Feb 25, 1918.  Paroled.
Oct 16, 1918.  Discharged unimproved.

Standard form attached:  Feb 25, 1918.  “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. McClellan], Signed [child – son or daughter].”

Additional notes:
Died 3 days after discharge, 2/28/1918, buried in Cathedral Cem., Wilm.


History and clinical notes:
History:  Officers who bring patient know but little of the history of the attack.
Jan 18, 1918.  Is quiet and fairly well-behaved.
No further entries.

Additional notes:
Still at DSH in September 1918, when he registered for military service.  Died 10/20/1953, buried in Spiral Cemetery, Grave #623.


History and clinical notes:
History:  Patient has attempted suicide twice and injured his head by striking it against the wall.  Officer who brings patient states that he has been an inveterate drinker all his life.
Dec 14, 1917.  Patient is delusional.  Very noisy and troublesome at night.  Has many alcoholic hallucinations.  Has a laceration on left forearm and two on wrist, all were infected when admitted.
Jan 18, 1918.  Has improved both mentally and physically.  His wounds have all healed and his general health is good.
Mar 6, 1918.  Patient has gained in weight and his mental and physical condition is good.  Was allowed to go home today.  Paroled.
Oct 15, 1918.  Discharged recovered.


History and clinical notes:
History:  Committed to the New Castle County Workhouse Nov 30, 1917 on charge of vagrancy.  Term expired on Dec 9.
Dec 16, 1917.  Patient’s physical condition critical on admission.  Gangrene of both feet.
Dec 29, 1917.  Refused food and is gradually growing weaker.  Died 9:10 a.m.


History and clinical notes:
History:  Son states that he has been deaf since 7 years of age, when he had an attack of scarlet fever.  Has been a painter all his life and has suffered a great deal from attacks of lead poisoning.  Last July his mind first became affected.  Said people were talking about him and they were making fun of him because he was deaf.  Lately has been noisy and violent at times so that his relatives could not possible (sic) care for him.  Has attempted to jump out of the window several times.  Patient on admission was quite feeble.
Dec 20, 1917.  Is very feeble and is gradually growing weaker, refuses all food.
Dec 24, 1917.  Died.


On certificate of:
Drs. Dorsey W. Lewis and Norman L. Beale

History and clinical notes:
History:  Father states that patient’s mental condition was far (sic) until Aug 1916, when he fell in yard, had to be carried in the house and was unconscious for one day, since that time his memory has been very poor, seems depressed, sits about the house and cries; has never been violent; eats and sleeps well.
Jan 18, 1918.  Is quiet and well behaved, memory fair.  Patient has the characteristic hesitancy of speech of paretics.  No improvement.
Apr 10, 1918.  Had a number of convulsions today; epileptic form in character lastic about 4 (?) hours.
Aug 18.  No change in any respect.
Oct 15.  Has been in convulsions nearly all night.
Oct 18.  Convulsions continued until this a.m. when they ceased; patient very weak.  This p.m. convulsions continued.
Oct 19, 1918.  Patient continued to fail and died at 1:30 a.m.  Status epilepticus.


History and clinical notes:
History:  Husband states that patient was paralysed about four years ago; has been unable to walk; is delusional, eats and sleeps well; has never been violent as physicians state.
May 15, 1918.  Patient violent at times.  No change in her mental condition.
Jan 10, 1919.  No change in patient’s mental and physical conditions.
Sep 11, 1919.  Patient had an apoplectic stroke after which she lived 45 minutes.  Died at 4:35 p.m.  Cerebral apoplexy, duration 45 minutes.


History and clinical notes:
History:  Brother states that patient has been depressed for one week, threw dishes as members of the family; was a former patient in the DSH, case book VII, page 127.
Jan 18, 1918.  Patient has improved both mentally and physically since admission.  Is quiet and works abut the ward.
Jan 26, 1918.  Patient was visited today by his brother, who took him home.  Paroled.
May 14, 1918.  Discharged improved.


History and clinical notes:
History:  Patient brought by brother-in-law, who states that she has been very noisy and troublesome since Dec 1st.  For former history, see case book VII page 346.
Jan 20, 1918.  Very restless and talkative since she came here; at times irritable and cross.
Apr 1st, 1918.  Very much improved.
May 1.  Works about the ward and is about well.
Jun 3, 1918.  Was allowed to go home today by herself.  Paroled.
Oct 16, 1918.  Discharged recovered.


History and clinical notes:
History:  Was paroled June 23, 1916.  See Case Book VII, pg. 151.  Friend who brings patient states that patient has been depressed for two weeks; refuses to eat.  Is very feeble on admission.  Was former patient here.  For former history, see Case Book VII, page 151.
Jan 18, 1918.  Patient’s mental and physical condition is somewhat improved.  Eats very little, is quiet, and only answers a few questions asked him.
Jan, 1920.  No change mentally or physically.
Feb 1920.  Patient’s urine was examined and found to contain albumin.  Has been in bed for one week.
Apr 20.  Has been in bed for some time, is suffering from nephritis.
Aug 1.  Still in bed.  Suffers a great deal.
Aug 10.  Very weak.  General anasarca.  Has taken but little nourishment.
Aug 18, 1920.  Patient has failed rapidly and died this a.m.  1:30 am.  Died.  Chronic interstitial nephritis.


History and clinical notes:
History:  Patient has been employed by the Penna. RR for 27 years.  About the first of Jan, 1918 he became delusional, has many delusions of persecution, is usually quiet, does not sleep well.
Jan 18, 1918.  Has many delusions of persecution; refuses to eat and had to be fed today with a nasal tube.
Jan 24, 1918.  Was taken home today by his brother-in-law against the advice of the Supt.  Paroled.
May 14, 1918.  Discharged unimproved.

Standard form attached:  Jan 24 1918.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [W.D. Cooper], Signed [Mrs. B.F. Leonard].”

Additional notes:
Died 2/4/1918, just a few days after going home.  Buried in Riverview.  COD says he died of phlegmamous erysipelas.


History and clinical notes:
History:  Son who brings patient states that she has been suffering from excessive uterine hemorrhage for the past 3 or 4 months and could not be cared for at home.  Says that her mental condition is good.  She is very feeble and her gait is very unsteady.
Feb 1, 1918.  Has been very troublesome since she came here and has become untidy and difficult to care for.  Has to be strapped to a chair to prevent her annoying the other patients.  Was placed in bed today as her feet have been swollen and pit upon pressure.
Feb 20.  Still in bed; very restless.  Keeps the bed clothes thrown off.
Mar 2nd.  No improvement.  This morning her lungs (upper posterior) were markedly congested.  Very dull on percussion.
Mar 4.  No improvement in lung condition.  Will not keep the bed clothes over her.  Very weak and feeble.
Mar 8th.  Very much worse this a.m.  Is in semi-comatose condition.
Mar 9, 1918.  Patient remained unconscious and passed away 7:15 p.m.  Lobar pneumonia.


History and clinical notes:
History:  Officer who brings patient states that he had wandered away from [illegible] and was “picked up” in Middletown.  Is very feeble on admission.
Jan 21, 1918.  Memory impaired, seems depressed, is quiet and well behaved.
Jan 30, 1918.  Has improved both mentally and physically since admission.  Was visited today by his son today (sic) who was allowed to take him home.  Paroled.
Oct 15, 1918.  Discharged rec.

Additional notes:
Died 4/19/1918 of chronic gangrene of foot and senile debility.  Buried in W. Grove, Pa.


On certificate of:
Drs. Henry G.M. Kullock and Charles H. Black

History and clinical notes:
History:  Husband states that patient has been very talkative for the past three weeks and a few days ago became violent – whipped the children, broke out window glass and threatened husband.  Has visual hallucinations – does not eat well.  Her insanity began soon after childbirth.
Feb 1st, 1918.  Very much disturbed since her admission.  At times noisy and destructive.
Feb 20.  Limbs very much swollen and was placed in bed.
Mar 1st.  Is up and about again.  Swelling has disappeared.  Very much improved mentally.
Mar 16, 1918.  Was allowed to go home today with her husband.  Paroled.
Oct 16, 1918.  Discharged recovered.

Additional notes:
She lived until 1954, is buried in New Jersey.  The child born in 1917 did survive, and she went on to have 3 more children.  Very prolific lady!!


History and clinical notes:
History:  No history given.
No further entries.

Additional notes:
1920 census -- at DSH.  Died at DSH 10/26/1938.


History and clinical notes:
History:  During menstrual period is violent.  Masturbates frequently.  Is destructive at times.
No further entries.

Additional notes:
1920 census -- at DSH; 1940 census -- she is listed both at DSH and at Old Ladies Home, Home for Aged Women.  Died at Memorial Hospital, 4/1/1956. Another person of the same name died 7/21/1950.


History and clinical notes:
History:  This is her second attack.  1st attack about 5 years ago.  Has always been depressed.  Has been violent for three days, is delusional and very talkative.  Does not sleep well.
Feb 12, 1918.  Patient very restless; has to be tied in bed.  Does not talk, but mutters – cannot be understood.
Feb 13.  Still very restless.  Temperature this a.m. 102.4.  Has positively refused all nourishment.  Has been forced to take beef juice every hour or two.
Feb 14.  Temperature the same today.  Head very hot.  Cold applications to same.
Feb 16.  No improvement.  Muttering delirium.  Temperature 100 this a.m.  Head still hot.
Feb 18, 1918.  Patient continued to fail and died at 7 a.m. today.  Pachymeningitis interna.


History and clinical notes:
History:  Attach began about 3 weeks ago, is untidy, destructive and talkative and delusional.  Says she receives shocks by electricity and has many delusions of persecution.  Is quite feeble on admission.
Feb 20, 1918.  Patient extremely restless and troublesome; had to tied to a chair (sic).
Feb 22.  No improvement; was placed in crib bed today.
Feb 25.  For past 2 days has been quite stupid and this morning tongue was very thick, right side slightly paralyzed.  Face also very inflamed and erysipelas involving ear, lips, and neck.
Feb 26, 1918.  Patient continued to fail and died 7:15 a.m.  Cerebral apoplexy.


History and clinical notes:
History:  Has been disturbed about three weeks and has been violent at times.  This is the 2nd admission for former history see Case Book VIII, page 23.  Patient was rather feeble on admission.  Patient arrived on Feb 17, 1918 tho patient [papers??] did not arrive until today.
Mar 9, 1918.  Patient has steadily improved since he came here and for past week or two has been working in dining room.  Was visited today by his wife who removed him.  Paroled.
Oct 16, 1918.  Discharged recovered.

Additional notes:
1920 census living at home with wife and kids; died 3/4/1924.  Died of liver cancer, buried in St. George's Cemetery.


History and clinical notes:
History:  No history obtained.  Was formerly an attendant at the DSH.  Was employed at Norristown about three years, became insane and wandered away from the institution, returned to Wilmington, and was taken to Mrs. Walter’s Hospital.
Feb 28, 1918.  Patient has been very feeble since admission.  Is depressed and refuses food.  Is noisy at times.

Additional notes:
Died at DSH 1/7/1948; buried in Spiral Cemetery, Grave #587.  Name listed as "Gove" because that's what Death Book said, although ledger says "Grove."


History and clinical notes:
History:  See Case Book 6, Pg. 238 for former history.  At that time suffered from P.M. [puerperal mania] following birth of first child.  Was admitted Jul 14, 1910, paroled Dec 21, 1910.  Has had three children since that time, the last one was born last Saturday a week.  First symptoms of insanity last Thursday – became depressed and neglected her child.  At times quite noisy.  Has been untidy during night.  Patient appreciated where she is and was willing to come.  Has not rested very well at night.
May 2, 1918.  Patient doesn’t show any improvement.  Upon examination found that she suffers from phthisis pulm.  Both apices congested.
May 10, 1919.  No change in patient’s mental and physical condition.
Aug 12.  Patient suffers from broncho-pneumonia.
Sep 3, 1919.  Patient died at 3:50 p.m. this afternoon.  Broncho-pneumonia, contribution from phthisis pulm.  1 year, 4 months, 23 days.

Final disposition:
Died of broncho-pneumonia, contributing cause phthisis pulmonalis


History and clinical notes:
History:  Patient has been depressed since the birth of her child 8 months ago.  She remains in bed most all the time – is profoundly depressed, eats very little, is very quiet.  Patient suffering from tuberculosis of lungs.
May 15, 1918.  Patient getting worse.
Jan 25, 1919.  Mentally and physically getting worse.  Has to be kept in bed.
May 28.  Patient getting very weak.  Hemorrhages almost daily.
Sep 28, 1919.  Patient died this morning at 1:30 a.m.  Phthisis pulm.  One year, 6 months, 20 days.

Additional notes:
Sister of previous patient, Laura Edwards.  Both died of TB shortly after having children.  No further info.


History and clinical notes:
History:  Son-in-law states that she has been more or less feeble minded for past year, but during past 4 months she has been much worse.  Will not go to the toilet and frequently wets and untidies her bed at night.  Is very forgetful and at time positively refuses to eat unless compelled to.  Sleeps every chance she gets and has laid in bed so long that bed sores have appeared.  Is very feeble and walks only with help.
Mar 25, 1918.  Patient has been quiet since her admission, wanders around the ward a great deal.  At times is untidy, does not seem to know where toilet is.  This a.m. (4:30) the night attendant heard her breathing stertorously and found she was unconscious.  Patient remained in this state until 7 a.m. when she died.  Cerebral apoplexy, 4 a.m.


History and clinical notes:
History:  Patient has been stealing chickens and was sent here by order of court.  Nothing is known of his history.
No further entries.


History and clinical notes:
History:  Patient was drafted and sent to Camp Dix about two months ago; became very nervous and was discharged from the Army.  Has been delusional but very quiet all the time.
Apr 13, 1918.  Patient has been quite well for past week.  This a.m. escaped from his attendant and eloped.
Oct 16, 1918.  Discharged recovered.

Additional notes:
Eloped after one month.  1930 census, living in Georgetown with his wife Eva and six kids.  Working as a clothing presser (ironer).  On his World War I draft card his race is listed as "Ethiopian."  1940 census, still living in Georgetown with wife Eva, has a few more kids, but looks like a couple of the kids have died young, as well.  Died 1/14/1941.  Buried in African M.E. Cemetery in Georgetown, DE, with a military headstone.


Insane Relatives:
father & mother not right, brother at DSH now, sister was at DSH

History and clinical notes:
History:  Was first admitted July 12, 1913.  Paroled Nov. 24, 1914.  Father who brings patient states that patient has been very troublesome for the past year and at times noisy and that he could not keep her home any longer.  Was fairly good previous to the present attack and was quite a help around the house.
Aug 1918.  Patient improving nicely.  Works around the ward.
Oct 8.  Patient has an attack of epidemic influenza.
Nov 8.  Recovered from influenza, mentally and physically improving nicely.
Nov 30, 1918.  Patient’s mother came and took her home.  Paroled improved.
Apr 17, 1919.  Discharged recovered.

Additional notes:
1920 census she was living at home and working for a fiber company.  She died in 1934.  Buried in Christ Church Cem., Forest Hill, Maryland.  Never married.   Her brother Herman Lingan (MR) is buried in the Spiral Cemetery.


History and clinical notes:
History:  Was first admitted here Nov 12, 1915, was removed by his daughter Oct 11, 1916.  Daughter states that she has had considerable trouble with him the last few months.  Was admitted last Friday the 22nd.  Paper did not arrive until today [25th].  Has threatened to strike his daughter and she has been afraid that she (sic) would do some violence as his temper is getting much worse.
Jul 1918.  No change in patient’s mental condition, physically not strong.
Nov 4.  Patient had a light stroke.
Nov 13, 1918.  Patient died at 8:20 a.m.  Apoplexy.

Final disposition:
Died of apoplexy.  Buried in Evergreen Cem., Camden, NJ.


History and clinical notes:
History:  Patient brought by friends, no history obtainable.  Patient very destructive and noisy, at times very violent.  Patient is blind, suffers all symptoms of quaternary stage of syphilis or cerebral tumor at parietal lobe.
Dec 1918.  Patient getting very weak.
Jan 24, 1919.  Patient had a cerebral hemorrhage, put in bed.  Condition very critical.
Jan 30.  Patient had another hemorrhage.
Jan 31, 1919.  Patient died at 6:45 a.m.  Cerebral hemorrhage.  2 days.


On certificate of:
Drs. William P. Orr, Jr., and Hiram R. Burton

History and clinical notes:
History:  Patient brought here by his friends.  No history obtainable.  Patient has delusions of persecution; physically well.
Jul 1918.  Patient is more sociable; works around.  Doesn’t talk about people any more.
Oct.  Patient improving slightly.
Dec 2, 1918.  No change in patient’s condition.
Dec 4, 1918.  Patient’s sister came and took him home.  Paroled unimproved.
Dec 27.  Patient brought back by his sister, who states that he was very worried, crying at times.  It was very hard to keep him home.

Additional notes:
Died 11/9/1924 at DSH.  Buried in the Spiral Cemetery, Grave #345.


History and clinical notes:
History:  Perhaps a toxemia; he seems slightly jaundiced and feverish.  Brought by officer and unable to give any information regard to patient.
May 3,. 1918.  Patient is very quiet.  Most of the time he says he is getting wireless information from Austria and Russia.  Talks about the war and condemns all monarchs.

Additional notes:
Wireless info from Austria.  Condemns all monarchs!!!  Still at DSH in 1930 and 1940 censuses.  Died at DSH 6/13/1965.


History and clinical notes:
History:  Certificate states this boy was in good shape until two weeks ago and on arising in the morning was frightened and has been in this condition since.  He seems conscious that something is wrong but is too bewildered to tell anything.
May 3, 1918.  Patient is very quiet, does not talk.  Often spits on person who tries to talk to him.  Physically very weak.
May 6.  Patient takes very little nourishment, growing weaker.  (Digest. Beef juice, Strych. sulf.) put in bed.
May 13.  Physical condition a little better and on account of decubitis taken out of bed.
Sep.  Physically getting very weak.
Oct 5.  Patient suffering from epidemic influenza.
Oct 10.  Patient has broncho-pneumonia.
Oct 16, 1918.  Patient died at 4:30 a.m. from broncho-pneumonia.

Final disposition:
Died of bronchopneumonia during epidemic influenza.


History and clinical notes:
History:  Has never been absolutely normal.  Has always been eccentric for a great part of his life has lived alone, has pronounced arterio-sclerosis.
May 2, 1918.  Patient talks incessantly, tears his clothes, very weak.
May 20.  Patient’s condition getting worse; put in bed.
May 28.  Pat. paralyzed on left side.  Hemiplegia sinistra; hardly talks, very weak.
May 30.  Patient’s condition gets worse.
Jun 8.  Very much weaker gradually failing.
Jun 11, 1918. Has been unconscious for 2 days and died this eve at 7 p.m.  Cerebral apoplexy.


History and clinical notes:
History:  Mother says patient has attempted suicide three times.
May 3, 1918.  Patient refuses to swallow any solid food.  She is very weak.  Was put to bed.  Very noisy.
May 5.  Refuses to swallow anything.  Given by force.  After which she starts to take milk and digest. beef juice.  At night very restless.  Chloral and strychnine sulfate.
May 7.  Patient very noisy.  Cannot talk distinctly.
May 8.  Patient very weak.  Administered heart stim. And beef juice.
May 10.  Patient does not [illegible – looks like “resform fr. cales].  Very weak.  Pulse 40, resp. 48.
May 12.  No change in patient’s condition.
May 13.  Pat. is much worse.  Pulse 32, resp. 52.  Adm. heart. stim.
May 14, 1918.  Patient dies at 1 a.m.  Valvular disease of the heart.


History and clinical notes:
History:  Patient’s condition began after bad treatment about one year ago.  Previously in normal condition.  Patient is destructive with her clothes.
Sep 20, 1918.  Patient has been very quiet, working around the wards.  Behaving herself very good, no trouble at all.
No further entries.


History and clinical notes:
History:  Patient was brought by her husband in very weak condition; husband states that she was very noisy for a few weeks, talking about somebody trying to kill her.  He states also that she was in the same condition two years ago.
May 3, 1918.  Patient’s condition the same.
May 4.  The physical examination of the heart of patient shows all symptoms of chronic valvular disease.
May 6.  Patient getting more noisy, refuses to take any food, claiming that the people want to poison her.  Given by force, milk and dig. meat juice.
May 7, 1918.  Patient growing very weak.  Digitalis, strychnine sulfate.  Patient’s death occur on exertion at 1:15 p.m.  Chronic valvular disease of the heart.


On certificate of:
Drs. George R. Carmichael and W.H. Kraemer

History and clinical notes:
History:  Dr. M.H. Kraemer states that her insanity is due to the loss of her son and can be cured providing this son can be transferred to service in this part of the country.  Patient very noisy, talks about being operated [on] a few times.  Asks about her boy.
May 13, 1918.  No improvement, very noisy and troublesome.  Was visited by her husband today who removed her against advice of Supt.  Paroled.
May 15.  Patient brought back by husband and brother.  It was very hard to get her in, but afterwards she was very quiet and slept well.
May 19.  Patient tried to jump from the porch.  Was caught by the attendants.
Jul 10, 1918.  In patient’s corset found a knife; very violent; put in restraint.
No further entries.

Standard form attached:  May 13, 1918.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [William H. Hancker], Signed [John Keating].”

Additional notes:
Still at DSH in 1930 and 1940 censuses.  Died at DSH 3/3/1944.


History and clinical notes:
History:  No history obtainable.  Patient has been violent when brought here.
May 3, 1918.  Quiet and talks about his wealth.  Has been telling to attendants about buying three automobiles, etc.
May 6.  Behaving himself; very good help in every line of work.
May 20.  Improving very much.
Jun 28.  Patient very violent, put in restraint.
Jul 10.  Patient is over his spell, behaves himself very good; helps around the ward.
Oct 1.  Mentally improving nicely.
Oct 12.  Patient has epidemic influenza.
Oct 27.  Recovered from influenza.  Physically getting stronger and mentally improving.
Oct 30, 1918.  His people came and took him home as improved.  Paroled improved.
Apr 17, 1917.  Discharged recovered.

Additional notes:
Died in Phila. In 1959 of heart problems.


History and clinical notes:
History:  During attacks threatens to kill his mother or other individuals who happen to be about, and removes clothing.  Irresponsible all the time.  Dangerous during attack.
May 10, 1918.  Pat. is very quiet, hardly talks, only asks about his going out for his work.  Physically well.
Jul 10.  Patient is still very quiet; at times is very melancholic.
No further entries.

Additional notes:
Died of cancer of colon.  At DSH during 1930 and 1940 censuses. Died at DSH 4/7/1953.


History and clinical notes:
History:  None.
May 12, 1918.  Has been quiet since admission.  Very weak minded, can barely talk.  Memory is very weak.  Physically very weak – hardly walks.
Jan 1, 1919.  No change in his mental condition, physically getting stronger.
Jun 18, 1919.  No change in patient’s condition.  His brother came and took him home.  Paroled.
Oct 16, 1918.  Discharged unimproved.
Standard form attached:  June 18, 1918.  “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 [M.A. Tarumianz], Signed [James H. Potts, brother].”

Additional notes:
Came back to DSH on 7/29/1919 and died there of general paralysis of the insane on 11/20/1919 and is buried in Smyrna.


History and clinical notes:
History:  Patient is constantly on the go, has only husband and one small room.  Husband cannot work and he must be constantly looking after her.  It is impossible for him to continue.
May 9, 1918.  Patient very noisy, wants to go out, talks about her husband most [of] the time.  Put in bed.
May 10.  Patient very quiet and hardly talks, but still on the go.
May 29.  Pat. starts to tear her clothes.
Jul 20.  No change in patient’s condition.
Jan, 1920.  No change in patient’s mental condition, physically getting worse.
Sep.  Mentally and physically getting worse.
Oct 1, 1920.  Patient died at 2:45 p.m.  Chronic myocarditis.

Additional notes:
Husband also old, unable to care for her.


History and clinical notes:
History:  Patient was a prisoner confined in the New Castle County Workhouse, serving a life sentence upon conviction of a charge of murder (his baby, by administering strychnine, fr. 25, etc.).  Sent here by the order of the court.  Patient was very violent; 4 attendants could hardly handle him.
May 12.  Patient still very noisy; asks about going home to his wife and children.
May 15.  Patient very quiet.
May 20.  Patient very violent.
Jul 10.  Patient mentally and physically improving nicely.
No further entries.

Additional notes:
At DSH for 1920, 1930, and 1940 censuses.  Died 7/21/1953.  Buried in Cathedral Cemetery.  No info on wife or other children.


Brought by:
Mr. Cross, Warden of the County Workhouse

History and clinical notes:
History:  None.
May 12, 1918.  No history obtainable.  Send by the order of the court.  Patient refuses to talk, write, or read, mostly is sitting in one position ([illegible] waiting trial for arson).  
May 16.  No change in patient’s condition, still refuses to talk.  Eats well.
May 22.  Patient gets weak, general tremor, writes the name of his wife.
May 25.  Patient was hit and beaten by his roommate, Charles Ramsberger with a cuspidor.  He gets three bad cuts on his scalp and one on his forehead.
May 29.  Patient still refuses to talk, but writes his desires, getting a little stronger; his wife visited him; he didn’t talk to her.  She states that his present condition started about 3 months ago, but since 5 years he was not normal, would get spells of suicide every 2-3 months since.
Jul 8.  Patient improving very nicely.  Starts to talk, works around the ward.  He states that he does not remember his actions for over 2 months.
Jul 20.  Patient’s mental and physical condition improving very much.  Found hanging on water pipe.  Second attempt of suicide.
Aug 20.  Patient mentally recovered, physically well.
Sep 27, 1918.  Patient sent to the County Workhouse as recovered.  Paroled.  Not insane.
Oct 23.  Was returned by Warden Cross today, who states that patient has several times attempted suicide and almost succeeded.  Will not eat or talk, throws himself violented (sic) against his cage.  Has bruised himself severely.  A few days ago broke his left arm.
May 17, 1919.  No improvement.  At times is cheerful and works on ward; at others depressed and taciturn.  Still talks of suicide.  While out walking with the ward escaped this a.m.  Attendants searched the wood and adjoining but could not be found.  Att. Genl. Reinhardt was immediately notified.
May 22.  Police notified that they found Larrimore’s body in the Christiana River today at 12 o’clock.
May 22, 1919.  Discharged unimproved.

Final disposition:
Escaped, found dead in Christiana River.

Additional notes:
Discharged unimproved.  In the 1920 census he and his wife Mollie had 3 children, ages 6, 3, and 11 months.


History and clinical notes:
History:  Patient brought by his son, constantly talks about some troubles at his home, etc.  Physical condition of patient pretty weak.
May 16.  Patient very weak, kept in bed.
Jul 5.  Patient suffering from acute enteritis; very weak.
Jul 11, 1918.  Patient died at 9 p.m. from acute enteritis.


History and clinical notes:
History:  Patient brought by officers.  No history obtainable.
May 15, 1918.  Patient’s wife states that he was normal till Feb 7, 1918 when he went to work on payday and did not return till next morning beaten “to death” and without money.  Since that time he acts very queer (??), talks to himself, mostly about detectives (??).  Still he helps in housework and never abuses anyone.  May 13 he disappears and wanders around looking for someone who, as he says, had stolen his wife’s diamond ring till he was brought to the police station.  Patient very talkative, but does not make any trouble, wants to see his child.  Has a chronic ulcer on his foot.
May 25.  Patient gets suddenly violent, hits his roommate badly, wanted to kill him with the cuspidor; he was caught by the attendants and prevent.  Still his roommate B. Larimore gets 3 cuts on his scalp and one on forehead.
Jun 15, 1918.  Patient getting worse mentally and physically.
Jul 15.  Progressive enfeeblement of mind and paresis of the body.  Kept in bed.
Nov 15.  Patient speechless, filthy, and helpless.
Feb 15, 1919.  Patient lies in bed motionless, difficulty in swallowing.  Wets and soils his bed.  Contractures developing.
Apr 2.  Patient had convulsive seizures over 16 hours.
Apr 3.  Patient lies in bed motionless, speechless.  Cannot swallow.
Apr 4, 1919.  Patient died at 2:30 a.m.  General paralysis of the insane, + 10 mons.

Additional notes:
Man who beat up Mr. Larimore with cuspidor.  His wife died in 1962.


History and clinical notes:
History:  For former history, see Case Book VI, page 8.  Was paroled Dec 3, 1908 and discharged April 1, 1909.  Second time admitted March 26, 1910 see book case (sic) VI, page 187.  Was paroled April 23, 1910 and discharged Sep 2, 1910.  3rd time admitted Dec 10, 1912; see Case Book VII, page 15.  Was paroled Feb 25, 1913.  July 18th, 1913, discharged recovered.
May 17, 1918.  Patient is very quiet, hardly talks.
Jun 1.  Patient’s mental and physical conditions improved very much.  She works, reads, and knits.  Talks very sensible.
Jun 15.  Patient recovering nicely.
Jun 20, 1918.  Paroled recovered.
Oct 16, 1918.  Discharged recovered.


On certificate of:
Drs. B.W.K. Forrest and Harrison W. Howell

Form:
alcoholic psychosis, acute paranoid type

History and clinical notes:
History:  Patient brought by officers.  No history obtainable.  Very violent.  It took six men to strain (sic) him in bed.  Patient is very mean; tears clothes, destroys furniture.  Physically pretty strong, though one leg has been amputated for years.
May 24, 1918.  Patient is quiet and weak.  Refuses to eat.
May 28.  Patient very week.  Eats eggs and milk.
July.  Patient physically improving, mental condition as before, at times very violent.  Kept in restraint.  Hallucinations, delusions and illusions.
Sep 1919.  Mentally and physically improving, no hallucinations, no delusions.  Works about the ward.
Oct 1920.  Patient very rational, works in the clothes room.
Dec 18, 1920.  His brother came and took him home.  Paroled recovered.


On certificate of:
Drs. James S. Colland and Edward S. Dwight

History and clinical notes:
History:  For former history see Case Book VI, page 36.  Was paroled July 6, 1909.  Returned August 1909, was paroled December 30, 1916 and discharged as improved May 14, 1918.  Patient’s mother fell and broke her hip, for which reason she cannot take care of patient any more and she was brought here by her sister, who states that patient was very quiet and behaving herself very good.
No further entries.

Additional notes:
In DSH at 1920 and 1940 censuses; died 7/13/1950; buried in Dover.


History and clinical notes:
History:  Patient was first admitted to this institution Feb 23rd, 1911 very much depressed and with a history of attempted suicide.  Became much better and was allowed to go home Mar 28, 1911, and was eventually discharged recovered.  See Case Book VI, page 297.  Present attack began about 2 or 3 weeks ago, altho patient has several times attempted suicide, once 14 years ago.  Certificate states that he has always been more or less morbid and melancholy.  Was injured at Pusey and Jones about 8 months ago by being struck on the head with a plank.  Certificate states that he might have had a fracture at that time.  For the past several weeks has pleaded to be returned to the State Hospital.  
Jun 2, 1918.  Patient very weak physically; kept in bed.  Very melancholic, prays and asks for taking his lips off [?????].
Jul 2.  Patient is improving very much.  Physically getting better; walks around.
Jul 20, 1918.  Patient’s mental and physical conditions are improving very much.  His sons came and took him home.  Paroled improved.
Aug 26.  Patient brought back by his daughter.
Oct 1918.  Patient improving very nicely.
Nov 16, 1918.  Patient’s daughter came and took him home.  Paroled improved.
Nov 22.  Patient brought back, complaining about his old trouble.
Mar 1, 1919.  Patient improving very nicely.
Mar 12, 1919.  His wife and daughter came and took him home.  Paroled improved.
Mar 17.  Patient brought back, complaining about his head.
Jul 1.  Patient improving some.
Jul 2, 1919.  His wife and daughter came and took him home.  Paroled.
Dec 19, 1919.  Discharged improved.


History and clinical notes:
History:  The certificate states that there is no sympathy or consideration for the patient at the home of her children, by her daughter-in-law.  If she had the proper environment, it might be possible to keep her at home, but under the circumstances it is impossible.
Jul 1918.  Patient has been very good from the first day of admitting.  Very quiet.
Sep 21, 1918.  Patient has been perfectly normal; found not insane and sent home.  Paroled.  Not insane.  
Jan 17, 1919.  Discharged not insane.


History and clinical notes:
History:  Patient has been in present condition since about 3 years.  Is was very hard to keep him at home on account of his wandering lust.  No further entries.
Mar 6, 1926.  Died.


History and clinical notes:
History:  Certificate states that patient was in an asylum for four months about 30 years ago.  Patient’s son states that his father was normal until a month ago, when he started to go out at night and wander around the buildings.
Jun 1918.  Patient very violent; tears his clothes, very talkative; kept in restraint.
Jul.  Patient very violent, destructive, talkative; kept in restraint.  Physically getting weak.  Has many chronic ulcers, esp. cruri [??].  
Sep.  No change in his mental condition.  Physically getting very weak.  Kept in bed.
Oct 10.  Mentally and physically getting very low.  Patient fell.
Oct 17, 1918.  Patient died at 10:15 p.m.  Chronic valvular heart disease.


History and clinical notes:
History:  Patient was first admitted to this institution May 9, 1916.  See Case Book VII, page 464; was paroled Dec 20, 1916 and discharged July 16, 1917 as improved.
Jun 1918.  Patient mentally and physically improving very nicely, transferred to Ward C.
Jul 8, 1918.  His people took him home as recovered.  Paroled recovered.
Oct 16, 1918.  Discharged improved.

Standard form attached:  July 8, 1917.  “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 [Lavinie E. Arnett].”


Insane Relatives:
mother in Kirkbride, 2 cousins in another asylum

History and clinical notes:
History:  Patient brought by her sister, who states that patient was suffering for a few weeks.  She has delusions of grandeur and lately was very troublesome and talkative.  [ill.] examination of doctors found a fibrous uterus.
Jun 28, 1918.  Patient is improving very nicely, transferred to Ward B.
Aug 2.  Patient got very noisy, had to be transferred to cottage.
Sep 29.  Patient getting very weak.
Nov 8, 1918.  Patient getting very weak.  Her husband took her home.  Paroled unimproved.
Apr 17, 1919.  Discharged unimproved.

Additional notes:
Died of uterine cancer, 7/12/1919.,  Buried at Riverview.


History and clinical notes:
History:  The certificate states that the patient has been discharged from the Army on account of his mental condition.  Has delusions that he is being persecuted by his mother, who will not allow him to sleep, takes his money, etc.  Patient is very quiet; sometimes he laughs very simple without any reason.
Aug 1, 1918.  Patient was trying to kill one of the inmates; was transferred to Ward D.
Aug 30.  Patient behaving himself very well, working around the ward.  Often he writes most queer letters to his former official.
Jan 5, 1919.  Patient escaped from kitchen.
Jan 6, 1918.  Patient brought back.
Jun 21, 1926.  Discharged.  [Added later, in pencil].


History and clinical notes:
History:  For former history see Case Book VII, page 482; was paroled July 8th, 1916 and discharged Oct 19, 1916.  Patient brought by an officer.  Very violent, tears his clothes, broke the window screen.  Very talkative.  Suffers from many delusions.
Jun 20, 1918.  Patient still very violent and talkative.
Jun 23.  Patient getting quieter, talks more sensible.
Jul 8.  Patient very violent and talkative, tears his clothes, breaks furniture.  Kept in restraint.
Jul 24.  No change in patient’s mental condition; still very violent, at times sings very loud.
Jul 26.  Patient getting very weak; upon examination found cavernous sounds, “atephoric” (??) coarse bubbling rales with resonant.  Respiratory harsh murmur.  Tympanitic percussion note.
Jul 30.  Patient getting very weak.  Pulse 120, Resp. 34.
Aug 3, 1918.  Patient died at 8 p.m.  Phthisis pulmonalis.


History and clinical notes:
History:  The certificate states that his intuition tells him that manslaughter has been committed on a child.  Also the greatest inventor of the day.  Dr. Kraemer states that this is a case of paranoia and not safe to be at liberty; he converses well within which is the danger.
Sep 13, 1918.  Very little trouble since he came here.  Is quiet and orderly, but has delusions of persecution.  Investigation reveals that he is not a Delawarean, but that he belongs in Bridgeman, Mich.  Attendant Downs loaned the patient $40.00 on his tool chest and with this money a ticket was purchased for him to his hometown and he was placed on B&O train leaving Wilmington at 5:03 this p.m.  Paroled unimproved.
Oct 16, 1918.  Discharged unimproved.

Additional notes:
Died 5/10/1935 in Michigan, at Eloise Psychiatric Hospital, in their hospital cemetery (similar to Spiral Cemetery).  Really was an inventor.  From findagrave.com: Cemetery notes and/or description:
There are about 7100 people buried in this cemetery which is located south of Michigan Avenue off Henry Ruff Rd. The cemetery is surrounded by a grove of pine trees. Those buried here were patients in the Eloise Hospital complex whose family or friends did not claim the bodies, and it is Eloise's "Potter's Field." The grave markers are only numbered blocks, and many of the records of those buried here have been lost to history and have been reconstructed using death certificate information. The people buried in the cemetery represent all ethnic groups, all occupations, and include two physicians. Burials were made between the years 1910-1948. After that all unclaimed remains were sent to Wayne State University School of Medicine.


Complications:
blind and marked evidence of cardiac trouble

History and clinical notes:
History:  Patient’s husband states that she started to be queer six months ago, and a few days ago began to be very violent, broke all furniture in the house.  Patient is very violent, swears and cries.
Jun 24, 1918.  Patient is much quieter.  Put in bed, on account of her physical weakness.
Jul 20.  Patient very quiet at times cries; very weak physically.
Aug 18, 1918.  Her husband came and took her home, as he thought she might die at her home.  Patient was very weak.  Paroled unimproved.
Jan 17, 1919.  Discharged unimproved.

Additional notes:
Died 7/14/1919, buried at Red Clay Creek Presbyterian Church Cemetery.


Insane Relatives:
one sister weak minded, committed suicide

History and clinical notes:
History:  Husband states that she has been an epileptic since she was 3 years of age (cause unknown); that he did not know of this at the time of her marriage.  He had frequent quarrels with her ever since his marriage.  Two weeks ago a man accosted her on the street and when she got home [she] was very much excited.  Since this time has been frequently violent and has attacked her husband several times.  Sunday she broke quite a number of dishes and has thrown several at him.  At time of admission patient very confused; could not [answer] any questions intelligently and was restless.
Jun 20, 1918.  Patient physically very weak; cannot walk or sit.  Put to bed.  Refuses to talk or eat or drink.  Fed [illegible] only.  Getting very weak.  Upon exam. of heart: hypertrophy of left ventricle, apex displaced downward.  Presystolic murmur at apex.  Pulse feeble, slow, and irregular.
Jul 27.  Patient getting weaker.
Jul 29, 1918.  Patient died at 7 a.m. from chronic valvular heart disease.


History and clinical notes:
History:  Brought by husband, who states that she was normal until about 3 months ago, when she started to worry about finance and the war, especially about the war, as her boy 18 years of age had enlisted in the Army.  This worried her very much.  Began to be melancholic, at times hysterical.  Physically she is very weak; her anaemic condition is probably the result of climacterium though she is menstruating at present time.  She has been in bed almost constantly for the last three months.  About 8 weeks ago she went to Phila. to stay with her sister, where she has been ever since.  At times she has tore her clothes.  Lately has not talked much.
Jul 10, 1918.  Patient refuses to talk.  Has to be forced.  Very stiff.  The gynecological examination shows that she has some chronic inflammation of ovaries and some adhesions.
No further entries.

Additional notes:
At DSH during 1930 and 1940 censuses; died in 1942, buried in Cow Marsh Baptist Church Cemetery, Kent County.  Had three sons.  The son she worried about dying in World War I actually lived until the age of 72.


History and clinical notes:
History:  Brought by officers, who state that she was brought to the Police Station last night and was very violent, tearing all clothes and breaking chairs, and etc.
Jun 26, 1918.  Her brother who visited her today states that about 8 or 10 patient acted and talked peculiar but nothing was thot (sic) of it at the time.  Left her brother’s home and went to live with other parties.  Has been working at the Artillery Fuse Co. for some time.  Last Sat. came home and did not come down stairs until Sunday pm, was very much destructive at this time; began to threaten every one and it was necessary to call the police.  She had torn bedding and sheets up and destroyed other things in her room.
Jul 6.  Patient improving very nicely.  Works around the ward; also does some fancy work.
Jul 16, 1918.  Mother came and took her home.  Paroled improved.
Oct 16, 1918.  Discharged improved.


History and clinical notes:
History:  Patient has always been a hard drinker.  For past year or so has acted very strangely at times.  Lately has written threatening letters to friends at Baltimore and frequently talks out loud as if he was talking to people over the telephone, especially to Baltimore people.  Lately when tax collector called at his residence, threatened to shoot them and cleared them off his premises.  Was arrested and the court found him non compos mentis and committed here.  Patient says he is worth 3 or 4 hundred dollars, the fact is his property valuation is about $15,000.
Jul 6, 1918.  Patient likes to be by himself.  Talks about his wealth, talks by imaginary telephone with prominent people of the state.
No further entries.

Additional notes:
Still at DSH in 1930 census, but no other info.  Died in 1952, buried in Odd Fellows Cemetery, Sussex County.


History and clinical notes:
History:  Husband states that she has always been a hard working woman and always in fairly good health until about one year ago when she became ill.  Disease was diagnosed as Gastro-Enteritis.  She eventually recovered, but her mind was affected for about two months.  Talked incessantly and wandered from home and neglected her household duties, was in a bewildered state and did not appear to know what she was doing.  Since her recovery from this attack has been very well until about 2 weeks ago, when the symptoms began to appear, similar to her first attack.  Wanders from home and talks a great deal about movie pictures.  Has lately suffered from incontinence of urine.
Jul 10.  Patient very quiet, spells of talkativeness.
Jul 12, 1918.  Husband took her home to attend the funeral of her daughter.  Patient was very weak (from the bed).  Paroled.
Oct 8.  Husband brought her back, stating that she was OK until about 10 days ago when she started to be very noisy; destructive, at times very violent.  A few attempts of suicide.  She has a large (about 3 inch) wound on her neck as result of trying to cut her throat.  Healing nicely (4 stitches).  Patient very weak; put to bed.
Oct 12.  Patient getting very weak.  Few attempts at suicide by throwing herself from the bed.
Oct 17, 1918.  Patient died at 3 a.m. from chronic valvular heart disease.

Additional notes:
Died 10/17/1918.  Buried in Holy Sepulchre Cemetery, Cheltenham, Pa.


History and clinical notes:
History:  Brought by Private Frances Straub, [illegible] Assistant Supervisor on July 3, after considerable long correspondence with the Camp Surgeon of Fort Dix, N.J.
Jul 12, 1918.  Patient very quiet.  Often gets spells of crying and praying.  Worries about his family and troubles and many (?) attempts of suicide.
Jul 16.  Patient found in bed half shocked (??) with part of his sheet.  Put in straints (??).  
Jul 17.  His mother and wife came to take him home – not allowed.
Jul 20, 1918.  Against the wish and advice of the Superintendent his wife and mother took him home as not improved.  During his short stay here, patient had delusions of persecution and auditory and v (visual?) hallucinations.  Paroled unimproved.
Jan 17, 1919.  Discharged unimproved.

Standard form attached:  July 20, 1918.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [M.A. Tarumianz], Signed [Mrs. William W. Lingo].”

Letter attached.  Typed on plain onionskin-type paper.

(Copy)    773   Ward 7

No. 1,739,928.

Lingo, William W.		Corp.		F.		59th Pio. Inf.

	Patient cannot be released from military control without danger to himself or others.

Base Hospital, Camp Dix, N.J.
	6/9/18.					Capt. M. R. C.

Family History
Father living, suffers from rheumatism
Mother living, suffers from asthma
One sister and three brothers living and well
History negative to nervous and mental diseases.

Personal History
Born:  Wilmington, Del., Aug. 22, 1889.  Address, 1206 Scott St, Wilmington, Del.
Education:  Attending school till age of 15, reaching 3rd year high school.
MARRIED.  One child.
Occupation:  Machinist.
Infantine diseases:  usual diseases of childhood, typhoid fever.
Injuries:  fracture of right wrist when 10, laceration of left hand when 15.
Venereal diseases:  denied.  Tobacco:  excessive.  Alcohol:  moderately.

Present Illness:
Enlisted in March, 1917, 14th.  Well up till Feb., 1918.  Had fever and sore throat, was in Base Hospital, was back in camp about one week when having been exposed, developed pains and swellings in ankles and knee, traveled from one joint to another.  Was in hospital about 9 weeks.  Had 10 day pass, returned to camp May 26, 1918, but still had a little pain so was not put to work, then worked as orderly.  Has had some family troubles, mother and wife not agreeing very well, had been taking quite a great deal of medication, had a dream in which he called out, got up and wandered about, that some one was in the office.  Other boys had been “kidding” him and that up till today that there was some charge against him.  Had charge of mail and one man accused him of taking some cigarettes.  Had been thinking so much of what was going on at home that he got nervous.  Upon admission was very confused, talked in rambling manner, seemed fearful, following day sensorium was clear and had insight.
Was, however, somewhat depressed, next day made suicidal attempt by drinking ink.  States that 7 or 9 months ago he began to keep more to himself, that others were passing remarks about him, suggesting he was not fit for his work, believed his mother was working against himself and wife, later that others were jealous of him.  Now believes that everything is against him and that he must die.  This patient has apparently developed a paranoid trend based upon maladjustment of his sexual life.  Had married a young girl pregnated by him, which has since been a continual source of conflict.  The toxic condition would appear to be an episode which has exaggerated this condition.  Physically no evidence of neuro. Disorder.  Diag: Dementia Praecox (Paranoid type).  E. P. T. E.    (Signed) E.J. Barnes, Capt. M.R.C.


History and clinical notes:
History:  For previous history see Case Book VII page 327 and 415.
Jul 10, 1918.  Patient is perfectly quiet, works around the ward and does some outside work.  There is no sign of any disturbance.  Behaves very good.
Jul 13.  Physical and mental condition of patient is good.
Jul 15, 1918.  Found not insane, sent home.  Paroled not insane.
Oct 16, 1918.  Discharged not insane.


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

History and clinical notes:
History:  Husband states that patient was normal and working normal till about 4 weeks ago, when she had received a shock – severe fright from a Negro at her home.  Since that time, she was worried mostly about her dying and praying most of the time.  2 weeks ago she was so bad that they sent her to her sister’s, but then she was still worse.
Jul 16, 1918.  Patient is very weak physically; talks about the above-mentioned Negro and thinks that she [is] semi-insane.  Often cries.  Tears her clothes and spits on nurses.
Jul 20, 1918.  Her husband, father, and relatives came and took her home against the wish and advice of the Superintendent.  Paroled unimproved.
Jan 17, 1919.  Discharged improved.

Standard form attached:  July 20, 1918.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [blank], Signed [John C. Diehl].”

Additional notes:
Taken out by husband AMA.  In 1920 census she was living at home with her husband and 3 children; by 1930 census she had 3 more childre; by 1940 has had 2 more children.  Died 6/24/1967, buried in cemetery in Odessa.


History and clinical notes:
History:  For former history see Case Book VI, page 401, Aug 5, 1908.  Patient very restless and talkative at times she gets spells of fighting.
Sep 20, 1918.  Patient very restless, at times she fights.  Very troublesome.  Put in restraints.
No further entries.

Additional notes:
She never left DSH, and died at DSH on 6/17/1948.  Buried in Seaford.


History and clinical notes:
History:  Patient’s sister states that she was normal until about 2 weeks ago when her present husband killed her former husband.  She started to act queerly, at times she was violent, tore her clothes.  Does not sleep at night; pretends to see ghosts.
Aug 1, 1918.  Patient refuses to take any food, very weak.  At times tries to escape.
Aug 30.  Patient mentally and physically improving slightly.
Oct 1.  Patient improving very nicely.
Dec 1.  Patient working around the ward and in the dining room.  Improving very much.
Feb 1, 1919.  Patient works in the laundry.
Feb 6, 1919.  Patient escaped from the laundry as recovered.  Paroled recovered, escaped from the laundry.
Mar 3, 1919.  Discharged recovered.

Additional notes:
Died on January 18, 1951, buried in Simpson Cemetery, Newport.  Died of coronary artery occlusion.  At death was working as a domestic, widow of Benjamin.


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

History and clinical notes:
History:  Brought by a friend [illegible].  No history obtainable.
Jul 30, 1918.  Patient has been very weak, put in bed, kept very quiet.  Sometimes religious delusions.  Legs and arms swollen, milk diet.  Marked nephritis, chronic case.
Aug 6.  Patient getting weaker.
Aug 9, 1918.  Patient died at 9:50 a.m.  Chronic interstitial nephritis.


History and clinical notes:
History:  Patient brought by husband who states that her trouble started a year ago after the beginning of menopause.  First she was quiet, but after a few months she started to sing, pray, [illegible] and talked all the time about being under Lord’s command.  She burned her dress and bit her fingers, and when she was asked the reason of doing that, she answered that Lord ordered her to do that.
Jul 29, 1918.  Patient is very weak.  Put to bed, very quiet.
Aug 28.  Patient mentally and physically improving very nicely, transferred to Ward A.
Sep 10.  Mentally and physically improving.
Sep 14, 1918.  Patient being perfectly recovered, taken home by her husband.  Paroled recovered.
Jan 17, 1919.  Discharged recovered.

Additional notes:
At 1930 census, living with her husband and 4th and 5th children in Greensboro, MD.  At 1940 census, living with her husband Charles in Greensboro, Md.  Died 6/30/1962, buried in Mount Olive Cemetery, Sandtown, Kent County, De.  5X8 card says she died 6/30/1963; also says she was from Nassau and died in Nassau.  Very odd discrepancy.


On certificate of:
Drs. P.W. Tomlinson and Willard E. Smith

Form:
psychosis with constitutional psychopathic deficiency

History and clinical notes:
History:  Patient brought by an officer and his brother, who states that the patient was in [illegible, looks like “A…ville State Institution”] (Pennsylvania) about 3 years ago, from where he was discharged as recovered in about 2 months.  Since then he was not quite normal –acting queerly.  This last trouble started about 2 months ago.  He was running away, acting very silly.  At times violent.
Aug 10, 1918.  Patient is mostly quiet at times he gets violent, wants to fight with the attendants at times he acts as an idiot.
Aug 31, 1918.  No change in patient’s mental condition.  His brother came and took him home against the wish and advice of the Superintendent.  Paroled unimproved.
Jan 17, 1918.  Discharged unimproved.
Readmitted – see Page 343, see Page 391.

Standard form attached:  Aug 31, 1918.  “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 [Dr. M.A. Tarumianz], Signed [Walter H. Watson].”

Additional notes:
Readmitted twice more, p. 343, p. 391.  Died 11/5/1949 at Kent Hospital.


History and clinical notes:
History:  Patient brought by officer, no history.
Aug 25, 1918.  Patient very quiet, at times he cries and asks for his children.  Often prays for long periods.
Aug 30.  Patient very excited, talks about going to be shot, about plots done by his wife, who lives with other man.
Sep 25.  Patient perfectly normal mentally.
Nov 8, 1918.  Sent to Cleveland as recovered.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.


History and clinical notes:
History:  Son-in-law states that her mind became affected about 7 years ago, that she began to complain about her daughter, said that she was talking about her.  At times struck her.  About 5 years ago had a cerebral apoplexy, from this time on she has gradually grown worse.  Attacks of violence in which she will tear her clothing and strike those around her.  Lasts about 2 or 3 days and when she is quiet, she is pleasant and affable.  Periods of queerness last from 4 to 6 weeks.  Has always had a good appetite and usually rests well at nights.
Dec 1, 1918.  No change in patient’s mental condition, physically very weak.
Feb 24, 1919.  Patient had a cerebral hemorrhage, hemiplegia dextra.
Mar 5, 1919.  Patient died at 4 a.m.  Cerebral apoplexy (8 days).


History and clinical notes:
History:  No history.
Aug 18, 1918.  Patient acting very queerly, very untidy, kept tight to chair.
Aug 29.  Patient’s mental condition improving nicely.
Oct 1.  No change.
Jan 1, 1919.  No change with exception that patient has become untidy in her habits.
Jul.  Mind extremely feebly.  Very untidy.
Sep.  Has gradually grown feeble.  Is unable to help herself.  Has been placed in bed.
Oct 1.  In spits of precautions, patient is getting bed sores.
Nov 1.  Still in bed, but sores are larger, especially over sacrum.
Dec 1.  Bed sores have appeared over dependent portions of arms and legs.  The back (over sacrum) has extended until the os sacrum is bare.  Patient is very much weaker.
Dec 8.  Has been unconscious since yesterday.  Is in comatose state.
Dec 9, 1919.  Died 8:30 a.m. Cerebral embolism.


History and clinical notes:
History:  The history states that this patient has been in Blockley Hospital, Phila. for some time and was paroled about two months ago.
Aug 26, 1918.  Patient very quiet at times wants to fight.  Very easily excited.
No further entries.

Additional notes:
At 1930 census was still in DSH.  Died at DSH 4/3/1938, buried in Spiral Cemetery, #485.


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

History and clinical notes:
History:  Patient brought by her two sisters-in-law who state that she was perfectly normal until 6 weeks ago, when she started to run away.  At times she talks very queer.  She has never been violent.
Aug 25, 1918.  Patient was quiet, behaving herself very nicely at times she would complain about her people.
Aug 28.  Patient had a spell – wandering around undressing herself, talking to strangers, singing, had to be transferred to Ward D.  Put in bed, physically very weak.
Sep 1.  Has been in bed since last note.  Very restless and has to be restrained to keep her in bed.
Oct 1.  No improvement.  Is gradually growing weaker.  Very difficult to get her to take sufficient nourishment.
Oct 14.  This morning bowels extremely loose, will not eat and vomits everything that is given her.
Oct 16.  Bowels still loose.  Nothing seems to do any good.
Oct 20.  Bowels still loose, but not quite as bad.  Very weak.
Oct 23.  Is unconscious this a.m.
Oct 24, 1918.  Patient remained unconscious and passed away at 7 a.m.  Gastro-enteritis.


Form:
senile psychosis, paranoid states in addition to deterioration

History and clinical notes:
History:  Certificate states that patient has delusions of persecution.  She thinks a spell has been put on her.  She hears voices lately at a distance.
Aug 31, 1918.  Patient at times very violent, kept in restraint.  Very talkative.  Delusions of grandeur very marked.
Jan 15, 1920.  No change in patient’s mental condition.  Physically well.
Jul 25.  Patient suffering from diarrhea, refuses to take medicine, has temp 100°.
Jul 30.  Patient getting very weak.
Aug 5, 1920.  Patient died this evening at 6:30 p.m.  Diarrhea and enteritis (12 days).

Newspaper clipping attached:  “Bricks and Will Help Woman Hold Fort in Dwelling.  Delia Fitzpatrick Ties up Traffic on East Ninth Street Until Police Assume Offensive.  THINK SHE IS INSANE.  Classic literature tells us all about certain Romans of old holding a bridge against desperate odds, and the story is reckoned a mighty good one.  But is hasn’t anything on the tale concerning Delia Fitzpatrick’s holding the fort Tuesday afternoon at 626 East Ninth street, as narrated in City Court yesterday before Judge Churchman by Delia herself and witnesses, as well as later by the police who ‘rushed to the scene’ as though the whole east side were in a blaze of trouble.
	As a garrison Delia demonstrated her complete efficiency.  She had put herself in the house and she intended to stay put, although the man who had just purchased the place wanted to move in.  She was plentifully supplied with anger, expostulation, language, bricks, muscle and will, besides the good, old fighting spirit for which her mother sod, Ireland, has been sung in prose and verse ever since little apples were made, or shamrocks grew green.
	The only trouble about it all is that Delia’s mind seems unbalanced.  The tale is funny – very funny – but the woman’s apparent mental upheaval gives it a tinge of sadness as well – which possibly is like everything else in the world – joy, gladness, humor, the good things of life, cankered by evil, sorrow or misfortune.
	Delia was a prisoner yesterday in City Court.  She is a rotund, gray-haired Irish woman of middle age, with a voice like the “peerless” Bill Bryan, a flow of words built on similar lines and a wealth of wide-armed gesture.
	The charge against her was trespass, and no sooner had she been arraigned than she unlimbered her eloquence to tell the court all about the matter of her arrest, which act at first blush was put down to the volubility of long-repressed anger breaking forth, though later its cause was indicated as something decidedly different.
	The chief witness was Anthony Przylylek, who said he had just bought No. 626 East Ninth street and Tuesday started to take possession and move in.
DELIA ON THE JOB
	But when he and the moving-wagons got there they found Delia very much on the job in the otherwise empty premises.  Would she let them in?  Not by a jugful.  The house was hers, she said.  She had $850 in “cash money” in it, she was in it herself and in it she meant to stay.
	The new owner insisted on getting in, whereupon she bundled him out with quickness and dispatch.  The movers tried their luck, but Delia found shock troop tactics just to her liking, repulsing the offensive with a fire of bricks.
	[Last paragraph of the article is missing.]


History and clinical notes:
History:  Brought by his nephew, who states that the patient was acting very queer since Sept 1917, had religious delusions, also wandering away from home.  Patient is very weak, hardly can walk.
Aug 31, 1918.  His wife and nephew came and took him home against the will and advice of the Superintendent.  Paroled unimproved.
Jan 17, 1919.  Discharged improved.

Standard form attached:  Aug 31, 1918.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Dr. M.A. Tarumianz], Signed [Georgia Willin].”

Additional notes:
Died 1/11/1926, buried in Bridgeville Cemetery, Sussex County.


History and clinical notes:
History:  Certificate states that patient has been in poor health and is being bothered about the “work or fight” law until he thinks he is to be hung and sees no hope for him, as he is not able to work.
Sep 3, 1918.  Patient very quiet.  Mentally and physically improving.
Sep 10.  Patient mentally and physically improving very much.
Sep 11, 1918.  His sister came and took him home as recovered.  Paroled recovered.
Jan 17, 1919.  Discharged recovered.


History and clinical notes:
History:  Patient has been in this institution twice before; for history see Case Book VI page 145.  First he was admitted Nov 1909 and Nov 27 1909.  Nov 29, 1916 eloped.  Present certificate states that patient has wild delusions, wanders away by himself, irresponsible.
Aug 30, 1918.  Patient very quiet, works around the wards.
No further entries.

Additional notes:
Died at DSH 9/15/1929 of chronic interstitial nephritis and chronic vhd.  Buried at DSH, Grave #383.


History and clinical notes:
History:  Patient brought by her father, who states that previous to this childbirth, his wife was insane for almost six months.  Patient has been a quiet girl until about 2 years ago.  She was disobedient, wandering from home; acting very queerly, and always wanted to be in the company of men.  About six months ago she visited her aunt in Ill, where she was attended by a dentist, who, as she said, assaulted her and since that time she is at times very violent, attempting suicide and homicide.  She is always “crazy for men.”  2 days ago she wanted to throw herself under the train when she was wandering around.  At times she refuses to eat.  Physically not very strong.
Sep 20, 1918.  Patient has been very quiet.  Very indifferent.  Eats well.  Upon examination found patient has tuberculosis of the lungs.
Sep 1919.  No change in patient’s mental condition except she refuses to eat, has to be fed.
Dec 1919.  Patient very weak.  Very apathetic.
Jan 1920.  Patient has to be put to bed, has hemoptysis.
Jan 10, 1920.  Patient very weak; has a few hemorrhages.
Feb 15, 1920.  Patient died this afternoon at 4:40 p.m.  Phthisis pulmonalis, 1 year, 5 months.


History and clinical notes:
History:  Patient brought by her relatives and Dr. Downs, who state that she was a very bright girl, teaching in the school until about four year ago, when her mother had paralysis, she had a fixed idea, blaming herself as the cause of her mother’s condition.  From that day on she was indifferent to everything.  She locked herself in her room, staying mostly in bed, taking very little of food.  If anybody would try to put on her some clothes, she would take them off.  She never took a bath since that day.  Never trimmed her nails, found whole body covered with dirt, her fingers and toenails were from 1-2 inches long, her hair matted and very filthy.  Physically very weak.  Highly nervous.  Jumps at every noise and motion.
No further entries.
Handwritten in pencil across page at bottom: Died July 28, 1925.

Additional notes:
In 1920 census she is listed as living with mother (78) and older sister (39) in Dover.  Clara V. is 37.  However, the certificate of death says she was at DSH continuously from admission to death. Born 9/2/1882, was a school teacher.  Died of TB.  Buried in Greensboro, MD.


On certificate of:
Drs. Lawrence M. Cohalt (?) and Charles H. Carter

History and clinical notes:
History:  Patient brought by her husband who states that in August 1917 she was suffering from the same trouble which lasted about 4 weeks.  After that she was apparently well until Sep 9, 1918 when she started with queer actions, would stay in bed, jump out from bed, start to fight, breaking furniture, tearing her clothing, then back to bed.  Dr. W.F. Haines, who was attending the patient for last ten days thought it was rather a case of hysteria, as at times she had all symptoms of such.  Patient refuses to take food, has to be fed.
Oct 10, 1918.  Patient had otitis media, kept in bed, physically getting stronger.
Oct 21.  Patient shows mentally little improvement; physically well.
Oct 28, 1918.  Mentally improving very slow.  Her husband and sister came and took her home against the wish and advice of the Superintendent.  Paroled unimproved.
Oct 30.  Returned.
Dec 10.  Patient improving mentally very nicely.
Dec 28, 1918.  Patient’s husband took her home against the advice of Supt.  Paroled improved.
Apr 17, 1919.  Discharged recovered.

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

Additional notes:
1920 census -- living with husband and 2 sons, ages 4 and 8; same in 1930, plus mother-in-law; 1940 census with husband and older of her boys.  Died 1/25/1955, buried in Asbury UMC Cemetery, Georgetown.  Apparently fine.


History and clinical notes:
History:  Patient had an attack of puerp. Mania at birth of first child, was admitted to this hosp. June 2, 1915.  See Casebook VII, page 325.  Patient had childbirth about 10 days ago, after which she became maniacal.  First 3 days she was violent, tearing her clothes, destroying furniture, and refusing to take food.  Patient very weak.
Oct 20, 1918.  Patient physically getting stronger, mentally no improvement.
Dec 10.  No change in patient’s condition.
Dec 21.  Patient suffers from epidemic influenza.
Dec 25.  Patient has pneumonia, condition very bad, temp 104.  Resp 48, Pulse 140.
Jan 8, 1919.  Patient died at 1:45 p.m.  Lobar pneumonia (13 days).

Additional notes:
COD under Helen Semanski.  Buried at Cathedral Cem.  Male child, John, born 7/20/1916 and Rossie, female, born 9/14/1918.  Could find no info on children's survival.  Last name spelled many different ways.


History and clinical notes:
Patient has been here twice before, 1914 and 1915.  See Casebook VII page 155 and VII page 298.  Last time she was discharged May 14, 1918 as improved.  Paroled December 23, 1917.  Her husband states that she was all right, working and doing all her housework until about a month ago, when this attack started.  At times she is very violent.  Very talkative.
December 9, 1918.  Patient very violent; physically very weak.
No further entries.
Penciled in across bottom of page: Died Apr 29, 1926.


History and clinical notes:
History:  Patient was brought by her friends, who states that she was OK until about a week ago, when she began to be very talkative, mostly singing religious songs.  At times very violent.  Since 2 days she refused to take any food.  Mostly melancholia.  Patient’s temperature 100 1/5.  Pulse 92.  Very weak.  [She does not complain about any pain, looks like a case of influenza too.]  Isolated.
Oct 18, 1918.  Patient very weak, restless, has valv. heart disease.
Oct 22, 1918.  Patient died at 2:25 p.m.  Chronic valvular heart disease, contributory epidemic influenza.

Final disposition:
Died of chronic vhd, contributing epidemic influenza


History and clinical notes:
History:  Certificate states that nothing is known of history; was brot to Police Station on Oct 8th, 1918.  Has been there ever since.  Patient is speechless and will not answer when spoken to.  Certificate also states that the cause is probably post-pneumonia.  Patient is evidently suffering from influenza.
Oct 15, 1918.  Fully recovered from influenza.  Mentally getting very bad.  At times very violent, destructive.  She refuses to take any food or swallow.  It looks like she has paralysis of throat muscles.  Getting very weak.
Oct 17, 1918.  Patient died at 4:30 a.m.  Chronic valvular heart disease.

Final disposition:
Died of chronic vhd after having survived epidemic influenza


Form:
psychosis with somatic disease; post-infectious psychosis

History and clinical notes:
History:  Patient brought by his friends, no history obtainable.  Very violent, tearing his clothing, refuses to take food.  Upon examination, temperature 102, Pulse 98, all symptoms of epidemic influenza.  Put in restraint to keep in bed.
Oct 20, 1918.  Patient very weak.
Oct 27.  Patient suffers from lobar pneumonia.  Very weak.
Nov 2.  Patient very weak.
Nov 10.  Patient doing very nicely..
Nov 16.  Great improvement in patient’s mental and physical condition.
Nov 27, 1918.  Patient doing nicely mentally and physically, his people took him home.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.

Additional notes:
Recovered.  In 1920 census was living with wife and 3 kids.  Died 2/6/1928.


History and clinical notes:
History:  Patient brought from the jail by Sheriff and father of patient, who states that patient has been suffering from epileptic convulsions since his [illegible] year, but he was not violent until about 6-7 years ago.  Now patient is very violent and destructive.  He was in jail for about two weeks.
Jan 20, 1919.  No change in patient’s mental condition, physically well.  Having convulsions almost one or two weekly.
Sep 10.  No change.
Sep 30.  Patient had over 50 convulsions today.
Oct 5, 1919.  Patient died at 11:50 a.m.  Status epilepticus (6 days).


History and clinical notes:
History:  Has been in Co. Hospital one year.  Has been very violent and noisy.  Tears his clothes and will not keep himself dressed.  No history of any kind accompanies the certificate.
Dec 9, 1918.  Patient is quiet, kept in restraint, untidy.  From all symptoms, patient is suffering from general paralysis of the insane, also from chronic nephritis and urinalysis albumin abundant, hyaline cysts present.
Feb 10, 1919.  Patient’s condition getting worse.  Face, legs, and hands swollen, edematous.  Patient kept in bed.
Mar 15.  Mentally and physically getting worse.
Mary 18, 1919.  Patient died at 9:50 p.m.  Chronic interstitial nephritis, 4 months +.


History and clinical notes:
History:  The certificate states that his patient has been a private watchman over on the Boulevard and is [illegible] losing memory and responsibility, wanders about town and is running great risk, fell from car day or two ago.  Has been preparing razor for cutting  and kept concealed in bedroom and placed matches in bed and many other peculiar and strange actions.  Thinks he is wealthy and has money enough to live independently.  His son states that patient was normal until last June, when he lost his wife.
No further entries.
Penciled in across bottom of page: Died August 28, 1924.


History and clinical notes:
History:  Patient brought by her daughter-in-law who states that she is acting very queer since about 4 years.  At times violent, trying to kill her grandchildren.  It is very hard to manage her at home.  She is old and very feeble.
Oct 30, 1918.  Upon examination found that patient has been suffering from chronic heart disease.
Jan 1919.  No change in patient’s mental condition, physically getting weaker.
Apr 1919.  Patient put to bed on account of her physical condition.  Mentally getting worse too.  Very destructive, at times violent, very untidy/
Jan 15, 1920.  No change in patient’s condition.
Feb 7, 1920.  Patient died at 1:50 a.m.  Chronic valvular heart disease, from personal knowledge, 1 year, 3 mos., 8 days.  Contributing: arteriosclerosis.


History and clinical notes:
History:  Friends state that her mind has been affected for the past year, but they have been able to care for her at the home until lately, when she became much worse, insisted in going out of the house and when prevented would break window panes and destroy everything she could lay her hands on.  Is steadily growing more violent.
Dec 9, 1919.  Patient is violent at times.  Destructive.  Hard to manage.  Patient suffers from chronic valvular heart disease and arteriosclerosis.
Jan 10, 1919.  Patient getting worse.  At times very violent.  Very talkative.  Untidy.
Mar 2.  Patient fell and broke her ankle.  [difficult to read]
Jul 10.  Patient had a slight attack of apoplexy.
Aug 1.  Patient feels a little better, can walk around again.
Aug 10.  Patient getting worse again.
Sep 9, 1919.  Patient died this morning at 2 a.m.  Chronic valvular heart disease, from personal knowledge, +10 months & 9 days, contr. Arteriosclerosis, +10 months & 9 days.

Final disposition:
Died of chronic vhd, contributing arteriosclerosis


History and clinical notes:
History:  Patient brought by her mother, who states that she was always a weak minded girl, but worked well and behaved herself quite well.  Last October she had an attack of epidemic influenza and after recovering she started to get spells of laughing and crying, very talkative after spells of religious singing.  As she was getting worse and the spells last longer the parents could not take care of her any more.
Dec 1918.  Patient very destructive at time violent, mostly untidy.
Oct 15.  No change in patient’s mental condition, eats well, sleeps well.
Nov 26, 1919.  Patient’s mother came and too her home against the wish and advice of the Supt.  Paroled unimproved.
May 27, 1920.  Discharged unimproved.

Standard form attached:  Nov 26, 19[19].  “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 [William H. Hancker], Signed [Addie Chandler, X, her mark].”

Additional notes:
Was back at DSH in 1920 census.  Died 2/24/1948 in a house fire.


History and clinical notes:
History:  Certificate states that he has been in an institution when he was nineteen years of age.  Patient assumes he has charge of various interests, when he is unknown to parties concerned.  From the records of our books, patient was here as an attendant in Jan 1915 for three days, when he was dismissed on account of his peculiarities.
Dec 9, 1918.  Patient mostly quiet.  Works around the wards, lately in the dining room.  At times talkative and spells of laughing and funny actions.
Jan 1, 1919.  Patient doing very nicely, works around the ward and dining room.  No trouble at all.  Realizes that he had a spell of some queer actions, which has left him entirely.  He eats and does work very satisfactory.  Mentally and physically improving very good.
Jan 17, 1919.  Patient sent home to Wilmington as recovered.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.

Handwritten letter on stationery from the Hotel du Pont, Wilmington, Del.  Automatic Telephone 1264.  Bell Telephone 3140.  Ernest S. Taite, Manager.  Dated 3 Feb 1919.  Dr. William H. Hancker, Farnhurst, Del.  Sir: When I left the hospital Dr. Tarumianz requested that I write and let you know how I might be getting along.
	Three days after I arrived here I accepted a position in a Chemical Plant at Claymont.  Since then I have been working regularly each day and at the present time I am being taught the process of manufacture of Hypo. Sulphite.  The work interests me very much and believe I will master the manner of making this product in the near future.
	I have enjoyed excellent health since my discharge and weigh 175 pounds.  The folks at home seem to like my being there and I pay my board regularly each week.
	It gives me great pleasure to write you these few lines and I wish to take this opportunity to thank both you and Dr. Tarumianz for the conscientious manner in which my case was handled.  You may tell Dr. Tarumianz that I continue to follow his advice with reference to Dr. Morris; also, that I am keeping very regular habits, retiring at 9:00 p.m. each night.
	With best wishes for your future success, believe me,  Very truly yours, John Robert Magee, 405 W. 31st St., Wilmington, Del.

Additional notes:
Died 4/24/1946 at the State Welfare Home.  Born 6/12/1891.  WWI draft registration available on ancestry.  Registered from Salem County, NJ.


History and clinical notes:
History:  Medical certificate states that patient has been in the trenches, was returned to U.S. and placed in St. Elizabeths, Wash D.C.  Has delusions of persecution against Dr. Sutton of the Elizabeths (sic).  Dr. Hancker received a letter from Dr. White from St. Elizabeth Hospital in Washington, D.C. that patient was not discharged from the [ill.] hosp. but has escaped, therefore asking to send him back.
Dec 6, 1918.  Patient sent to St. Elizabeth Hosp. in Washington, D.C., accompanied by Supervisor of the Hosp. Mr. H.R. Straub.  Discharged unimproved.

Receipt attached on form with letterhead of Saint Elizabeths Hospital.  Washington, D.C., 12/6/1918.  Received of Henry R. Straub, Supervisor, the person of Homer C. Kinsler [illegible words, U.S.N. illegible word], upon the order of escaped Navy patient, also the following effects (blank).  Signed with illegible signature, some kind of “clerk”.  [Blank signature line], for the Superintendent.

Additional notes:
Sent back to St. E's, Navy, shell shock.   Died in 1951.


History and clinical notes:
History:  Certificate states that patient was hit on head about a year ago and after that it has developed some of the symptoms.  His daughter states that patient got worse since last Sept.  At times very violent, trying to kill his wife.  Very talkative and noisy.
Dec 10, 1918.  Patient physically very weak.
Dec 12.  Patient suffering from an attack of influenza.
Dec 16.  Developed lobar pneumonia.
Dec 28.  Recovered from pneumonia, but very weak.
Jan 2, 1919.  Patient had a stroke, right side paralyzed.  Very weak.
Jan 20.  Physically getting a little stronger; no change in his mental condition.
Feb 3, 1919.  Patient very weak, his wife and daughter came and took him home unimproved.  Paroled unimproved.
Dec 19, 1919.  Discharged unimproved.

Additional notes:
He died 2/7/1919, just 4 days after being taken home, of apoplexy and softening of the brain.  Buried in Ebenezer AME Cem.


History and clinical notes:
History:  Patient brought by her son who states that patient has been in this status for almost 2 years.  At times violent and noisy.  Patient is very weak.  Put to bed.  Suffers from aortic stenosis; hypertrophy of the left ventricle.  Systolic murmur at the second right intercostals space.
Dec 4, 1918.  Patient getting weaker, cannot take any nourishment.
Dec 6, 1918.  Patient died at 11:30 p.m.  Chronic valvular heart disease.

Additional notes:
Died at DSH 12/6/1918 of valvular heart disease.  Buried in Cathedral Cemetery.


History and clinical notes:
History:  Patient brought by officer.  No history obtainable.  Has been here once before, admitted Aug 3, 1916 and paroled Sept. 2nd 1916 unimproved.  See Case Book VIII, page 7.
Nov 27, 1918.  Patient had chills and afterwards temp. 104° and Pulse 100, Resp. 30.
Nov 28.  Patient suffering from lobar pneumonia distra (sic). Temp. 103°, Pulse 104, Resp. 36.
Dec 3.  Patient still very weak.  Temp. 102°, P. 100., Resp. 36.
Dec 5.  Patient getting better, passed crisis, Temp. 98, P. 68, Resp. 20.
Dec 11.  Patient getting stronger, still in bed.
Dec 21.  Patient recovered from pneumonia.  Physically and mentally improving nicely.
Feb 10, 1919.  Patient send to his home in Brooklyn, New York as recovered.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.

Additional notes:
Sent home to Brooklyn, NY.  No further info (name is too common).


History and clinical notes:
History:  Certificate states patient has been suffering from epilepsy for 15 years.  No history obtainable.  Talks only Italian.  Patient suffers from attacks of epileptic convulsions.  At times 10-12 a day.  Physically weak.
No further entries.
Penciled across bottom of page: Died June 16, 1922.


History and clinical notes:
History:  The certificate states that her mental condition is pronounced and practically no memory.  Is filthy as to room and clothing.  One of her chief offenses is as to excreta.  Persists in wrapping up bowel movements and secreting them in her clothing, mostly in bosom; condition becoming impossible.  Patient brought by her nephew, who states that about ten years ago her husband invalided and she was confined to house, nursing him day and night for over six years.  After her husband’s death she was acting very queer, getting worse.  She has never been violent, but always very untidy.
Dec 9, 1918.  Patient is very quiet, mostly sitting in the hall room.  Very clean.
Dec 15.  Patient was untidy for first time.
Jan 25, 1920.  No change in patient’s mental condition.
Jun 9, 1920.  Patient died this morning at 7:25.  Chronic valvular heart disease.


History and clinical notes:
History:  Certificate states that patient has had influenza and pleurisy with effusion, he is a leader of Boy Scouts.  Patient thinks he has been appointed by President to look after the children of Belgium.  That he is Jesus and being 26 years of age has been sent to look after world.  Patient was brought into Delaware Hospital for first time this a.m.
Nov 20, 1918.  Patient very violent; kept in restraint; noisy and destructive.
Dec 2.  Patient still very violent.
Dec. 8  Patient improving mentally and physically rapidly.
Dec 21, 1918.  Patient physically and mentally perfectly normal.  His people came and took him home.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.


History and clinical notes:
History:  Certificate state that patient has been wander (sic) about Wilm. for many years.  Police consider him a nuisance and his mental condition has become unendurable.  [Illegible] of tuberculosis.
Nov 25, 1918.  When patient was admitted limbs were very much swollen.  Examination of urine revealed a large quantity of albumin.  Patient was very weak and feeble when he came here and has been in bed ever since.
Dec 1.  Still in bed and quite weak.
Dec 4, 1918.  Very low this a.m. and has been unconscious all day.  Continued to fail and died at 4:50 p.m.  Chronic nephritis.


History and clinical notes:
History:  Patient brought by the Taxi driver.  No history obtainable.  Patient very talkative and noisy.
Dec 20, 1918.  Patient suffering from gastro-enteritis chronica.  Very weak; put to bed and kept on liq. Diet.
Jan 21, 1919.  Patient died at 3:45 a.m.  Gastro-enteritis chronica (from pers. know. 1 month, 26 days).


On certificate of:
Drs. John Palmer, Jr. and Irvine M. Flinn

History and clinical notes:
History:  Patient brought by relatives.  No history obtainable.  Physically very weak.  Patient is continually talking about being a bad woman, thinking they are going to kill her for her bad records as nurse.  Refuses to take food.  Has to be fed.
Jan 1, 1919.  Patient getting worse mentally and physically.
Mar 20.  Patient had a bad fall.  At 4 p.m. patient had a cerebral hemorrhage.
Mar 21.  Left side paralyzed, very weak.
Mar 27.  Impossible to feed the patient.
Mar 29, 1919.  Patient died this morning at 7:45 a.m.  Cerebral apoplexy, 9 days.


History and clinical notes:
History:  Patient brought by officers, no history obtainable.  Certificate states: history of epilepsy.  Now utterly irresponsible with feeble mind.  No relatives or friends.  Patient was very violent and noisy – put in restraint.
No further entries.

Additional notes:
At DSH during 1920, 1930, and 1940 censuses.  Died at DSH 12/30/1946 of chornic myocarditis.  Buried in Cathedral Cemetery


History and clinical notes:
History:  This patient was paroled from this institution March 30, 1918 and was eventually discharged from our books Oct 15, 1918.  During the monthly meeting of the Board of Trustees, Dec. 5, 1918, he was brot back and the matter was discussed by the Board.  It was decided as the patient had not been a charge on the state since last March and that by sending him back to Laurel would have entailed an extra expense on the state, a resolution was passed authorizing the Supt. to admit him without the customary examination.
No further entries.

Additional notes:
Died at DSH, 7/11/1936 of broncho-pneumonia and pulmonary TB.  Buried in Laurel.


History and clinical notes:
History:  Patient brought by relatives.  No history obtainable.
No further entries.
Penciled in across bottom of page: Died June 8, 1925.

Additional notes:
Penciled across page that he died 6/8/1925.  5X8 card says he died 1/18/1925.


History and clinical notes:
History:  Patient brought by officer.  No history obtainable.
Dec 14, 1918.  Patient’s son came to see her and told the history of her.  That patient was drinking very [illegible] for past two weeks.  A day before she was admitted to this hosp. she was in bad company and drank.
Dec 15.  Patient very quiet, works around the ward.  Improving very much.
Jan 15, 1919.  Patient improving nicely.
Jan 24, 1919.  Patient sent to Dr. Albert[ill.] as recovered as she was working there before she was admitted here.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.
Penciled in across bottom of page:  Died 8 [illegible].

History:  Patient brought by officer.  No history obtainable.
Dec 14, 1918.  Patient’s son came to see her and told the history of her.  That patient was drinking very [illegible] for past two weeks.  A day before she was admitted to this hosp. she was in bad company and drank.
Dec 15.  Patient very quiet, works around the ward.  Improving very much.
Jan 15, 1919.  Patient improving nicely.
Jan 24, 1919.  Patient sent to Dr. Albert[ill.] as recovered as she was working there before she was admitted here.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.
Penciled in across bottom of page:  Died 8 [illegible].

Additional notes:
Penciled in across page died 8/1/1925 (??).  No further info.


History and clinical notes:
History:  Patient brought by the deputy of the Kent Co. Jail who states that patient was in workhouse for quite long time.  Then she was transferred to the Kent. Co. Jail.  Patient has never been violent, but very queer.
No further entries.

Additional notes:
Never left hospital.  Died at DSH 9/12/1930 of mitral stenosis and rupture of abdominal aorta.  Buried in the Spiral Cemetery, Grave #395.


History and clinical notes:
History:  Patient brought by relatives who states that patient is noisy and talkative at times untidy.  Patient is very feeble.
No further entries.
Penciled in across bottom: Died July 26, 1921.


On certificate of:
Drs. Samuel C. Rumford and Irvine M. Flinn

Form:
psychosis with somatic disease, cardio-renal disease

History and clinical notes:
History:  Certificate states that patient has been insane for 20 years; was at Kirkbrides in 1896.  Wanders from home and goes in Hotels, etc. until she has become a nuisance and no one can manager her.  Physically very weak, suffering from chronic nephritis and heart trouble.  Upon examination found hypertrophy of left ventricle, presystolic murmur at the apex, dyspnea, edema of feet and legs.  Albumin.
Dec 29, 1918.  Patient’s condition very critical.  Put to bed.
Dec 30.  Patient was very violent, fighting the nurse and doctors.  At times she used very abusive language.
Jan 5, 1919.  Patient very weak, dyspnea over coming.  She did not rest since 6 p.m.
Jan 6, 1919.  Patient died at 7:30 p.m.  Chronic interstitial nephritis.


History and clinical notes:
History:  Brother states that patient’s mind has been affected for the past 5 years.  Her mother died about 3 years ago & after this time she began to get worse.  Imagines that people are talking about her and frequently yells at people who are passing – claiming that they had been telling lies about her.  Two weeks ago attacked her father and injured his arm.  Is very determined in her manner.  Has slept fairly well and rests good at night.  No untidy habits.
No further entries.

Additional notes:
She died at DSH 12/13/1927 of TB of lungs and intestines; buried in Laurel.


History and clinical notes:
History:  The certificate states that patient escaped from friends in Phila. and was picked [up] by the police in Long Branch, N.J., sent to Wilmington by Long Branch authorities.  Dr. Palmer has treated this man for insanity for one month.  On the way to a sanatorium he escaped.
Jan 10, 1924.  Discharged.

Additional notes:
Penciled in across page: discharged 1/10/1924.  Died at DSH 9/19/1928 (from death card).


History and clinical notes:
History:  The certificate states that patient thinks he has a good and a bad personality.  Believes he is two distinct individuals.  Threatens homicide and suicide and strikes people passing by his cell; very vicious.
Jan 15, 1919.  Patient talks constantly about his being very weak; that somebody gave him dope to make him useless.  Sometimes at night he gets violent, imagines someone is after him.  Physically well.  Eats well.  Delusions of persecution.  Very lazy.  Usually tries to avoid work.  Today he was working outside with a gang and escaped at 2 p.m.
Dec 31, 1919.  Paroled unimproved.  Eloped.
Jan 2, 1920.  The man who either jumped or fell from B&O Railroad Bridge and killed himself was identified as Thomas Jordan.  Discharged unimproved.

Newspaper article attached, penciled in date of January 1, 1920:  “MYSTERY IN MAN’S PLUNGE FROM BRIDGE; Victim Drops 75 Feet From B. & O. Span Over the Brandywine; No clue to identity; Was expensively Clad.”.  “Considerable mystery surrounds the identity of the man who either jumped, fell or was hurled 75 feet to his death from the Baltimore and Ohio Railroad bridge over the Brandywine late last night.  The man wore underwear of the finest texture and carried two fine linen handkerchiefs, one blue in color and the other red.  So clean wore (sic) his hands, portions of his face and his body that it is doubted if he had been working either on the railroad or in any shop or mill.
	The man’s face and head was badly crushed and both arms and his left leg were fractured by the fall.  Every effort was made this morning by Deputy Coroner Nichols to find someone who might identify the body, which is at the morgue, but the search had been unavailing up to 1 o’clock this afternoon.
	The victim was about 25 years old, 5 feet 9 inches in height, and weighed about 170 pounds.  He wore a blue serge suit and cap of mixed colors.  His shoes were black, No. 8 in size.  There was nothing on the clothing to indicate where it had been manufactured, nor anything in his pockets which would shed any light on his identity.  The sum of 85 cents was found in one pocket.
	Two workmen, Frank Shrabath, No. 2218 Washington street, and Joseph Smith, No. 315 East Third street, were returning from work at the Augustine Mills when they saw the man plunge from the bridge to the ice-covered pond of the Jessup and Moore Paper Company below.  They immediately ran to the pond and found the body of a man badly battered and bruised.
	He was dead when the men reached him and they immediately notified the police.  Captain of Police Wardle in turn notified Deputy Coroner Nichols, while the police patrol in the meantime conveyed the body to the morgue.
	The workman said that as they were walking on Black road and were nearing the bridge a freight started across the bridge.  Glancing up at the train, Smith noticed a form fall on one of the ice-covered alum ponds of the paper company.  It is thought remarkable by the police making the investigation that the body falling seventy-five feet from the bridge to the pond did not break the ice.
	There is a possibility that the man was crossing the structure when the train approached, and, having no idea of the depth of the pond below, jumped in an effort to save himself.  The police in their investigation, however, found there is sufficient space between the two tracks for a person to stand while trains are crossing the bridge.”

Additional notes:
He escaped from DSH, and was discharged.  It was later discovered he had committed suicide; died 1/2/1920.


History and clinical notes:
History:  Medical certificate states that patient heard voices and talks to spirits, who use vile language toward him.  Patient states he used to drink.
Jan 5, 1919.  Patient improving very nicely.  Working outside.
Jan 31, 1919.  Patient sent home to Wilmington as recovered.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.


History and clinical notes:
History:  Medical certificate states that this patient has a cardiac murmur with hypertrophy and is in a bad physical condition in addition to his mental delusions; he thinks men are standing all around to kill him; his mental condition is very pronounced at this examination.  Have been unable to trace condition to alcohol.  Sees spirits and hear (sic) abusive voices.  It states also that patient’s head was injured.
Jan 6, 1919.  Patient improving very nicely.
Jan 12.  Mentally, physically improving very much, works outside.
Feb 7, 1919.  Patient sent home to Wilm.  Paroled recovered.
Dec 19, 1919.  Discharged recovered.

Additional notes:
Says "Col." above his name, but Color is listed as white.


History and clinical notes:
History:  Medical certificate states that patient claims megaphone follows him wherever he goes, annoying him and telling him to do many things.  A megaphone man follows him and wants to kill him and two little children are pleading with the megaphone to not kill him.
Jan 20, 1920.  Patient improving very nicely, tells that he realizes that it was not true that people were following him.  He is working outside and does well.
Mar 29.  Mentally and physically doing well.  Wants to go home.
Mar 30, 1920.  Patient went home this morning.  Paroled recovered.
May 18, 1920.  Patient came back by himself on the train, complaining that the secret organizations are after him, he could not rest day and night.
No further entries.
Penciled across bottom: Died June 17, 1924.


History and clinical notes:
History:  The medical certificate states that this man says he has been in Wilmington but 7 days, has been unable to get in touch with Richmond and doubt that is his home (sic).  He needs confinement at once.  Also that Catholics through his sister have defrauded [him] of an estate running into millions.  Came into the police station to enter suit against city of Richmond for above reason.
Jan 28, 1918 (actually 1919).  No improvement.  A few days ago the Chief of Police of Wil notified us that he had escaped from St. Eliz Hospital at Washington, D.C. and that he had notified them that he was confined in D.S.H.  Three soldiers arrived today from St. Eliz and removed patient.  Paroled unimproved.
Apr 17, 1919.  Discharged unimproved.

Additional notes:
Per ancestry.com -- Born 1884.  Died 2/27/1939, buried in Mount Calvary Cem., Richmond, Va.  In 1920 census he was a patient at St. Elizabeths in Washington, DC.  Soldier, US Army.


History and clinical notes:
History:  Patient brought by his nephew, who states patient was all right until a week ago, when he had a stroke (cerebral apoplexy); after that time he was acting very funny, at times very violent, fighting with his relatives.  They could not keep him in bed and manage him.  Patient had another stroke a year and a half ago.  Patient put into bed.
Feb 1, 1919.  Patient still in bed, but doing better, eats well and talks reasonable.  
Feb 25.  Patient improving a little.
Mar 13.  Patient had another stroke this morning.  Unconscious.  Pulse slow and full.  Resp. slow and noisy and stertorous.  Pupils dilated and unequal.  Do not react to light.  Face cyanotic.  R leg flaccid; face, arm, and leg of the right side involved.
Mar 15.  Consciousness regained.  Patient perfectly helpless, took milk and water.  Very weak.
Mar 16. p.m. Patient in coma, tho conscious (sic).
Mar 18, 1919.  Died at 3 a.m.  Cerebral hemorrhage, 5 days.


History and clinical notes:
History:  Patient brought by an officer.  No history obtainable.
May 2, 1919.  Patient had a few spells of violence, tried to fight with attendants, while taking walk with other patients he escaped and was found in woods.
No further entries.

Additional notes:
In 1920 census was at DSH;  no further info


History and clinical notes:
History:  Patient brought by an officer.  No history obtainable, but the medical certificate states that this man thinks he has become very wealthy to the amount of several million.  Has been kept in the Police Station for four days and does not clear up any.  If alcohol the cause, it is persistent.  Patient physically weak, after examination found T 102°, P 128, R 38.  Dilation of left ventricle.  Patient states that he had an attack of epidemic influenza about 2 weeks ago.
Feb 1, 1919.  Patient improving physically and mentally.
Feb 15, 1919.  Patient sent home as recovered.  Paroled recovered.
Apr 17, 1919.  Discharged recovered.


History and clinical notes:
A former patient, see Book VI, page 278.  Second time he was admitted Sept 24, 1914, see Case Book VII, page 239.  Was discharged as recovered Oct 27, 1915.  Patient brought by his friends, who state that patient had an attack of epidemic influenza about 2 weeks ago and since that time he acts very queer.  Patient has fever, put to bed.
Jan 17, 1919.  Patient has an attack of influenza.
Feb 1.  Patient recovered from influenza, but still very weak.
Mar 25.  Patient improving mentally and physically.
Jun 10.  Patient working outside, doing very well.
Jul 30.  Still improving and working outside.
Sep 10, 1919.  Patient sent home upon request of his people.  Paroled improved.
May 27, 1920.  Discharged improved.
Penciled in across bottom: Dischg. June 17, 1924.

Additional notes:
Penciled across page: Dischg. June 17, 1924.  Was back in DSH in 1940, died there in 1951.


History and clinical notes:
History:  Patient brought by Dr. E. Bell and relatives who state that patient was pretty bad since about a year ago, when the climacterium started, only lately she attempted suicide and it is very hard to manage her, as she tears her clothing, refuses to take food and at times is very violent.  She claims that her head does not belong to her but her body does and her body talks through some other head.  Patient physically very weak.
Jan 18, 1919.  Patient doesn’t show any improvement; physically very weak.
Jan 21, 1919.  Patient died at 11:15 a.m.  Valvular heart disease (A. Myocarditis).


History and clinical notes:
History:  The certificate states that patient thinks that the Lord appears to her in person and sends her on divine missions.  At these times she disappears from home.  Last week she started for N.Y., where she says she would have followed out the Lord’s command and finished the mission.  Refuses to take any food.  Didn’t eat for several days.  No other history obtainable.  Patient physically very weak and has to be fed.
Mar 10, 1919.  Patient still praying day and night and refusing to take food.
Apr 25.  Patient improving very nicely, eats well and works around the ward.
Jun 20.  Patient improving physically and mentally.
Jul 9, 1919.  Her sister and brother came and took her home.  Paroled improved.
Dec 19, 1919.  Discharged recovered.


History and clinical notes:
History:  Medical certificates states that patient thinks everybody wants to kill him.  Also that patient has not eaten anything for a week.  Patient brought by his father, who states that he was in this hospital as a patient 22 years ago, which is correct, see Case Book 3, page 159.  He was discharged as recovered June 17, 1897.  About his son he states that when the boy was 15 years old he had a fall and since that time he was not quite normal.  At times getting worse, and since two weeks he was acting very queer.  Won’t eat or drink anything.  Getting worse gradually.  Patient very weak and put to bed.
Mar 1, 1919.  Patient getting very weak, refuses to take any food, has to be tubed.  Kept in bed, would not talk.
Apr 10.  Patient eats well and talks; realizing what he had done.
May 15.  Patient works outside, mentally and physically improving very nicely.
Jun 11, 1919.  Patient’s father came and took him home.  Paroled improved.
Dec 19, 1919.  Discharged improved.

Additional notes:
1910 census has his name spelled Corlie G. Russum, but must be him.  Living with another family as a farm laborer at age 9.  WW I registration lists him as Corley Goldsborough Russum.  Yet another lists him as Curley.  Died at DSH on 8/6/1948.  Last admission was on 8/9/1937. Name spelled Corley on death certificate.  Buried in Mt. Olive Cem.  In DE birth records he is listed as Charley, married to Isabelle or Isabella.  Father to premature twin boys who did not survive, in 1927.


On certificate of:
Drs. G. Frank Jones and Robert G. Hopkins

History and clinical notes:
History:  Patient has been in this institution 14 years ago, see Case Book V, page 15, under the name Sadie Postles, adm. Here May 6, 1904, discharged Jan 13, 1905 as recovered.  Had no trouble since until about 10 days ago.  At times she is violent, very talkative and sings religious songs.  Physically she is weak.  Put in bed, kept in restraints.
Mar 10, 1919.  Patient still very violent.  Kept in restraints.  Singing religious songs and praying much of the time.  Very unclean.
May 15.  Patient shows some improvement.
Jun 10.  Still improving, transferred to the Swift Bldg.
Aug 15.  Mentally and physically improving very much, works around the ward and outside.
Sep 6, 1919.  Patient’s husband came and took her home against the wish and advice of the Supt.  Paroled improved.
May 27, 1920  Discharged recovered.

Standard form attached:  Sept 6, 1919.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness [William H. Hancker], Signed [Greenberry Brittingham, husband].”

Additional notes:
1920 census, living with husband and three children (ages 8, 5, 2).  In 1940 census is living with husband, older son and his wife and child.  She died in 1961 and is buried with her husband Greensbury B. in White's Chapel UMC Cemetery in Milton.


History and clinical notes:
History:  Medical certificate states that patient has been an epileptic and imbecile since early childhood.
Feb 15, 1919.  No change in patient’s mental and physical condition.  At times patient acts very violent.  Tears her clothing.  Almost every day has epileptic convulsions.  Her physical condition is good.
Feb 20, 1919.  Her mother came and took her home against the wish and advice of the Supt.  Paroled unimproved.
Dec 19, 1919.  Discharged unimproved.

Standard form attached:  Feb 20, 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 [Dr. M.A. Tarumianz], Signed [Sarah T. Cook].”

Additional notes:
1920 census, living at home with her mother.  Brought back to DSH on 1/11/1920 where she was until she died in status epilepticus on 7/28/1920.  Buried in Lombardy Cem., Wilm.


History and clinical notes:
History:  Patient brought by officers; no history obtainable.  Medicate certificate states that patient comes from N.Y., has been in Wilmington 5 weeks.  Picked up by police, because of complaint of residents at 2nd and Adams St.  Impossible to keep clothes on and seems altogether unsafe at large.
Feb 18, 1919.  No change in patient’s mental condition, his people came and took him to Ilion, N.Y. as unimproved.  Discharged unimproved.

Additional notes:
Sent back to NY.  Died 11/6/1921 in New York.


History and clinical notes:
History:  Patient brought by officers from Workhouse, who states that he has served his term, and that patient suffers from epileptic convulsions.  At times he is violent, has delusions of persecution.  That he was insane when he was admitted to the Workhouse.
Mar 1, 1919.  Patient at times very violent and noisy.
Mar 28.  No change in patient’s mental and physical condition.
Apr 1, 1919.  Patient had an epileptic convulsion since 2 a.m. and died at 4:30 a.m. status epilepticus (2.5 hours).


History and clinical notes:
History:  Patient brought by officer, no history obtainable.  Patient very quiet, works around the ward.  As the patient belongs to Philadelphia, the office of the Attorney General ask to send him to Phila.
Mar 8, 1919.  Patient sent to Phila. with Constable A.J. Kingsbury.  Paroled unimproved.
Apr 17, 1919.  Discharged unimproved.

Letter attached, on letterhead of State of Delaware, Office of the Attorney General (with seal), David J. Reinhardt, Attorney General, Percy Warren Green, James M. Satterfield, Daniel J. Layton, Jr., Deputy Attorneys General.  Dover, Del.  March 5, 1919.

“Dr. William H. Hancker, Supt.,
State Hospital for Insane,
Farnhurst, Del.
Dear Doctor:
	Joseph Louney, recently committed to your hospital, has a residence in Philadelphia.  It is unreasonable to expect the State of Delaware to take care of insane patients from the State of Pennsylvania, and I, therefore, ask that you turn over to Mr. A.J. Kingsbury, Constable, the above named Joseph Louney to be delivered to the proper authorities in the State of Pennsylvania.  Yours very truly, [signed] James M. Satterfield, Deputy Attorney General.”


History:  Patient brought by officer, no history obtainable.  Patient very quiet, works around the ward.  As the patient belongs to Philadelphia, the office of the Attorney General asks to send him to Phila.
Mar 8, 1919.  Patient sent to Phila. With Constable A.J. Kingsbury.  Paroled unimproved.
Apr 17, 1919.  Discharged unimproved.

Letter attached, on letterhead of State of Delaware, Office of the Attorney General (with seal), David J. Reinhardt, Attorney General, Percy Warren Green, James M. Satterfield, Daniel J. Layton, Jr., Deputy Attorneys General.  Dover, Del.  March 5, 1919.

“Dr. William H. Hancker, Supt.,
State Hospital for Insane,
Farnhurst, Del.
Dear Doctor:
	Joseph Louney, recently committed to your hospital, has a residence in Philadelphia.  It is unreasonable to expect the State of Delaware to take care of insane patients from the State of Pennsylvania, and I, therefore, ask that you turn over to Mr. A.J. Kingsbury, Constable, the above named Joseph Louney to be delivered to the proper authorities in the State of Pennsylvania.  Yours very truly, [signed] James M. Satterfield, Deputy Attorney General.”

Additional notes:
1920 census in a prison in Philadelphia County, Pa.  No further info.


History and clinical notes:
History:  Patient brought by his friends, no history obtainable.  Patient used to be a heavy alcoholic and suffering from this attack since Jan 29, 1919.  Physically very weak, has to be put to bed.
Mar 2, 1919.  Progressive enfeeblement of mind.
Feb 7, 1920.  Patient had an epileptiform convulsive seizure since 5 p.m. this afternoon.
Feb 8, 1920.  Patient speechless, motionless, can not swallow – some contractures developing.  Patient died at 6:30 this evening.  General paralysis of the insane, from pers. know., 11 months + 11 days.  (Dementia paralytica).


History and clinical notes:
History:  Certificate states that patient hears voices, which curse and ridicule him.  Wants to die and threatens to kill himself at first opportunity.
Jul 1919.  Upon examination found physical disorders of no pathognomic value except: exaggerated reflexes, dilated pupils, vasomotor disorders, dermagraphic.  Mental: hallucinations and illusions of sight also the auditory. Retardation in the flow of thought.  The faculty of judgment affected.  Transitory delusions most of depressed character, changeable.  Emotional deterioration.  Sudden motor explosions.  Impulsive actions.  Unfavorable prognosis.  Out of door occupation and exercise suggested hydrotherapy, diet.
July 1920.  No change in patient’s mental condition.
No further entries.
Penciled across bottom of page: Sept 4, 1925.


History and clinical notes:
History:  Certificate states that Cloud is sufficiently feeble minded as to require care with nobody to do the same with his permission.  Appears on porch in nude condition and considers that it is proper for him to do so in as much as he has the right to do as he pleases on his own property.  We feel that under proper condition he might be kept at home but such arrangements are impossible.  Has been tried for a number of years with no success.
Mar 20, 1919.  Patient at times is very contrary and noisy, physically very weak.  Suffering from asthma and emphysema.
Apr 24, 1919.  Patient died at 1 p.m.  Asthma, from personal knowledge, contributory emphysema, from personal knowledge.

Final disposition:
Died of asthma, with contributions from emphysema


History and clinical notes:
History:  Patient brought by an officer and her husband, who states that patient has been acting very queer since last August, when she lost her child.  Most of the time she was melancholic, sitting in the room and refusing to talk.  Lately, since about 2 weeks, she prays and talks to stars and other planets.  Often refuses to take food, telling that somebody poisoned the food.
May 25, 1919.  Patient shows some improvement, eats well, works around the ward and is very pleasant.
Jul 26, 1919.  Patient improving very nicely mentally and physically; her husband came and took her home.  Paroled improved.
Dec 19, 1919.  Discharged improved.

Additional notes:
Daughter, age 12, had died of cerebro-meningitis, 8/20/1918.  Myrtle Madaline Saxton.  She was apparently fine in later life and died in 1955.


History and clinical notes:
History:  Patient brought by officers; no history obtainable.  Very violent, has to be put in restraints.  Med. certificate states that patient lost his wife and one child at almost the same time and that since that time he was bad.  At Police Station he was very destructive; broke washstand and cart.  Very unmanageable at times; violent for first five minutes, then quiet for an hour or two.
Mar 20, 1919.  Patient very violent, kept in restraint, has a few abscesses on his arm.  Incision.
Apr 2.  Patient still very violent; last night patient had a fight with night watches.  Dr. M. called and patient almost knocked him down.  Was very hard to manage.
Apr 8.  Patient shows great improvement, working around the ward.
Apr 15.  Patient improving very nicely.
May 10, 1919 .  Mentally and physically doing very nicely; his daughter and son came and took him home.  Paroled improved.
Jul 23, 1919.  Patient brought by his son, who states that since about a week patient was acting very queer and since yesterday he was very violent.  They could not manage him at home.
Aug 1.  Patient still very violent; has to be kept in restraint.
Sep 2.  Patient improving mentally and physically.\
Oct 3.  Patient working outside, improving very nicely.
Oct 18, 1919.  Patient’s daughter came and took him home.  Paroled improved.
Mar 8, 1920.  Patient brought back this afternoon by an officer.
Mar 20.  Patient’s very troublesome and noisy ever since his return.  Has lost flesh.
Apr 1.  Still noisy and violent.  Kept in restraint constantly.
Apr 4.  Had a stroke of apoplexy this a.m. (right side).
Apr 15.  Has regained use of side but is very weak, altho still noisy and violent.
Apr 23.  Is unconscious this a.m., was visited by his relatives.
Apr 25, 1920.  Died, cerebral apoplexy, 7:40 a.m.


History and clinical notes:
History:  Patient brought by a doctor from a private institution, where the patient was confined since last April.  Physically very weak, refuses to take food, never speaks a word.  Patient put to bed, very weak, has to be fed.
Apr 6, 1919.  Patient’s husband came to see her and states that the trouble with his wife started in Nov 1917 when their son was brought home badly injured, and she had to nurse him for 5 weeks, when he died.  The boy had bad wounds and they had to be dressed 3 times daily.  After the boy died, the patient would not touch anything, claiming she was not clean to do anything.  She would say “She is flying all to pieces”.  She was very nervous and physically weak.  Wouldn’t eat.  They took her to a private sanitarium where she remained for 5 weeks, then they took her to another one, where she remained for 30 mos. [sic], getting worse since last October.

Additional notes:
In 1900 census she was living with husband and 3 sons.  In 1910 census she was living with husband and son Basil.  At that time had 3 children living out of 5 born.  She died 1/2/1949, is buried with her husband William and son Herbert Perry, who died 12/23/1917 and whose death was the cause of her going to DSH.  They are all buried together in Cool Springs Presbyterian Cemetery, Cool Spring, Sussex, De.  In 1930 census, she was at DSH.  Her COD says she died of heart disease.  Was not at DSH in 1949.


On certificate of:
Drs. Flinn and Eznuente (?) T. Negeland (??)

History and clinical notes:
History:  Patient brought by her husband who states that she started to act queer about a week after birth of child.  Getting worse with every day.  She threatens to kill herself or any one who bothers her.  Hears voices of strange people.  Lately she got so bad, that it was impossible for him to keep [her] at home.  Certificate states that patient thinks she is pursued by enemies and though they are far away, hears them talking and planning to injure her.  She threatens to kill herself and husband; fears she might kill the baby and herself.
No further entries.

Additional notes:
In 1930 census she is listed as an inmate at DSH.  In 1940 census she is listed as a "lodger" at DSH, working as a housekeeper.  Listed along with other attendents, nurses, etc., so clearly not a patient.  It is noted that she has only 1 child.  Died in 1968, buried in Silverbrook.  No info on child.


History and clinical notes:
History: Patient brought by her relatives, who state that she had chorea since her childhood, but she was OK mentally until last fall, when she had an attack of epidemic influenza and since that time she attempted suicide many times.  At times she was violent.  It was impossible for her mother to keep her home.
Jul 20, 1919.  Patient shows some improvement.
Aug 5.  Patient’s mental condition improving, works around the ward and is more cheerful.
Oct 18, 1919.  Patient’s sister came and took her home against the wish and advice of the Supt.  Paroled improved.
May 27, 1920  Discharged improved.

Standard form attached:  Oct 18, 1919.  “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 [Dr. M.A. Tarumianz], Signed [Sue V. Doherty].”

Additional notes:
In 1920 census living with mother and two younger sisters, Sue and Catherine.  No further info.


History and clinical notes:
History:  Patient brought by officer and husband.  Her husband states that patient was acting a “little queer” since 1901 (or 1907), getting worse; for last 2 months she was very violent at times and noisy, talkative.  Would try to fight for “nothing.”  Was very hard to manage.  Patient very violent and destructive when brought here.  Put in restraint.
Apr 10, 1919.  Patient has been very quiet and apathic (sic), usually keeps one position.  Doesn’t talk.
No further entries.

Additional notes:
In 1930 census she is listed as being at DSH still. Died 2/24/1939.  Same as #2661.


On certificate of:
Drs. Benjamin R. Veasey and Taleasin H. Davies

History and clinical notes:
History:  Patient brought by her brother-in-law, who states that about three yrs. Ago patient started to act very queer.  Very nervous and often talked about killing herself.  For last 2 years she was very bad.  Imagines that people were after her; has threatened her sister, who is pregnant; she talks about killing the child when it comes.  At first attack she claimed that she had masturbated and consequently her soul was damned, etc.  Patient very restless.  Talking about suicide.

Additional notes:
Still at DSH for 1920, 1930, and 1940 censuses.  Died at DSH 6/3/1942, buried in St. Georges Cemetery.  Died of spontaneous cerebral hemorrhage.  Had never left hospital.


History and clinical notes:
History:  The certificate states that patient was in this institution; that it is impossible to get any reliable answers to questions.  Mother cannot control him and he threatened to kill her yesterday.  Patient was admitted to this hosp. first time July 29, 1918 and was discharged Jan 17, 1919 unimproved; was paroled on Aug 31, 1918.  Patient was taken home by his brother against the wish and advice of the Supt.
Apr 15, 1919.  Patient quiet.  At times laughs very simply.  It is impossible to get any sensible answer.  Some times he talks about some new invention and that he would like to try his new engine.
Apr 19, 1919.  No change in patient’s mental and physical condition; his mother came and took him out of state.  Discharged unimproved.  Taken out of state.
No further entries.
Penciled across bottom: See page 257, for 1st admission, page 391 for readmission.

Final disposition:
Discharged unimproved, taken out of state

Additional notes:
Readmitted later, taken out against medical advice again.  Died 11/5/1949 at Kent Hospital.


History and clinical notes:
History:  Patient brought by Rev. Murphy, who states that patient has been acting queer since 1917.  Lately he was getting worse.  Last night he wanted to attack the keeper of store whom he told that he feels like he could eat his flesh.  He has never been violent before.  At times he is melancholic.  There is history of masturbation.
Jun 1, 1919.  Patient walks constantly, talks to himself, worried about his farm, would not work.
Jul 10.  Patient works outside.  Shows some little improvement.
Sep 15.  Improving slowly.  Still talks about selling his farm, that he was a fool, etc.
Sep 27, 1919.  His father came and took him home against the wish and advice of the Supt.  Paroled improved.
May 27, 1920.  Discharged improved.

Standard form attached:  Sep 27, 1919.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [William H. Hancker], Signed [K.S. Hazel (father), his mark X].”

Additional notes:
He was apparently fine after this.  Never married.  Lived in Sussex and Kent counties, died at the age of 84 in April 1968.


Form:
psychosis with somatic disease, post-infectious psychosis

History and clinical notes:
History:  Patient brought by her husband who states that patient had an attack of epidemic influenza about 3 weeks before childbirth.  About two months after the childbirth she started to act very queer.  Mixed (?) in her judgment, talkative, laughs very simply.  Often she takes her clothes off.  Refuses to take any food.  Lately she was worse, at times violent.  Her husband states [ill.] that her aunt is suffering from mental trouble.  Patient is very weak.
May 10, 1919.  No improvement in patient’s mental condition.
May 30.  Patient shows some improvement mentally and physically.
Jun 30.  Improving very nicely, wants to go home, works around the ward.
Jul 23, 1919.  Patient’s husband came and took her home against the wish and advice of the Supt.  Paroled.
Dec 19, 1919.  Discharged improved.

Standard form attached:  July 23, 1919.  “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 [Dr. M.A. Tarumianz], Signed [J.L. Smith].”

Additional notes:
In 1920 census living with husband and three kids, ages 5,3,1 in Blades, Del.  Eventually had another child, but lost one son as well at a young age.  Died 6/16/1957 in Wilmington.


History and clinical notes:
History:  Patient brought by his wife and relatives who state that they noticed since about six months that he was getting forgetful and careless and since April 9 he had a few attacks of convulsions; complaining about severe headaches and backaches.
May 1, 1919.  Has improved very much physically.  Is a good worker and quite cheerful and has a characteristic hesitancy in his speech peculiar to Gen. Par.
May 21, 1919.  Mr. Murphy, his employer, visited him today and removed him.  Paroled.
Dec 19, 1919.  Discharged improved.

Additional notes:
Two people with this named died at DSH, one on 8/6/1927 and the other on 4/3/1938.


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

History and clinical notes:
History:  Patient brought by Dr. Orr and his wife, who state that patient had a fall on the head 5 years ago.  Shortly after that he was acting funny in many respects.  Lately he hardly can talk, he is not able to walk.  Mostly lies helpless in bed.  At times untidy, at times he tries to fight.
May 5, 1919.  Progressive enfeeblement of mind and paresis of the body.  Kept in bed, mostly in restraint.  Mostly untidy.  Very hard to manage him.
Sep 10.  Mentally getting worse.  Speechless, filthy, and helpless.
Jan 15, 1920.  Contractures are developing.
Mar 25.  Difficulty in swallowing.
May 1.  Patient had convulsive seizures over 6 hours.  Now he lies in bed motionless.  Can not swallow.
May 2, 1920.  Patient died at 10 p.m.  General paralysis of the insane, 1 year and 17 days.


History and clinical notes:
History:  Patient brought by Dr. Cromwell.  The certificate states that patient has been subject to “fits” since child was born about 7 years ago, but no signs of mental trouble until after last child 6 months ago was born, child died and she has had “fits” together with attacks of insanity ever since.  The insane fits seem to be independent of the usual fits and not the result of the epilepsy.  Wanders away from home and has no recollection of it; was found some distance from home with apron tied around her neck, attempting to hang herself.  In the intervals patient seems altogether sane, speaks of losing her mind and loss of baby.
Jan 25, 1920.  Patient has epileptic convulsions once a month.  During and a few days after which she is violent, has to be kept in restraint.  Otherwise no trouble, works out and inside.  Two to three days after convulsions, patient has delusions of persecution.
Aug 21.  Patient didn’t have any convulsions for 5 months.  Today while her people came after her, she had 8 seizures and was violent afterwards.
Sep 20, 1920.  Patient’s husband came and took her home against the wish and advice of the Supt.  Paroled improved.

Standard form attached:  Sep 20, 1920.  “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 [Dr. M.A. Tarumianz], Signed [Ervie Delasser, per Geo. Dilworth].”

Additional notes:
She and her husband Herve immigrated from Havre, France on the S.S. La Gascogne, on 4/22/1902 and were held for Special Inquiry.  They were admitted the following day.  A man with the same name as her husband died 7/13/1936 at Winterthur.  He died of bronchopneumonia and is buried at St.  Joseph's on the Brandywine.  Wife signed the COD.  The child who died was Harve Marie Delasser (male), died at 6 months of age of bronchopneumonia, on 3/30/1919.  Born 10/1/1918.  Child buried in Cathedral Cemetery.  Their son Theophile died in 1961 at the age of 58.  Died 8/25/1961 in Smyrna.


Form:
senile psychosis, delirious and confused state

History and clinical notes:
History:  Patient brought by an officer; no history obtainable.
Apr 18, 1919.  Patient at times violent, trying to fight with the nurses and untidy.  Has sugar in urine, suffering from diabetes mellitus, has also myocarditis.  Very weak.
Apr 27.  Patient getting worse.
Apr 29.  Patient in a coma, diabeticous (?) since this morning 8 a.m.
Apr 29, 1919.  Patient died at 5 p.m.  Diabetes mellitus (+ 12 days).
Note: This is Caswell Boyles (not Boils), Jr., who is buried in the Spiral Cemetery.

Final disposition:
Died after 12 days of diabetes mellitus.

Additional notes:
This is Caswell Boyles, Jr.  Buried in the Spiral Cemetery  #305.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.
No further entries.


History and clinical notes:
History:  Patient brought by her husband, who states that patient started to act very funny since last June, when she lost her child.  At times very talkative and violent.  She does not recognize her 4 year old child.  Two of patient’s sister were patients in this institution for [a] long time.
No further entries.

Additional notes:
At DSH for 1920 and 1940 censuses.  Apparently shortly after she was admitted to DSH, Arthur went to work as a nurse at the mental hospital in New Jersey.  In 1940 census, Arthur was living with his son Howard.  Died in August of 1967.  She is buried with her husband Arthur in Bloomery Cemetery, Federalsburg, Maryland.  Baby Edna had actually died Sept 26, 1918 (not June).  The baby died of pneumonia at 27 days of age.


History and clinical notes:
History:  Patient brought by her daughter and Dr. Riley, who state that patient started to act funny since last February, gradually getting worse, very talkative and noisy.  At times threatens suicide.  Often talks about people [being] after her, lately she refuses to take any food, as she thinks everything is poisoned.
Jan 15, 1920.  Mentally and physically improving, eats and sleeps well.
Mar 27.  Patient is working around the ward.  Improving very nicely.
May 17, 1920.  Patient’s daughter came and took her home as improved.  Paroled improved.
Sep 21, 1920.  Discharged recovered.

Additional notes:
Died 2/12/1936.  Buried in Odd Fellows Cemetery, Camden.


History and clinical notes:
History:  Patient brought by his father.  The certificate states that patient had gonorrhea about 2 years ago, about six months after his mind began to be affected.  History of sexual indulgences as early as 17 in natural way.  No secret indulgences.  No other than “head terribly crushed at birth.”  This is the expression of mother.  Patient has been in this institution once before.  Admitted Nov 10, 1917, twice has been paroled but brought back.  Last time was paroled December 15, 1918 and discharged April 17, 1919 as improved.  This time his father states that patient was quiet [and] in good condition until last two months, when he would talk to pictures and walls.  Very noisy and hard to manage.
Jul 25, 1919.  No change in his mental and physical condition.
Aug 23, 1919.  Patient does not show any improvement; his father came and took him home against the wish and advice of the Supt.  Paroled unimproved.
Nov 5.  Patient brought back by his father; it was impossible to take care of him at home.
Nov 24, 1920.  No change in patient’s mental condition; his father came and took him home against the wish and advice of the Supt.  Paroled unimproved.
Nov 27, 1920.  Patient brought back by father.

Standard form attached:  Aug 23, 1919.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [William H. Hancker], Signed [N.J. Connelly].”

Standard form attached:  Nov 24, 1920.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [M.A. Tarumianz], Signed [N.J. Connelly].”

Additional notes:
Born 2/12/1893 to NJ (Nehemiah  and Ida Edna (Krauspe) Connelly.  1st child.  In 1930 census was living at home with his folks.  In 1940 census was back at DSH.  No further info.


On certificate of:
Drs. W. Victor Messick and C.S. Harrison (??)

Form:
psychosis with institutional psychopathic inferiority

History and clinical notes:
History:  Patient brought by his brother who states that patient had an attack of epidemic influenza last January and automobile accident in February and about 3 days after last accident started to act very peculiar, very talkative and at times violent.  Getting worse since last April.  They could not manage him at home on account of thought of suicide.
Jun 25, 1919.  Patient improving slightly.  Works around the ward and outside.  Mostly has not much to say.
Jul 14, 1919.  His brother came and took him to Phila. to some specialist accompanied by Dr. Hammonson; he was taken against the advice of the Supt.  Paroled.
Jul 14.  Patient brought back by his brother stating that the specialist in Phila suggested to bring him back.  
Jan 27, 1922.  Discharged.
Later admission #6514 [under card system].  In hospital 3/60.

Additional notes:
Brought back.  Penciled in across bottom of page: Discharged Jan 27, 1922.  Later admission #6514.  In hospital 3/60, died at DSH 2/8/1964.


History and clinical notes:
History:  Patient brought by Dr. J.B. Stubbs, who states that she started to be restless after some family trouble about 3 months ago; getting worse.  At times she is very talkative and lately she scratches herself, has many bad looking sores, some open infected cuts.  Doesn’t eat well.  Often refuses to take any food; physically very weak.
No further entries.

Additional notes:
Still at DSH for 1920, 1930, and 1940 censuses.  5X8 card says date of death 3/1/1943.


History and clinical notes:
History:  Patient left this institution against the advice of Supt. Aug 23, 1913.  Husband states that she was fairly well until about Christmas when she again became very much depressed.  Delusions peculiar to cases of melancholia predominate.  Has not rested well at night and gets up and moans and walks about.
Jun 15, 1919.  Patient prays all day, talks about her soul being in hell and that her body is going to be burned.  Refusing to eat.  Has to be tubed.
Jul 15.  Patient getting worse mentally and physically getting weaker.
Aug 2.  Patient improving very nicely mentally and physically.  Eats well, works around the ward and transferred to S.E.
Sep 1, 1919.  Her husband came and took her home against the advice of the Supt.  Paroled improved.
Dec 19, 1919.  Discharged improved.

Additional notes:
Died 8/21/1924, buried in Millsboro, Sussex County.


On certificate of:
Drs. G.F. Jones and Joseph B. Waples, Jr.

History and clinical notes:
History:  Patient brought by Sheriff, who forgot the med. certificate, so patient could not be admitted officially on May 20, but today after receiving the paper.  Medical certificate states that patient was injured 3 years ago by his falling on head and since that time patient was not acting normal.  Patient is quiet.  At times patient gets disagreeable; works outside.
Jan 1920.  Patient’s mother was here to see him; she stated [that] while he was home [he] often threatened to kill his father.
Jun 2.  Mentally and physically improving.
Jun 9, 1920.  Patient was working outside this morning and while working he escaped; telephoned to Mr. David Reinhardt the Attorney General.  Paroled improved/escaped.
Jun 10, 1920.  Patient found in his sister’s home in Wilmington and brought back.
Aug 27, 1921.  Discharged.
Apr 10, 1923.  Readmitted.
May 30, 1933 [prob. means 1923].  Escaped.
Jan 10, 1924.  Discharged.  Diagnosis: post-traumatic dementia.
Aug 1, 1933.  Readmitted.

Additional notes:
In 1930 & 1940 censuses he is living with family members, single;  he died 12/7/1958 at Delaware Hosp. (not DSH) of hemorrhage from stomach ulcer.


History and clinical notes:
History:  The medical certificate states that she is imagining everyone wants to kill her and her husband and stays awake at night to keep them out.  Men and policemen are threatening to hang her and are certainly after her husband.  People constantly after her and her family; goes on street and remains out after her day and night.  Patient’s father says that she was in the same condition for about 2 weeks about 20 years ago.  But she got well and they never had any trouble until about 3 months ago.  Getting worse, lately she refuses to eat.
Jun 10, 1919.  Patient  [record ends here]

Additional notes:
Was in DSH until her death on 7/25/1944.  Died of cancer of the pancreas.


History and clinical notes:
History:  The med. certificate states that after she left this institution about one year ago under the care of her son, who put her in Phila. General Hospital and a nurse from there brought her to her daughter’s and left her here at 1109 Linden St.; she is impossible in a private home.  A former patient, for previous history see book VI, page 477, book VII, pages 80, 190, 378 and 487.  On May 28, 1918, patient’s son came and took her home against the wish of the Supt., swearing that he is removing her from the State of Delaware and will never bring her back to this institution.
Mar 3, 1920.  Wasserman positive ++.

Final disposition:
Son took her away and promised not to bring her back to Delaware.


History and clinical notes:
History:  The medical certificate states that about 2 years ago when she had her first menstrual period she first began to show mental trouble, getting worse lately being very violent, impossible to keep her at home.  A few attempts of suicide.  Patient brought by a few officers and her brother; very violent; kept in restraint; her brother states that she did not take any nourishment for a few days.  Very weak.
May 24, 1919.  Refuses to take food; has to be tubed thrice daily.  Very destructive.
Jan, 1920.  Mentally and physically getting worse; very destructive, untidy.
Apr 1920.  No change in her mental condition; physical weaker.
Apr 28, 1920.  Patient’s mother came and took her home against the wish and advice of the Supt.  Paroled unimproved.
May 27, 1920.  Discharged unimproved.

Additional notes:
In 1920 census was at DSH, before parole.  In 1930 census, living at home with parents and siblings; 1940 census back at DSH.  Died 3/24/1948 at State Welfare Home in Smyrna.


History and clinical notes:
History:  The medical certificate states that this patient has been confined to bed for [a] long time and is full of delusions.  Her mother is the only one she has to look after her and while she is harmless, she is mentally impossible to an aged mother (sic).  Patient has been in this institution in 1911 and was discharged as recovered Aug 5, 1912.  See book VI, page 296.
No further entries.


History and clinical notes:
History:  Patient brought by officers; no history obtainable.  The certificates states that following 4+ Wasserman he was taken to hospital, skull trephined and lateral ventricle of brain injected with salvarsan-something serum in attempt to cure.  For a time it seemed to benefit, but for the past 4 weeks he has become much worse and progressive so at present is impossible unrestrained.  Patient thinks he is making regular wage every week, but had not made any thing and considers himself rich, but instead is running his family into debt every day.  About 1 year ago he was confined in an institution in Germantown, where he showed extreme destructive tendency to furniture.
Penciled in across bottom of page: Died Oct 7, 1921.  
Out in left margin is record of injections of medicines:
June 24, 1920.  Intravenous injections of neosalvarsan 0,6 Metz Co., July 2nd, 2nd injection, July 9, 3rd injection; Neocerophenin P.D.R.L. July 23 4th inject.

Additional notes:
Penciled note on bottom of page, died 10/7/1921.


History and clinical notes:
History:  Patient brought by Mr. E. Robert Jay, a farmer, for whom he was working for about 5 yrs.  He states that patient was very good worker, and started to act very queer, specially lately he is always talking about people, who are after him trying to kill him.
Jun 10, 1919.  Patient has marked delusions of persecution.
Jul 2, 1920.  Wasserman negative.
No further entries.


History and clinical notes:
History:  Patient brought by her mother, who states that patient has been in this condition since over one year.  Lately she is very destructive and at times violent.
Jun 10, 1919.  Patient very destructive and at times violent.  Has to be kept in restraint.
Penciled across bottom of page: Died May 10, 1924.

Additional notes:
Penciled note across page says died, 5/10/1924.


History and clinical notes:
History:  The certificates states that patient had syphilis; Wasserman positive.  Patient states that he had syphilis about 14 years ago; has been treated in Russia and here.  Had 6-8 intravenous injections of salvarsan.  Complains about hearing noises.
Jul 6, 1919.  Patient getting worse mentally and physically.
Jul 10.  Progressive enfeeblement of mind and paresis of the body.  Kept in bed.
Aug 2.  Patient lies in bed motionless; difficulty in swallowing, wets and soils his bed.  Contractures developing.
Aug 12.  Patient had convulsive seizures for over 12 hours.
Aug 22.  Patient had convulsive seizures for 10 hours.
Aug 23.  Patient cannot swallow.
Aug 24, 1919.  Patient died at 6:30 this morning.  General paralysis of the insane, + 2 months, 19 days.


History and clinical notes:
History:  Officer who brings patient knows but little of the history of the case.  Certificate states that she has been insane for past 6 years and that she has steadily grown worse.
Jul 1, 1919.  Patient is wandering around the ward.  Very noisy.  At times very violent.
Jan 5, 1920.  No change in patient’s mental condition.  Physically getting weaker.
Mar 4.  Patient has pneumonia.
Mar 11, 1920.  Patient died this morning from lobar pneumonia at 3 a.m.  Lobar pneumonia, 7 days.


History and clinical notes:
History:  Patient brought by officer; was very violent when brought.  The medical certificate states that patient had some kind of attack last February, lasting one week, since then, patient has not been entirely rational.  Has had epilepsy for 8 to 9 years.  Some history of head injury.  X-ray of skull was negative.  Wasserman was “not positive.”  Spinal puncture and injection with Salvarsan did not relieve the attacks.  Patient has threatened to kill his wife.
Jun 15, 1919.  Patient very violent at times; kept in restraint; has delusions of grandeur.  Very talkative and restless.  Retention [of] urine, has to be catheterized twice daily and tubed.
Jun 17.  Patient still in very bad condition; physically getting very weak.
Jun 19.  Patient condition getting worse; since this morning in stupor.
Jun 20, 1919.  Died at 12:50 a.m.  Exhaustion from acute mania, 6 days, contributing epilepsy.

Final disposition:
Died of exhaustion from acute mania, contributing epilepsy.


History and clinical notes:
History:  The med. certificate states that patient thinks a man comes into her house as a fish and tries to get her children, hears various voices, cares very little about house and throws away good food brought into house thinking it not fit to eat.  Breaks bottles with neighbors because she imagines they are trying to get her children.  Patient brought by her husband, was very violent, put in restraint.  Wasserman negative.
Aug 15, 1919.  Patient still talks about hearing some voices at times sings.  Very talkative at times very violent.
Sep 13, 1919.  No change in patient’s mental and physical condition; her husband came and took her home against the wish and advice of the Supt.  Paroled unimpr.
Oct 1919.  Was returned by the police today.

Standard form attached:  Sep 13, 1919.  “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 [Dr. M.A. Tarumianz], Signed [Samuel/Salvatore Broccoli/Broccola].”

Additional notes:
At DSH for 1920, 1930, 1940 censuses, died at Farnhurst 10/7/1958.  Buried in Cathedral Cemetery.


History and clinical notes:
History:  Medical certificate states that the great fear is that there is being an increased fondness for women and there is fear and well founded he will attack some one.  Has been feeble-minded always.  Father gives history of masturbation.  After being examined, patient broke his leg in struggle, using a pitchfork to injure his brother.  He is impossible to be at large.  Patient having compound fracture was sent to the Homeopathic Hospital on Sunday morning and transferred to our institution this afternoon, as they could not manage the patient.
No further entries.

Additional notes:
Was at DSH in 1920 census.  Cannot find later.   Died 12/22/1936 at Farnhurst.  Never left DSH.  Died of chronic VHD.  Buried at Bethel.


On certificate of:
Drs. George R. Foulk and Irvine M. Flinn

History and clinical notes:
History:  Med. certificate states that patient was left to Almshouse without a permit and can get no history at all.  Seems to be well as far as mentality is concerned.  The name Body is only name can obtain and no assurance that this is correct.  Some history of the case may be gotten from Charles H. Lloyd.  610 W. 31st St.  Patient at times very talkative and noisy; has very bad gangrenous [ill.] ulcer.
Aug 19, 1919.  No change in any respect.  Seldom talks; mind is quite feeble.
Oct 1.  Has failed very perceptibly of late.
Nov 1.  Has been in bed for a few days; very stupid and will not talk.  Has bad bed sores on buttocks and thigh.
Dec 1.  Bed sores extending; very much weaker.
Dec 9, 1919.  Has been unconscious for past four days.  Died 11:15 a.m.  Cerebral embolism, 4 days.


History and clinical notes:
History:  Med. certificate states that this man was found in marsh outside of New Castle without any clothes; sent by mayor of New Castle to Almshouse and no correct history obtainable; we are sure that the above is proper name.  Patient claims that he is a Croatian (??) of Austria and that his proper name is John Wistica.  Patient is pretty quiet at daytime, noisy at night.
No further entries.

Additional notes:
Not listed as being at DSH in 1920 or 1930 censuses, but is there for 1940 census.  Died at DSH in October 1966, buried in Cathedral Cemetery.


History and clinical notes:
History:  Med. certificate states that patient has delusions – that he is in theatrical business with Wm. A. Brady and believes that he is married to Alice Brady, although of this last he is uncertain.  Patient has been in this institution twice before: Oct 31, 1912, paroled Dec 27, 1912, see book VI, page 494, and second time admitted June 7, 1916, paroled Nov 28, 1917, see book VII, page 473.  Both times the cause: alcohol and drugs.
Oct 1919.  Patient improving; works outside.
Jan 1920.  Patient is working outside.
Mar 30, 1920.  Patient eloped tonight.  Paroled unimp.
Sep 21, 1920.  Discharged unimp.
Penciled in across bottom of page: Discharged June 25, 1926.

Additional notes:
Penciled in across bottom of page: discharged 6/25/1926, so he apparently came back for a while.  He died 3/1/1941.


History and clinical notes:
History:  Patient brought by her daughter who states that since about 2 years after her husband was killed, patient started to act queer, worrying all time, neglecting her work and thinking that somebody is going to harm her.  Often she talks that her soul is going to [be] burnt, etc.  Patient’s condition is getting worse gradually, they could not manage her at home.
No further entries.

Additional notes:
From 5X8 cards -- discharged 5/29/1928 as improved; readmitted 6/14/1934, died at DSH 6/30/1934 of broncho-pneumonia and chronic VHD.


History and clinical notes:
History:  Patient brought by his nephew who states that patient had a similar attack about 20 years ago which lasted about 7 weeks.  Since that time he has been perfectly normal and working every day until last Saturday when he started to act very funny, getting worse gradually.  And on Thursday he got so violent that two men had to hold him all [the] time.  Very talkative, destructive.  Refuses to take any food.  Very untidy.  Physically weak.
Jul 10, 1919.  Patient still very violent, kept in restraint.  Singing and talking all [the] time.
Jul 21.  Patient improving very nicely – very quiet.
Aug 10.  Physically and mentally improving; transferred to Ward C.
Sep 7, 1919.  Patient sent home as improved.  Paroled improved.
May 27, 1920.  Discharged recovered.

Additional notes:
He died 10/6/1922 in Kent County, of consumption, buried in Odd Fellows Cem.


On certificate of:
Drs. John Linn Pratt and james P. Lofland

History and clinical notes:
History:  Patient was brought from Penn Hospt. for Insane by nurse on June 31, 1919.  The two physicians who examined her went from Milford to Penna Hospt. some days ago and made the mental examination there.
No further entries.

Additional notes:
At DSH in 1920 census, but living with brother and sister during 1930 census, and with sister Maria in 1940 census.  Died in 1942/43.  Her father was a minister.  She's buried in Lewes.


History and clinical notes:
History:  Patient brought by Dr. McColley, who states that patient is very violent at times and destructive.  This morning he had to give 1 gram of morphine hypodermically as she was very violent.  Threats of suicide quite often.  Patient’s brother has been insane for long period and was in Emerysville Institution for 6 months and died there.
No further entries.
Penciled in across bottom of page: Died Nov 26, 1923.

Additional notes:
Penciled across bottom of page, died 11/26/1923


History and clinical notes:
History:  Dr. Flinn reports in the med. certificate that he examined this patient several months ago, holding the case for investigation, now he thinks patient has to be committed.  Her husband states that she has been in bad condition for about 2 years, getting worse with every day.  She is very apathetic, unclean, untidy.  Hard to manage.  Never was violent.  Usually sits in the toilet and stays there for hours until somebody comes to take her out.  No interest in anything.  Eats very little.
No further entries.
Penciled in across bottom of page: Died Apr. 5, 1922.

Additional notes:
Penciled across bottom, died April 5, 1922.


History and clinical notes:
History:  Patient brought by friends, no history obtainable.  Med. certificate states that patient set fire to kitchen and he is absolutely unsafe to have about.  Nobody but two old women in house, so they could not manage him.
Jan 10, 1920.  No change in patient’s mental condition.  Wanders around the ward, at times very talkative.  No bad habits, physically getting very weak.
Mar 6.  Patient had a cerebral hemorrhage.
Mar 13, 1920.  Patient died this morning at 8:10 a.m.  Cerebral hemorrhage, 7 days.


History and clinical notes:
History:  Double oophorectomy was performed about 4 years ago; after this the patient was different than formerly, performed her usual duties but not with the usual or former spirit.  Has been more or less depressed since that time.  For past 3 weeks has been much more depressed.  Refuses food and has slept but little for past week.
Aug 2, 1919.  Patient kept in bed.  Refuses to eat; has to be tubed.  Very unclean, untidy.  Refuses to talk.
Aug 25.  No change in patient’s mental and physical condition.
Oct 4, 1919.  No change in patient’s mental condition.  Today her husband and sister came and took her home against the wish and advice of the Supt.  Paroled unimproved.
May 27, 1920.  Discharged unimproved.

Standard form attached:  Oct 4, 1919.  “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 [O.H. Williams]

Additional notes:
She died 12/22/1919 and is buried in Newark, Delaware.


History and clinical notes:
History:  Patient brought by her husband and Dr. Smith who state that she was working until June 25th and that since that day she started to show some very funny actions, burning clothes, destroying furniture, using bad language, and trying to make the people believe that she was doing because she was commanded to do so.  Often threatened to kill her husband.  At times very violent.  Kept in restraint.
No further entries.

Additional notes:
In 1920 census, she was back at DSH.  In 1930 census, she was at the Wyoming Alms House.  In 1940 census, she was at the State Welfare Home in Smyrna.  She died 3/12/1950 and is buried at the cemetery at the State Welfare Home in Smyrna.


History and clinical notes:
History:  Patient brought by Supt. of the Hope Farm, who states that patient has been in that place for a few yrs., never have had any trouble until about 3 mos. Ago; he has delusions of grandeur, has never been violent.  Physically very weak.
Aug 15, 1919.  Having delusions of grandeur, makes great trouble to the nurses.  At times very violent.  Talks about being a great philosopher.
Sep 14, 1919.  His brother-in-law from Laurel Hill, Md. Came and too him out of state.  Discharged unimproved.  Taken out of state.

Standard form attached:  Sep 14, 1919.  “I hereby remove my brother-in-law, Jacob Herman, from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Dr. M.A. Tarumianz], Signed [Peter Feller].

Note on half-sheet of letterhead from Delaware State Hospital at Farnhurst, same date.
“I hereby swear that I will remove my brother-in-law Jacob Herman from the state of Delaware before Sept. 15, 1919 and that he will never be returned to the care of the Delaware State Hospital.”  [Signed] Peter Feller.

Additional notes:
Brother-in-law promised to take him out of state.  Died 11/5/1949 at Kent Hospital.


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

History and clinical notes:
History:  Patient has been in this institution from May 9, 1918 to Jun 18, 1918 when his brother took him home against the wish and advice of the Supt.  Discharged as unimproved Oct 16, 1918.  See book 8, page 220.  Patient brought by his friend.  No more history obtainable than that it was very hard to manage him.
Sep 5, 1919.  Progressive enfeeblement of mind and paresis of the body.  Kept in bed.
Oct 10.  Patient helpless and filthy, difficulty in swallowing.  
Nov. 2.  Contractures are developing.
Nov 15.  Patient had convulsive seizure over a few hours.
Nov 20, 1919.  Patient died at 10 a.m.  General paralysis of the Insane, from Pers. Kno. 1 year and 2 months, from history +2 years.

Final disposition:
Died of general paralysis of the insane, 2+ years


History and clinical notes:
History:  Patient brought by her daughter who states that she has been in present condition for past 2.5 years; it was very hard to take care of her at home, at times being violent, always wandering around the house.  Certificate states that patient’s daughter has been insane for 20 years and is still at Norristown, Pa. and that in addition to senility there is the most positive delusions.
Sep 15, 1919.  Patient very talkative and restless.  Physically very weak, has to be kept in bed.
Feb 29, 1920.  Patient died this morning at 9:25 a.m.  Cerebral hemorrhage, 2 days.


On certificate of:
Drs. G. Frank Jones and Oliver D. Robinson

History and clinical notes:
History:  Patient brought by her relatives from Philadelphia Methodist Hosp. where she was operated [on] 2 weeks ago.  Since last Wednesday her mind affected, gradually getting worse.  Very noisy and talkative.  No more history obtainable.  No history relative [to] her operation.  Patient brought here with high temperature, very weak.  Put in bed.
Aug 15, 1919.  Patient is very violent, destructive, and uses most abusive language.  Kept in restraint and [no further entry]
Jan 2, 1920.  Patient still very violent.
Jan 15.  Mentally and physically improving.
Mar 28.  Patient working in the dining room; sent to SE.  Mentally and physically doing very nicely.
Jun 2, 1920.  Her father came and took her home.  Paroled improved.

Additional notes:
Apparently fine thereafter.  In 1920 census is living with husband and 4 kids; by 1930 she is a widow, living with her 3 youngest children.  She died 4/20/1964 and is buried in Blades Cem., Sussex County.


History and clinical notes:
History:  Patient brought by officers.  No history obtainable.  Certificate states that patient declares that his three children have been decapitated.  Saw their heads on a platter; also claims his wife has been poisoned.  Patient has been arrested several times for breach of the peace.  History of alcoholism.
Sep 15, 1919.  Patient states that he had trouble with his wife; she was living with another man and he started to drink to forget his trouble.  A few months after that he had hallucinations, but now he claims to be all right.  Works around the ward.  Eats and sleeps well.
Nov 29, 1919.  Patient’s wife came and took him home against the wish and advice of the Supt.  Paroled.
May 27, 1920.  Discharged improved.

Standard form attached:  Nov 29, 1919.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Dr. M.A. Tarumianz], Signed [X, her mark, Mary Sczepkowski].


On certificate of:
Drs. Paul R. Smith and Taleasin H. Davies

History and clinical notes:
History:  Patient brought by her son, who states that she has been in present mental condition for over two yrs – gradually getting worse.  She is wandering around all the time.  Very hard to take care of her at home.  They had two trained nurses, who refused to stay with her any longer.
Sep 10, 1919.  Patient is very restless, wandering around; she has to be kept in restraint, as she is very destructive.  Upon physical examination found patient has heart lesion.
Jan 15, 1920.  No change in patient’s mental condition, physically getting weak.
Jul 9, 1920.  Patient died at 6 p.m.  Chronic valvular heart disease, from pers. kno. 1 month and 2 days, Contr. Arterio-sclerosis.


History and clinical notes:
History:  The certificate states that the patient has had history of what we take to be epilepsy for years, falls unconscious, often hears many voices, and is being ordered by more sources, what she must do; has made it impossible for her aged husband and needs restraining.  Her husband is not dead, but she yesterday went and bought a mourning veil and applied to the insurance office for insurance.
No further entries.

Additional notes:
At DSH for 1920, 1930, 1940 censuses.  She died 6/27/1945 of chronic myocarditis.


On certificate of:
Drs. William B. Jones and Joseph K. France

Form:
senile psychosis, paranoid state and deterioration

History and clinical notes:
History:  Patient has been in this institution 24 years ago, was admitted March 7, 1895 and discharged in Jan 1896 as recovered.  Brought by her sons, who state that she was in good mental and physical condition until last June.  She began to be very restless and would wander out of the house at times; was violent, specifically fighting with her husband.
Jan 1, 1920.  Has been very quiet and orderly for some time.
Apr 4.  Was quite weak this a.m..  Heart’s action very irregular.
Apr 5.  No better.  Heart very irregular.  Auscultation reveals valvular disease.
Apr 8.  Friends were notified today of her condition.
Apr 10, 1920.  Friends (her son & wife) visited her last night and were with her when she died at 9:45 this morning.  Valvular disease of the heart, chronic myocarditis.


History and clinical notes:
History:  Patient left here March 20th, 1915.  Husband states that she remained well for about 1 year, after that time she became quite violent at times and some at other periods.  Also was depressed and refused to talk to anyone.  When she is disturbed she tears her clothes and burns every thing she can get her hands on.  Husband states that she has threatened to kill him and attacked him several times.
Apr 7, 1920.  There has been no improvement either mentally or physically since her admission; very noisy at times and very troublesome.  Several months ago on examination, patient was found to be pregnant.  Her husband was notified and he visited her this a.m.  Labor started at 3:05 p.m., was delivered of a boy, at 4:10 p.m. another boy was born.
Apr 8, 1920.  Mother and twins are doing very well.\
Apr 26, 1920.  The twins were removed to the Col (colored?) Babies Day Nursery today by Laura Hayes, No. 901 Wilson St., Wilmington, a sister of Jos. E. Ford, the husband.
Penciled across bottom of page: Died Dec 12, 1923.

Additional notes:
Twins taken away to Col Babies Day Nursery, but later retrieved by husband.


History and clinical notes:
History:  Patient brought by an officer, no other history obtainable, but that patient is very violent at times and destructive.  Patient has been in this institution in 1898 suffering from acute mania; brought in Dec 27, 1898 and discharged May 15, 1899 (original ledger says 1819, but that is incorrect, obviously) as recovered.  See Case Book 3, page 408.  Patient full of delusions, mostly religious in character, very talkative.
Jan 15, 1920.  At times he is very quiet and willing to do any kind of work in the ward.
Jul 8.  Patient working in the farm; has not been violent since his admission.
Jul 31, 1920.  Patient’s wife and son and sister came and took him home against the wish and advice of the Supt.  Paroled improved.
Sep 21, 1920.  Discharged improved.

Note on small unlined piece of paper.  “Farnhurst, Del.  Rec’d of Dr. Wm. H. Hancker the sum of thirteen dollars belonging to Thomas F. Wheatley.  [Signed] A.J. Kingsbury, Const.  Aug 28, 1919.”  Doodle in lower left hand corner.

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

Note on half-sheet of letterhead from Delaware State Hospital at Farnhurst, dated July 31, 1920.  “I hereby swear that I removed my husband, Thomas Wheatley, from the Delaware State Hospital at Farnhurst, Delaware against the wish and advice of the Superintendent; and that, he will never be returned to the care of the Delaware State Hospital.  [Witness] M.A. Tarumianz, [Signed] Mrs. T.F. Wheatley.

Additional notes:
He died 9/17/1920 at home; commiteed suicide by cutting his throat.  Buried at Barratt's Chapel, Federica.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.  Patient physically very weak.  Dr. E.R. Stubbs reports that this patient gets a pension of $35.00 or $45.00 per month.
Sep 10, 1919.  Patient very weak.  Has to be kept in bed; at times very talkative.  Very unclean.  Patient suffers from chronic valvular heart disease.
Nov 1.  No change in patient’s condition.
Nov 8, 1919.  Patient died at 9 a.m.  Chronic valvular heart disease, from person kn., 2 months, 8 days.  Chronic myocarditis.

Final disposition:
Died of chronic vhd, chronic myocarditis


History and clinical notes:
History:  Medical certificate states that patient has hallucinations of sound, persecutory delusions; decided heart lesions.
Sep 15, 1919.  Patient still hears voices, especially his sister’s voice, talks to himself most [of] the time.
Oct 2.  No change in patient’s condition.
Oct 11, 1919.  Patient quieter; his son came and took him home against the advice of the Supt.  Paroled unimproved.
Sep 21, 1920.  Discharged unimproved.

Additional notes:
Died 8/7/1927 at Homeopathic Hospital after falling 40 feet off a roof.  Buried in Silverbrook Cemetery.


On certificate of:
Drs. G. Frank Jones and J.B. Waples, Jr.

History and clinical notes:
History:  Friends state that patient became choreic shortly after he left sea service.  He has steadily grown worse – imagines now that everyone is down on him and that people are threatening him and he has threatened his neighbors so much that they have become afraid of him.
Sep 10, 1919.  Patient suffers from Huntington’s chorea and also has marked nephritis.  Patient’s face, speech, gait are involved.  Slow involuntary contractions, causing the feet to deviate from the intended direction.  The gait is uncertain.  Facial contractions, specially when the patient is embarrassed these exaggerations of action are increased, but subside during sleep.  Speech is thickened, drawling, and infiltrated with hem’s and ha’s (sic).  The mental state is one of progressive enfeeblement and depression.  Almost complete dementia.  
Oct 1.  Patient is bedridden on account of his nephritis.
Dec 7, 1919.  Patient died this morning at 8 a.m.  Chronic interstitial nephritis from pers. kn. 3 months, Contr. Huntington’s chorea, from history 7 years.

Final disposition:
Chronic interstitial nephritis, contributing cause Huntington's chorea.  Could not track his kids.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.
Sep 15, 1919.  Patient has delusions of persecution.  He thinks that Mr. Saff at [ill.] is after him.  His mother was here telling that Mr. Saff was against her son, as he was going with his daughter.
Oct 15.  Patient very quiet; works around the ward, walks outside.  He tells that he would not think any more about Mr. Saff’s trouble.
Oct 30.  No change in his condition.
Nov 5, 1919.  His sister came and took him to Phila.  Paroled improved.
May 27, 1920.  Discharged improved.


History and clinical notes:
History:  Patient brought by the nurse of the N.C. County Hosp.  She was in the above named Hosp. for the last 6 mos.  At times she was very violent, destructive.  Med. certificate states the cause of the case: heredity, environment, and fright from assault.
No further entries.

Additional notes:
At DSH for 1920 and 1930 censuses.  Died 1/22/1940 at Farnhurst, of lobar pneumonia, buried at Cathedral.  No parents listed on COD.   Seems to have come out of nowhere (other than the NCCH).


History and clinical notes:
History:  Med. Certificate states that patient hears voices, lies in bed always.  History of masturbation and excessive cigarette use.  Suspect of congenital syphilis, at times violent.  Patient’s head was injured.
Sep 27, 1919.  Patient still hears voices.  At times violent.
Oct 1.  Patient put on hydrotherapy and bromides.
Oct 15.  Mentally and physically improving very nicely.  Stating that he doesn’t hear any voices any more.  Transferred to Ward C.
Oct 20.  Patient working outside.
Nov 1, 1919.  Patient’s mother came and took him home.  Paroled improved.
May 27, 1920.  Discharged improved.

Additional notes:
At DSH for 1940.  Died 2/26/1949 at the State Welfare Home.


History and clinical notes:
History:  Patient brought by an office; no history obtainable.
Oct 5, 1919.  Patient works in the ward.  Very talkative.  Reflexes negative.  Patient has no relatives here; cannot obtain any history.
Jan 4, 1920.  Progressive enfeeblement of mind and paresis of the body; has to be kept in bed.
Mar 15.  Patient speechless, helpless, and filthy.
Mar 25.  Patient is getting worse.
Apr 12.  Patient lies motionless, difficulty in swallowing.  Wets and soils his bed.
May 3.  Patient had convulsive seizures over 12 hours.
May 7, 1920.  Patient died this afternoon at 4:30 pm.  General paralysis of the insane, from pers. kn. 7 months and 17 days.


History and clinical notes:
History:  Medical certificate states that at times patient is violent, destructive, very talkative, her voice indistinct, language incoherent, absolute deterioration of memory, judgment, will power and personal habits.  No control of defecation and micturation.  Her brother states that she has been in present condition for over 5 years.  Getting worse lately, so they could not take care of her.
May 20, 1921.  Died.


History and clinical notes:
History:  Patient brought by his relatives.  The Med. Certificate states that this patient is seemingly void of intelligence and as getting older cannot be controlled at home.  No chance for home restrictions, as mother has to work being deprived of husband and a family to care for.  Mother claims patient had a fall and convulsions began 2 days after and was never normal after that.  At times violent, fighting with his people.  Very noisy.  Cannot talk.  Makes some noise like an imbecile.
No further entries.
Penciled in across bottom of page: Died April 30, 1927.


History and clinical notes:
History:  Med. Certificate states that patient will not submit to any treatment, thinks doctors poison her; thinks she has two hearts; doctors took one heart away and poisoned the other.  Is afraid that everybody will poison her.  Through fear she ran into the marsh and 2 men rescued her with difficulty.
No further entries.

Additional notes:
Died at DSH 5/16/1961.  Buried in the Spiral Cemetery, Grave #685.


History and clinical notes:
History:  Patient brought her by her husband, no other history obtainable, but that patient has been in this condition for over a month.  Mostly depressed.  Refuses to eat.  Won’t talk.  At times wanders around the street.  Does not take any interest in her work.
No further entries.
Penciled in across bottom of page: Died Aug 1, 1921.


History and clinical notes:
History:  Medical certificate states that this patient has been in the above mentioned doctors’ observation for one year and that they are fully convinced that he has an increasing insanity, probably due to syphilis.  Has been committed to the Workhouse repeatedly because of vagrancy, but now is entirely irresponsible.
Nov 8, 1919.  Patient getting worse mentally and physically.
Jan 25, 1920.  Patient perfectly helpless, speechless, and filthy.  Kept in bed.  Difficulty in swallowing.
May 22.  Patient had convulsive seizures for 6 hours.
May 24.  Patient cannot swallow.  Perfectly helpless, lies in bed motionless.
May 27.  Patient has convulsive seizures.
May 29, 1920.  Died at 3 p.m.  General paralysis of the insane, from pers. kn. 7 months and 22 days.


History and clinical notes:
History:  Patient has been in Friends Asy. For a number of years.  Is bed ridden most of the time, is untidy in her habits.  At times (periods varying from a few moments to a few hours) is noisy and attempt to injure herself.  At other times very quiet and moans a great deal.  The disease has not increased.  Certificate states that there is some uterine involvement.  Rests fairly good at night and has a good appetite.  General physical health not very good.
No further entries.

Additional notes:
At Friends Asylum in Philadelphia in 1900 census.  At DSH for 1920, 1930, and 1940 censuses.  She died at DSH 8/6/1957, buried in Christ Episcopal Church Cemetery, Dover.  Died of coronary thrombosis.


History and clinical notes:
History:  Patient brought by his wife and brother, who state that patient has been well until a few weeks ago, when he started to talk about his millions of dollars.  The family thinks the cause of his mental trouble is overwork.  The Med. Certificate states that patient thinks he is worth a million dollars, two weeks ago was worth nothing, has bought a great deal of property and 60 or 80 thousand cords of wood, etc.  
Nov 25, 1919.  No change in patient’s mental condition; still talks about his wealth, and that this place belongs to him.
Dec 22.  No change in his condition.
Feb 25, 1920.  Patient is talking more sensible; works outside.
May 10, 1920.  Patient’s wife came and took him home against the wish and advice of the Supt.  Paroled improved.
Sep 21, 1920.  Discharged improved.

Standard form attached:  May 10, 1920.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Dr. M.A. Tarumianz], Signed [Helen E. Dorrell].


History and clinical notes:
History:  Patient brought by her relatives, who state that she has been in present condition for about a month.  Very talkative and troublesome.  For former history see Case Book VII, page 346 and VIII, page 181.
Nov 2, 1919.  Patient full of delusions; thinks that her people are against her, that Dr. Haines is working against her.  Very restless; at times very violent, has to be kept in restraint.
Jan 3, 1920.  Improving very nicely.
Apr 2, 1920.  Her people came and took her home as rec.  Paroled rec.
Sep 21, 1920.  Discharged recovered.

Additional notes:
In and out of hospital many many times over the years.  Married Mr. Frank Poulson, died 2/2/1962.


History and clinical notes:
History:  Med. Certificate states that this patient had syphilis a few yrs. Ago, that at times he gets violent, very destructive and untidy.  Patient suffers from general paralysis of the insane; has to be kept in restraint and put in bed, as he was very weak.
Oct 21, 1919.  Patient had a few farctic (??) convulsions today.
Oct 28.  Patient had two farctic convulsions today, cannot awaken.  Very weak.
Oct 29, 1919.  Patient died at 1 p.m. today.  General paralysis of the insane, Contr. From history of syphilis.  + 10.5 days.


History and clinical notes:
History:  Sister states that last July her grandchild died of pneumonia and that she blamed herself for the death because she allowed her daughter to take it home when it had a high fever.  Ever since she has been more or less morose and at times has threatened to end her life.  Very restless at night and sleeps very irregular.
Nov 15, 1919.  Patient sleeps much better, shows some improvement.
Nov 25, 1919.  Patient’s sister came and took her home against the wish and advice of the Supt.  Paroled improved.
Dec 8, 1919.  Patient brought back by her sister, who states that it was impossible to take care of her at home, as she wouldn’t sleep or eat, crying all [the] time and wandering around.
Dec 25.  No change in patient’s mental condition.  All day cried.
Jan 1, 1920.  Crying day and night and wandering around, calling the names of her children.
Jan 4.  Patient is a little quieter today.
Jan 7.  Her sister came and took her home against the wish and advise of the Supt.
Jan 8, 1920.  Paroled unimpr.
May 27, 1920.  Discharged unimproved.

Standard form attached:  Jan 7, 1920.  “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 [Dr. M.A. Tarumianz], Signed [Mrs. L. Baldwin].


History and clinical notes:
History:  Patient brought by her brother, who states that since about a month ago, she changed her habits.  Would not go out, but stay in bed all the time.  Very unclean, untidy, uses bad language.  Refuses to eat.  Very hard to manage her at home.
No further entries.

Additional notes:
At DSH for 1920 census.  Died in 1923, buried in Forest Presbyterian Church, Middletown.  First name Ada.


History and clinical notes:
History:  Med. Certificate states that this patient claims to be a leader in society.  Patient brought by an officer; no other history obtainable.
No further entries.

Additional notes:
Died at DHS, 9/12/1923.  Died of chronic endocarditis.  Buried in Atlantic City.  Had been a waitress at Lyndi's Restaurant on 4th St., Wilm.


On certificate of:
Drs. Samuel M.D. Marshall and James P. Lofland

History and clinical notes:
History:  Patient brought by an officer, who states that patient was wandering on the streets of Milford.  No other history obtainable.  She is very noisy, talkative, and at times she uses abusive language.
No further entries.

Additional notes:
Never married.  Was living with her siblings before going to DSH.  Was discharged at some point, but was back in DSH on March 17, 1929, and she died there on March 21 of lobar pneumonia.  Was buried in Downingtown, Pa.


History and clinical notes:
History:  Patient brought by her brother, who states that she has “some kind of convulsions” every week or two, since about a year, but since last September she got very violent at times.  She fights anybody who comes near of her.  She was not safe for other children.
Jan 21, 1920.  Patient improving very much, working around the ward.  No trouble in any respect.
Apr 25.  Patient working in the laundry, improving very nicely, wants to go home.
May 22, 1920.  Patient’s sister came and took her home.  Paroled recovered.
Sep 21, 1920.  Discharged recovered.


History and clinical notes:
History:  Patient brought by his son who states that his father is unmanageable at home.  At times he gets very violent, destructive, and talkative.  His habit is to undress himself in front of ladies.  Patient physically very weak, suffering from heart lesion, put to bed, very troublesome.
Nov 20, 1919.  Patient is very violent and talkative at times.
Nov 22.  Mentally and physically getting worse.
Nov 25, 1919.  Patient died at 12:40 p.m.  Chronic valvular heart disease, from Pers. Kn. + 12 days, Contr. Arteriosclerosis + 12 days.

Final disposition:
Died of chronic vhd, plus arteriosclerosis


On certificate of:
Drs. R.B. Hopkins and Joseph B. Waples, Jr.

History and clinical notes:
History:  Patient brought by relatives who state that she has been wandering in the town since about 2 weeks.  At times she gets destructive and violent for short periods.  No other history obtainable.  Patient had a bad spell – very noisy and at times destructive.
Dec 10, 1919.  Patient has ureteritis.
Feb 20, 1920.  Patient is improving very nicely.
Mar 25.  Mentally and physically doing very nicely.  Transferred to SE.
Apr 24, 1920.  Her husband came and took her home for trial (as improved).  Paroled improved.
Sep 21, 1920.  Discharged improved.

Additional notes:
In 1930 census she was at home with her husband, but by 1940 census she is back at DSH.  Died at DSH 6/23/1949.


History and clinical notes:
History:  Patient brought by officer; no history obtainable.  Med. certificate states patient had syphilis, Wasserman ++++.  Has had 2 Salvarsan treatments.  Patient is very violent, destructive, put in restraint.
Dec 1, 1919.  Patient is violent, at times very destructive and very talkative.  Uses abusive language.  Physically getting weak.
Jan 10, 1920.  Patient very destructive and talkative; has to be kept in restraint.
Jan 20.  Patient has to be put – in semiconscious condition (sic).
Jan 21.  Patient again talkative and very noisy, violent.  Physically getting weaker.
Feb 7.  No change in her mental condition, physically very weak.
Feb 10.  Patient is getting exhausted from violency.
Feb 11, 1920.  Patient died this morning at 4:45 a.m.  Exhaustion from acute mania, duration 25 days.

Final disposition:
Died of exhaustion from acute mania, duration 25 days


History and clinical notes:
History:  Med. Certificate states that this patient is an inmate of the Little Sisters of the Poor.  Was admitted to that institution April 28, 1918 from Chester, Pa.  Has been gradually getting worse until now is impossible to manage her there.  Is said to have had a fall from trolley and injured her head.
No further entries.

Additional notes:
Died 12/8/1924 at DSH, buried in Spiral Cemetery #347.


Brought by:
M.A. Mealey and Little sisters of the Poor

History and clinical notes:
History:  Med. Certificate states that this patient has been cared for in this mental condition for 3 years in the “Little Sisters of the Poor” in Wilmington, but now has become impossible by reason of screaming greater part of day and night.  Patient cannot walk.  Few days ago struck attendant severe blows with commode lid.
Nov 25, 1919.  Patient suffering from asthma.  At times gets violent, very talkative, physically very weak.  Kept in bed.
Dec 22, 1919.  Patient died at 9:45 p.m.  Asthma, from pers. kn. 1 months + 2 days, Contr. Emphysema.


History and clinical notes:
History:  Med. Certificate states that it was impossible to keep her in; jumped out of window second story.  Hears voices which tell her to do things.  Patient has gonorrhea.
Dec 5, 1919.  Patient still hears voices.  Mostly very quiet.  Eats and sleeps well.
Dec 25.  Recovered from acute gonorrhea; mentally and physically getting better.
Jan 5, 1920.  Patient’s mother came and took her home promising to take her to Florida, where she lives, against the wish and advice of the Supt.  Paroled improved.
May 27, 1920.  Discharged recovered.

Standard form attached:  Jan 5, 1920.  “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 [Dr. M.A. Tarumianz], Signed [L. Jones].

Note on half-sheet of letterhead from Delaware State Hospital at Farnhurst, dated Jan 5, 1920.  “I hereby swear that I will remove my daughter E.B. Hawkins from the State of Delaware before Jan 8, 1920 and that she will never be returned to the care of the Delaware State Hospital.  Witness [M.A. Tarumianz].  [Signed] [L. Jones].


On certificate of:
Drs. Francis M. Green and Robert S. Long

History and clinical notes:
History:  Med. Certificate states that this patient has been in the present mental condition for over 10 years, at times destructive.  Very talkative.  Mental defect perhaps congenital with lack of development.
Dec 15, 1919.  Not much change in patient’s mental condition.  At times she gets very disagreeable.
Jan 14, 1920.  Her mother came and took her home against the wish and advice of the Supt.  Paroled unimproved.
May 27, 1920.  Discharged unimproved.

Standard form attached:  Jan 14, 1920.  “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 [Dr. M.A. Tarumianz], Signed [Salie M. Lynch].


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.  Med. Certificate states that she hears voices.  Men frighten her by pursuing her in automobiles, threatening to kill her, etc.
Dec 15, 1919.  Mentally and physically improving, working in the dining room.
Jan 17, 1920.  Her husband came and took her home, as she had recovered.  Paroled recovered.
May 27, 1920.  Discharged recovered.


On certificate of:
Drs. John W. James and E. Richmond Steele

History and clinical notes:
History:  Patient brought by Mr. F.J. Malony, who states that she has been always weak minded since her childhood; lately she was very hard to manage.  At times very destructive and violent.  Has been blind for 2 yrs.
No further entries.

Additional notes:
Died in hospital March 1929 of cerebral hemorrage.  Buried in Odd Fellows Camden.


History and clinical notes:
History:  Patient brought by her husband, stating that she has not been acting normal for over a year.  Since a week or two getting worse.  Very restless, always on [the] go, at times very talkative.  Has crying spells very often.  Refuses to eat; worrying about everything.  They could not manage her at home.  Patient is very restless, wandering around, telling that she is a colored woman, her name is not Mrs. Price.  Thinks she has done something wrong.  Talks constantly.  
Apr 12, 1920.  No change in patient’s mental condition; her husband came and took her home against the wish and advice of the Supt.  Paroled unimp.
Sep 21, 1920.  Discharged unimproved.

Note on half-sheet of letterhead from Delaware State Hospital at Farnhurst, dated December 15, 1919.  “I hereby  agree to pay twenty dollars, ($20.00) per week for the board and treatment of my wife in Delaware State Hospital at Farnhurst, Delaware.  In case of discontinuing same, I have to remove her from the above mentioned hospital, to Maryland, which is her home.  [Signed] Charles S. Price.

Note on half-sheet of letterhead from Delaware State Hospital at Farnhurst, dated Apr 12, 1920.  “I hereby swear that I will remove my wife from the Delaware State Hospital at Farnhurst, Del. before Apr 14th, 1920 and that she will never be returned to the care of the Delaware State Hospital.  Witness [M.A. Tarumianz].  [Signed] Charles S. Price

Standard form attached:  Apr 12, 1920.  “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 [Dr. M.A. Tarumianz], Signed [Charles S. Price].

Additional notes:
She died 6/17/1920, just a few weeks after being removed from the hospital, according to ancestry.com (no citation though)


History and clinical notes:
History:  Patient brought by her relatives who state that she has been in her present mental condition for over 3 mos.  Very talkative at times, singing and praying, wandering on the streets.  Patient has been in this institution twice before – last time being discharged July 16, 1917 as recovered.
Jan 20, 1920.  Patient gets violent spells, has to be kept in restraint.
Feb 19.  Patient improving very nicely.  Works around the ward.
Mar 20.  Patient very much better, works in the dining room, wants to go home.
Apr 3, 1920.  Her people came and took her home.  Paroled recovered.
Sep 2, 1920.  Patient brought back by her daughter who states that patient has been very good, working every day up until a week ago, since then patient is very much depressed and complains of headache.
Oct 18, 1920.  Patient was very much improved, her people came and took her home.  Paroled.
Penciled in at bottom: Former admission Ruth Griffin 10-11-08.  4 readmissions.  Last admission 6-6-28.  Died 11-30-45.

Additional notes:
Penciled in across bottom of page: her last admission was 6/6/1928 and she died 11/30/1945.


History and clinical notes:
History:  Patient brought from Delaware Hospital in Wilm. where he was for a few days.  Was admitted to the above mentioned hosp. with diagnosis [of] pneumonia.  Kept there until today.  No sign of pneumonia, but found him insane, suffering from delusions, hallucinations and illusions.  Patient was transferred to this institution; physically very weak.  At time patient gets destructive.
Jan 7, 1920.  Patient does not suffer from any delusions, or hallucinations.  Physically and mentally improving very rapidly.
Jan 28, 1920.  Patient sent home with his sister as recovered.  Paroled recovered.
May 27, 1920.  Discharged recovered.

Additional notes:
Died 8/5/1931 of VHD, buried in Riverview.


Form:
senile psychosis, depressed and agitated states in addition to deterioration

History and clinical notes:
History:  Patient brought by officers in ambulance.  Can’t walk, very feeble.  Kept in bed.  His grandson, who came along, states that he has no one to give him proper attention.  His only reliable caretaker has become an invalid, has a history of delusions.  Patient kept in bed.  At times very violent.
Mar 25, 1920.  Patient is very weak, kept in bed.
Nov 25, 1920.  Patient died this morning at 11 a.m.  Chronic myocarditis, from pers. kn. 10 mos. + 22 days.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.
Jan 10, 1920.  Patient acts as a weak minded person would.  In his actions, talk, memory very weak.  No violence and clean.
No further entries.
Penciled in margin: July 2, 1920, Wasserman negative.

Additional notes:
Was in DSH until his death.  Died of chronic vhd.  Died in 1923, buried in the Bacon family cemetery in Laurel, Sussex County.


On certificate of:
Drs. I. Lewis Chipman and Irvine M. Flinn

History and clinical notes:
History:  Patient brought by an officer; no history obtainable.  Patient refuses to talk or to take food, has to be fed.
Jan 20, 1920.  No change in patient’s mental condition; he eats well.
Feb 3, 1920.  Marked improvement in patient’s mental condition.  Patient talks and he is realizing his condition.
Feb 20.  Patient getting worse, had to be transferred to Ward D.  Wasserman negative.


History and clinical notes:
History:  Patient brought by officer.  Med. certificate states that patient had a similar attack about 4 years ago but sufficiently recovered to keep at home.  A week ago patient put her mother out of house and threatened her.  At times she is violent.
Mar 10, 1920.  At times, very troublesome, disagreeable, delusional.  Accuses attendants in many respects.
Apr 15.  Was very violent.  Transferred to SW.
May 10.  Mentally improving some, transferred to SE.
May 15.  At times delusional, writes threatening letters to her relatives.  At times rational.
Dec 21, 1920.  Has been rational for last 6 weeks; her mother came and took her home for trial.  Paroled improved.


History and clinical notes:
History:  Patient brought by relatives, who state that she has never been normal, “always a weak minded but no trouble at all” (sic).  Since about 4 months, she got unmanageable.  At times very violent, destructive, and threatened to kill her relatives.
No further entries.

Additional notes:
At DSH until her death on 4/9/1938 of broncho-pneumonia and general arteriosclerosis.


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

History and clinical notes:
History:  Patient brought by his brother, who states that since about 18 mos. his brother began to act very abnormal.  Extremely talkative, telling stories of his adventures.  If he reads something in a magazine or a newspaper he is always the “hero” of that particular case.  At times he sees aeroplanes and [ill.] thinks he is a very important person in every respect.  He has never been violent.  Works very well, eats and sleeps well.  Wasserman positive ++++.  Physical examination: Pupils don’t react to light, nor to accommodation.  Patella diminished.  Finger to finger test performed very poorly.  Tremor of tongue, all test phrases slurred.  Very unsteady on his feet.  Patient received 5 intravenous injections of neo-arsphenamin 0,6.  Also nickel treatment.  No improvement.  Wasserman still strongly positive.  Progressive enfeeblement of body and mind.  Kept in bed.
Aug 13, 1920.  Patient lies in bed motionless, difficulty in swallowing.  Contractures developing.
Aug 22.  Patient had a few convulsions.
Aug 27, 1920.  Patient died this afternoon at 2:15 p.m.  General paralysis of the insane.


History and clinical notes:
History:  Patient brought by her relatives and Dr. E.W. Vaughan, who state that she has been in present condition for over 3 years.  Wandering around, very talkative, at times violent.  Patient talks day and night.  It was impossible for her people to take care of her.  Kept in bed.  On soft diet.  Has a number of bed sores.  Upon examination, found that patient suffering from chronic valvular heart disease.
Feb 1, 1920.  Patient is very weak.
Feb 21, 1920.  Patient died this morning at 7 a.m.  Chronic valvular heart disease, from pers. kn. + 1 mos. + 10 days.


History and clinical notes:
History:  Patient brought by an officer and brother.  She has been in this institution once before.  Admitted Feb 8, 1919, taken home against the wish and advice of the Supt. Feb 20.  See page 326 (Vol. VIII).  Her brother states that she was very violent at times, they could not manage her at home.  Patient has quite often epileptic convulsions.
Jun 2, 1920.  No change in patient’s mental and physical condition.  She has epileptic seizures almost every night.
Jul 24.  Patient had convulsions all night.  [illegible] Has a lot of tonsillitis.  Very hard to give her any treatment as she is in status.
Jul 28, 1920.  Patient died this afternoon at 3:20 pm.  Status epilepticus, 4 days.


History and clinical notes:
History:  Patient brought by officers.  Has been in this institution twice before, see Case Book VI, page 193.  Last night patient was very violent, fighting with his relatives.  Lately was using alcoholic beverages very frequently.
Jan 14, 1920.  Specimen of blood of patient sent to State Board of Health Laboratory for Wasserman test.
Jan 21.  Report Wasserman negative.
Jan 26.  Patient mentally and physically improving very nicely.
Jan 31, 1920.  Patient sent home as improved.  Paroled improved.
May 27, 1920.  Discharged improved.


History and clinical notes:
History:  Patient brought by officers.  No history obtainable.  Med. Certificate states that patient thinks there is a male after him all the time.  Patient physically very weak.  Kept in bed.  Patient claims that he has millions of dollars, invested in DuPont’s stock, that he is the richest man in the country, etc.
Mar 2, 1920.  Patient mentally and physically improving very nicely.  He realizes that he is a poor laborer and would like to go and work to support his wife.
Mar 15, 1920.  Patient’s wife came and took him home as recovered.  Wasserman negative.  Paroled recovered.
May 27, 1920.  Discharged recovered.

Additional notes:
Returned to DSH in 1922, died there DSH 9/30/1929, buried in DSH Spiral Cemetery, #395.


History and clinical notes:
History:  Patient brought by relatives who state that he has been in the present condition for over 2 years; getting worse; wandering around the house.  Taking his clothes off at any time, any place, and talkative day and night.  Upon examination found that patient suffers from chronic valvular heart disease. At times patient is very destructive, refuses to take his food, has to be fed; untidy and unclean.
Jan 28, 1920.  Patient getting very weak.
Feb 2, 1920.  Patient died this morning at 11 a.m.  Died.  Chronic valvular heart disease, duration from pers. kn. 19 days, contributing arteriosclerosis, + 19 days.


History and clinical notes:
History:  Med. Certificate states that patient was in asylum at Baltimore 15 years ago, has been under care of Mrs. Wine since 1914, who states that patient is wandering around the house day and night.  Very talkative, at times violent, yelling at people passing her house.  Patient has been in bed for quite some time, kept on liquid diet, has bed sores.
Feb 25, 1920.  At times patient very destructive and noisy.  Physically very weak.
Mar 28.  No change in patient’s condition.
Apr 1.  Patient has number of bed sores.  Also infection of labia major – drainage.
May 25.  Patient’s bed sores getting worse.
Jul 2, 1920.  Patient died this morning at 2:20 a.m.  Cerebral embolism, 2 days, contr. Decubitus, 3 mos.


History and clinical notes:
History:  Med. Certificate states that patient has been an inmate of Mt. Hope, Balt., MD.  Patient says that [she] has “great brains.”  She has wonderful abilities.
Mar 2, 1920.  There is no change in patient’s mental condition.  She is very egoistic.  Talks all [the] time about her wonderful training and her family.  Works around the ward, walks outside.
Apr 26, 1920.  No change; her brother took her to the country for one week.  Paroled.
Sep 21, 1920.  Discharged improved.

Additional notes:
Brother took her for "a week in the country."  Readmitted 8/29/1939, died at DSH 2/5/1952.  Born 5/21/1881.  Died of pneumonia.  Buried at Mt. Salem.


History and clinical notes:
History:  Patient has been in this institution four times before.  For former history, see Case Book VI, page 8, page 187, VII page 15, Case Book VIII page 208.  Last time paroled June 20, 1918.  Discharged as recovered.  Patient brought by her relatives who state that she has been wandering around since 3 weeks.  At times violent.  Patient very quiet, would take stays (sic) in one position until one of the nurses takes her away from that place.
Apr 2, 1920.  Patient improving very nicely.
Apr 20.  Mentally and physically improving.
Apr 21, 1920.  Her relatives came and took her home.  Paroled recovered.
Sep 21, 1920.  Discharged recovered.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.  The officer states that the patient got violent when they tried to bring her here.  Med. Certificate states that patient has religious mania, claiming also to have been kidnapped when a baby and brought here from Switzerland.

Additional notes:
Died at DSH on 10/5/1922 of syphilis.  Buried in Greensboro, Md.


History and clinical notes:
History:  Patient brought by officers; no history obtainable.  Med. Certificate states that patient imagined a fellow roomer at hotel, Wilmington, had his wife who is in Italy in the next room and was holding a book over his face to keep him from knowing.  Patient is unknown to anyone.  When brought here, patient was very violent and noisy.
Feb 12, 1920.  Upon examination found that patient has gonorrhea and possibly had lues.  Specimen of his blood will be examined for Wasserman.
Feb 15, 1920.  Patient has diarrhea and enteritis.
Mar 1.  Wasserman doubtful.
Mar 5.  At times very violent and destructive.
Apr 25.  Patient getting very weak.
May 29, 1920.  Patient died this morning.  Diarrhea and enteritis, from pers. kn., 3 months + 16 days.

Laboratory slip attached:  State Board of Health Laboratory, State Laboratory Building, Newark, Delaware.  Lab No. 42591.  Date: 3-6-20.  Dr. Wm. H. Hancker.  Dear Sir: -- The examination of the specimen of blood from 3532 does show the presence of a doubtful Wasserman.  Remarks: +/-.  [Signed] H.J. Watson, Bacteriologist, per KG.


History and clinical notes:
History:  Patient brought by his father who states that he had been mentally and physically well and working in his store, was clean and driven up until last Saturday when he first noticed his funny actions and also his peculiar talk, especially about electricity and wireless telegraphy.  Gradually getting worse; very destructive and at times noisy and violent.  His aunt has been a former patient of this institution.  His mother is a very nervous woman.
Mar 15, 1920.  Patient improving mentally and physically, working around the ward.  Has not been destructive for last week.
May 2.  Patient working outside; improving.
May 24, 1920.  Patient’s father came and took him home against the wish and advice of the Supt.  Paroled improved.
Sep 21, 1920.  Discharged improved.

Standard form attached:  May 24, 1920.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness [Wm. H. Hancker], Signed [George E. Reed].


On certificate of:
Drs. Willard Springer and Irvine M. Flinn

History and clinical notes:
History:  Patient brought from Mt. Hope private institution where he was confined for over 10 years.  The family being not able to pay for the board in the above mentioned institution and being a resident of Wilm. brought here.  Also his sister.  The family doesn’t know anything about the present condition of the patient.
Feb 28, 1920.  Wasserman doubtful +/-.
No further entries.

Additional notes:
Brother of previous patient, 84613534.  Died at Farnhurst.


History and clinical notes:
History:  Patient brought by relatives from Mt. Hope private institution, where she was confined for over 17 years.  Relatives do not know about her present mental condition.
No further entries.

Additional notes:
Sister of next patient, 84603535.  Died at Farnhurst.


History and clinical notes:
History:  Patient brought by officers; no history obtainable.  Patient’s husband came, stating that she has been acting very peculiar since last September when her husband had pneumonia, she was so worried about that, and after he recovered she started to act and talk peculiar; gradually getting worse.  Yesterday morning she threw all of her furniture out of the window.  She thinks somebody is following her and wants to poison her.
Mar 5, 1920  Patient at times very violent.
No further entries.

Additional notes:
Died at DSH 6/14/1955.  Buried at DSH #640.


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

History and clinical notes:
History:  Patient brought by her husband, who states that she was normal up til Jan. 28th when she became violent.  Very talkative, destructive, and also spells of violence.  She tried to strike her husband.  She is a very heavy woman – 260 pounds.  Has heart lesion.  Refuses to eat, has to be fed.  Med. Certificate states that she was first taken sick with intestinal obstruction, due to incarcerated umbilical hernia.  Upon examination found myocarditis and hernia.  Very violent, destructive, and noisy.  Very untidy.
Feb 22, 1920.  Patient died this afternoon at 5 p.m.  Chronic valvular heart disease, from pers. no. 4 days.


On certificate of:
Drs. Joseph W. Bastian and Irvine M. Flinn

History and clinical notes:
History:  Patient brought by an officer from Delaware Hosp., Wilmington.  Med. Certificate states that patient has been in Delaware Hosp. for 28 days.  Cannot or will not talk.  There is a pronounced cardiac murmur.  It is impossible to obtain any information from patient.  History gives no previous mental trouble.  He was kept in restraint all the time in Del. Hosp.  Patient brought here with temperature of 100°.  Very violent.
Feb 21, 1920.  Upon examination found patient suffering from chorea gravis and acute endocarditis.  Involuntary, irregular, and purposeless muscular movement of extremities, the head and facial muscles are constant, extremely violent.  Insomnia, fever, and maniacal delirium.  Speech is impaired to such an extent as to render articulation unintelligible.  Patient kept in restraint.  Liquid diet.
Feb 28, 1920.  Patient died this morning at 9:30 a.m.  Acute endocarditis, from pers. kn. + 8 days; contributory chorea gravis.

Final disposition:
Died of actue endocarditis, contributory cause chorea gravis

Additional notes:
Buried at DSH, Grave #310. From World War I registration card, 1918, he was a leather worker, middle name Andrew, father's name Thomas.  Lived in Marshallton, De.  Born 5/4/1900.  Short, blond hair, gray eyes.  No other info.


History and clinical notes:
History:  Patient brought by Sheriff, who states that patient was arrested on account of his peculiar action on the streets of Georgetown.  While in jail patient had “convulsions.”  At times he gets noisy and violent.  Also destructive.
No further entries.

Additional notes:
Died at DSH 1/1/1925, or 1/12/1925 in status epilepticus.  Buried in Maryland.


History and clinical notes:
History:  Patient brought by her brother who states that she has been in her present mental condition since they lost their father about 3 years ago.  Wandering around, at times talkative and noisy.
Oct 24, 1920.  Paroled unimproved.

Additional notes:
Readmitted 7/1/1922, died 10/8/1934, buried at Cathedral.


History and clinical notes:
History:  Patient brought by officer, no other history obtainable but that patient has been studying very hard, since about 3 weeks has religious mania.
Mar 2, 1920.  Patient is reading his bible all [the] time, no trouble in the ward.  Works if requested.
Mar 30.  Mentally improving very nicely.
Apr 26, 1920.  Patient wanted to go to New York where his home was.  Sent to New York tonight.  Paroled improved.
Sep 21, 1920.  Discharged improved.

Additional notes:
Sent back to NY.  However, he was back in Delaware shortly thereafter, where he died 10/21/1922 in Milton, Del.  Of tubercular phthisis.  Born 11/11/1898 in NY. His brother, John Edward, a year younger, died 1/18/1920, just 3 weeks before Augustus was admitted to DSH for religious mania.  John Edward also died of TB.   Related to his brother's death??  Middle name Alonzo.  AA had been in the NCC Workhouse on 1/2/1920.  His father Robert also died in 1920, but I can't find any info on him.


History and clinical notes:
History:  Patient brought by Red Cross.  No history obtainable.  Patient was brought here in a terrible condition, very unclean and in rags.  She was using very vulgar language.
Apr 20, 1920.  At times very violent and destructive.  Talks about spiritualism.
No further entries.

Additional notes:
Odd list of correspondents.  No further info.  Died at DSH 6/12/1956.


History and clinical notes:
History:  Patient brought by her son, who states that a few weeks ago her husband was killed and as she has not been mentally well balanced there is a suspicion about her.  She refuses to talk.
No further entries.

Additional notes:
Died 10/25/1924 at DSH and is buried in Sussex County.


History and clinical notes:
History:  Patient brought by officers; no history obtainable.  Med. Certificate says patient carrying her 9 month old baby upside down.  Very abusive and quarrelsome in all neighborhoods where she has lived.
No further entries.

Additional notes:
At DSH for 1930 and 1940 censuses.  No further info.


History and clinical notes:
History:  Patient brought by an officer from New Castle Jail.  No history obtainable.  The officer states that patient has been violent and destructive while in jail.
No further entries.

Additional notes:
Died at DSH 9/2/1929, buried at DSH, Grave #382.


History and clinical notes:
History:  Patient brought by her husband, who states that she has been perfectly normal until March 1st, 1920.  After the last childbirth, patient had very high temperature, possibly from retained placenta.  Since a week she is at times very destructive, noisy, especially singing religious songs.
May 20, 1920.  Patient very destructive and noisy.  Mostly religious.
Jun 15.  Patient is getting continuous baths.
Aug 12.  Physically and mentally improving very nicely.
Sep 4, 1920.  Patient’s husband came and took her home against the wish and advice of the Supt.  Paroled improved.

Standard form attached:  Sep 4, 1920.  “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 [M.A. Tarumianz], Signed [Alexander Niksa].”

Additional notes:
Taken out AMA.  Readmitted 3/9/1925, died at DSH on 5/26/1948 of cervical/uterine cancer; buried at Cathedral Cemetery.


History and clinical notes:
Patient brought by relatives who don’t know particulars about the case.  They state that patient has been in present mental condition since last summer.  Wanders around the street.  No memory whatever.  Med. Certificate states that patient has albuminemia.
May 28, 1920.  Wasserman positive ++++.
May 29.  Upon examination found patient has G.P. (general paralysis/paresis).  Patient had six intravenous injections of neo-arsphen. 0,6.  No improvement in his mental and physical condition.
No further entries.

Additional notes:
Died at DSH 5/9/1921.  Was from Kentucky.  Lived with his sister.  Was a leatherworker.


Form:
psychosis with other brain disease, cerebral embolism

History and clinical notes:
History:  For former history see Case Book VII, page 465.  Was admitted May 11, 1916, paroled June 18, 1916, discharged Oct 19, 1916.  Imp.  Patient brought by her husband who states that after they took her home in 1916 she was perfectly well, working and attending her duties up till Dec 10, 1919 when she had a cerebral apoplexy.  About two weeks ago, she became violent, very destructive, and noisy, growing worse.  They could not manage her at home.
May 5, 1920.  Patient very quiet; eats and sleeps well; transferred to SE.
Jun 2.  Patient improving very nicely.  Transferred to B.
Jun 12, 1920.  Patient’s husband came and took her home.  Paroled improved.
Sep 21, 1920.  Discharged improved.


History and clinical notes:
History:  Patient brought by her son, who states that she has been in present mental condition for over 3 years.  As she wanders around the streets and claims she is looking for her husband, it was impossible for them to take care of her at home.  She has never been violent; eats and sleeps well.
No further entries.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.  Patient talks about messages he receives through wireless; hears different voices, especially at night.  Talks about his wealth.  At times very talkative.  Pupils do not react to light, slightly to accommodation.  Patella exaggerated.  Finger to finger test very hard; Wasserman strongly positive.
Jun 21, 1920.  Patient improving mentally and physically after intravenous injections of neo-salvarsan.
Jul 28.  Patient very much improved, works outside, no trouble.
Aug 29.  Patient has received 7 seven intravenous injections of neosalvarsan of 0,6, and has been on neurocranial (??) treatment; shows great improvement.  Wants to go home for trial.
Aug 30, 1920.  His brother came and took his brother home to Md. for trial.
[Note: “trial” here refers to trying him out at home, not to a criminal proceeding.]

Notes in margin about treatment:
May 15, 1920.  Positive Wasserman. ++++
Jun 18.  Intravenous injection of neosalvarsan 0,6.  Neetz. (??)
Jun 24.  2nd injection
Jul 2.  3rd injection.  Neoarsphenamin + cobal derm. (??)
Jul 9.  4th injection.  Neoarsphenamin.
Jul 23.  5th injection.
Aug 6.  6 inj.
Aug 24.  7th inj.

Additional notes:
Readmitted 1/8/1942 and died at DSH 12/25/1946.  Buried in Ridgely, Md.


History and clinical notes:
History:  Patient brought by her husband who states that after her mother’s death, she acted very peculiar for a few weeks, later getting worse, thinking she was the cause of her mother’s death and that she has done terrible things to other people, they will never forgive her.  Since about 4 weeks, she is unmanageable.  Cries and talk about her [ill.] all day long.
Apr 25, 1920.  Mentally and physically improving.
May 8, 1920.  Patient’s husband came and took her home against the advice of the Supt.  Paroled imp.
Sep 21, 1920.  Discharged improved.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.  Med. Certificate states that he won’t work.  Behaves so peculiarly that his family and the neighbors are in fear of him.  Walks in a place without reason and gives no reason.  Has accosted several women, strangers to him, imagining that each of them was his divorced wife.  One year ago quit work, said he had worked enough.  Kept by himself from this time on.  Delusions very pronounced during past month.  Said people are filling him with electricity.  Had a chancre several years ago with secondary eruptions, buboes, etc.  Del. Hosp. examined blood, Wasserman negative.
May 21, 1920.  While working outside this afternoon, patient escaped.  Paroled.
Aug 22, 1920.  Patient brought back by Mr. Evans, a farmer, who states that patient was wandering around his farm acting very peculiar, he thought he had escaped from here.  Patient was very dirty, didn’t give any reasons why he was wandering around his farm.
No further entries.

Final disposition:
Still in hospital, returned from elopment

Additional notes:
Still at DSH in 1940 census.  Died of coronary occlusions, 7/4/1940, buried in OOF Cemetery in Camden, De.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable but that patient was wandering around, trying to burn a barn outside of New Castle.  While in jail was very violent.
No further entries.

Partial newspaper article attached: “For several days residents of the southern section of the city have been witnessing the peculiar actions of a man.  He would disrobe and take a bath in the pools located nearby, drying his body with a fire built on the banks.  He subsisted on raw minnows which he found in the ponds.  He was caught last night by the police and is being detained until his mental condition can be determined.  He says he is Mike Cavanitch, a Russian.”

Additional notes:
Never left DSH.  Died 1/29/1923, buried in Cathedral Cemetery.  Died of broncho-pneumonia and influenza.


History and clinical notes:
History:  Relatives state that he has always been a hardworking man prior to 2 years ago.  About this time was operated on for hernia.  A month or two after this he had an epileptiform convulsion and was very feeble for a day or two after.  Since this time he has gradually failed.  The convulsions are at times very severe and they are more frequent.  When brought to Hosp. had to be carried to ward on stretcher.  About one week ago was taken to Delaware Hosp. but they could not keep him.  Imagines that he knows everyone that he sees and at times very irrational in his conversation, especially after a convulsion.
No further entries.

Additional notes:
Died 1/14/1921, died at DSH of status epilecticus, buried at Riverview.


History and clinical notes:
History:  Patient has been in this Institution before.  See Case Book VI pg. 426; paroled Oct 29, 1912.  Patient’s sister has been in this institution also her nephew, Elisha Reese.
No further entries.


History and clinical notes:
History:  Patient brought by an officer.  No history obtainable.
Apr 2, 1920.  Patient very destructive and at times violent.  Hard to understand him as he talks Italian constantly.
Apr 10, 1920.  Patient’s son and wife were visiting him today and they states that patient has been in present mental condition since about a week.  He lost his brother and a son in the war and had some business trouble.
May 1.  Patient improving very nicely.  Works in the clothes room.  Eats and sleeps well.
Jun 2.  Transferred to B.C.W.  Improving very nicely.
Jun 19, 1920.  His wife and son came and took him home.  Paroled improved.
No further entries.

Additional notes:
His grandson was stillborn about a month before his admission to hosp.


History and clinical notes:
History:  Officer states that patient was a former telegraph operator and had a little several years ago (sic) lost it all.  Since that time has been acting very peculiar.  Has lived in a little hut near the river, hardly a dog kennel and very filthy.  Has threatened to kill people who came near his shanty.  For the past two years has been a pest to everyone.  When admitted was very filthy and dirty.
May 12, 1920.  Patient improving some.  Works around the ward.
Jun 10, 1920.  This morning while walking, he escaped.  Paroled (eloped) imp.
Jun 14, 1920.  Patient brought back this morning by officer from New Castle.
No further entries.

Additional notes:
Brought back after eloping.  Never left DSH.  Died 3/12/1921 of chronic myocarditis.  Buried in New Castle.  His wife died young, leaving him with two kids to raise.


History and clinical notes:
History:  Certificate states that he is very irritable at times upon the least provocation.  Has been at Del. Hosp. once or twice and that they had found a positive Wasserman 4+.  Patient states that he was in Del. Hosp. for a skin eruption.  History also states that he has threatened to kill his wife.  Patient has had syphilis about 14 years ago.  Wasserman ++++.
May 15, 1920.  Upon physical and mental examination found that patient suffers from psychosis and general paralysis.  Put on neosalvarsan and mercurial treatments.
Aug 28.  Up until today, 6 intravenous injections of neosalvarsan of 0,6 and also mercurial treatment.  Wasserman still positive ++++.
Sep 25.  2 more intravenous injections of “neo”.
Oct 13.  Patient had paretic convulsions.  Put to bed.
Oct 19, 1920.  Patient died this morning at 9 a.m.  General paralysis of insane; from pers. kn. 6 months + 11 days.

Notes in margin on treatment for syphilis:  “Wasserman positive.  June 18, 1920.  Intravenous injection of neosalvarsan 0,6.  June 24, 1920.  2nd injection.  July 2nd, 3rd injection neoarsphenamin, Phila. D.R.  July 9, 4th inject.  July 23, 5th.  Aug 28, 1920.  Wasserman positive ++++.

Final disposition:
Died of genereal paralysis of the insane


History and clinical notes:
History:  Certificates states that when patient was 14 years old had an epileptic seizure and since that time has had them several times a month, especially severe at time of menstrual periods when she is very cross and irritable.  Has been an inmate of County Alms House on two occasions where she was in the cage most of the time.
No further entries.

Additional notes:
At DSH until her death on 5/21/1923 in status epilepticus.  Buried in Wilmington & Brandywine Cem.


History and clinical notes:
History:  Patient brought by an officer; no history obtainable.  Patient has fever, 100°, P. 120, R. 20.  At times very violent, has to be kept in restraint.
No further entries.  Wasserman negative.


History and clinical notes:
History:  Patient brought here on April 20, 1920 without papers.  Med. Certificate received today.  Patient was brought by an officer; no history obtainable.  Med Certificate states that he has been acting very peculiar for last 4 weeks, threatening to kill his children.  Patient has also epileptic convulsions once or twice a month.  Wasserman negative.
No further entries.


History and clinical notes:
History:  Med. Certificate and Dr. Greenwood states that patient had a stroke 7 years ago and slight ones since that; now full of delusions.  Patient has not been violent until last night when he abused his wife by kicking and hitting her.  Thinks [ill.] is being forced through air by electricity.  A few days ago was taken out in the ocean and then brought back.  Patient thinks he is running engines all [the] time and imagines he is in severe wrecks, was on trains for 48 years.
Apr 23, 1920.  Patient wanders around, talks about his engines all the time.
Apr 25.  No change in patient’s mental condition; eats well, sleeps well.
Apr 29.  Patient had a stroke last night.  Suffering from hemiplegia [ill.].
May 1.  Patient is semiconscious.
May 12, 1920.  Patient died at 10:20 p.m.  Cerebral apoplexy, 13 days.


History and clinical notes:
History:  Patient brought by an officer.  Med. Certificate states patient claims has millions of dollars buried in his cellar; has not left his house for 6 mos.  Devil follows him, will not allow him to work; has been violent a few times and also destructive.  Wasserman negative.
No further entries.

Additional notes:
AT DSH until his death 8/4/1925, died of cancer of the tongue, buried in Cathedral Cemetery.


History and clinical notes:
History:  Patient brought by an officer.  Med. Certificate states patient imagines he is Moses, that he is married and that a man is running off with his wife, that he has superhuman powers.  Patient has been in this institution once before.  Admitted Aug 24, 1917 and paroled Sept 17, 1917.  Taken home against the wise and advice of the Supt.  Discharged May 14, 1918.  Unimproved.  See Book Case (sic) VIII page 145.
May 2, 1920.  Patient kept in restraint.  Full of delusions.
May 22.  Patient improving; transferred to Ward C.  Works around the ward.
May 27.  Patient working outside; improving.  Want to go home.
Jun 12, 1920.  Patient’s brother came and took him home.  Paroled improved.
Nov 12, 1920.  Patient brought back by his father, who states that patient has been in good mental and physical condition up till a week ago, when he began to talk and act very peculiar.  Could not manage him at home.
Nov 27, 1920.  Wasserman negative.
No further entries.

Additional notes:
At DSH in 1930 census.  Died at DSH 10/22/1955.


History and clinical notes:
History:  Patient brought by her husband, who states that she had a stroke 3 years ago, has been in bed for 2 years.  She can not use her right side.  Can not talk.  At times gets violent, but not often.  Very unclean.  A few months ago she had convulsions.
No further entries.

Additional notes:
Was still at DSH in 1930 and 1940 censuses.  Died there in 7/31/1960.  Buried in the Spiral Cemetery, Grave #678.  At DSH for 40 years.


History and clinical notes:
History:  Patient brought by her sister who states that she has been in present mental condition for over [a] year.  Patient will not do anything toward providing for self, roams streets at all hours, in asking why she does not work, replies that she “don’t want to”; mumbles to herself most of the time, claiming she is lazy.


History and clinical notes:
History:  Med. Certificate states that this man served his term at work house and on account of mental condition has been detained some few weeks over time.  He has attacks, but imagines all the time that boys (??) are shot under him by some unseen man, even when his quarters are changed, the same man is at the same tricks.  He thinks he should reform the colored race in this community.  It is unknown, as to his mental condition, when first admitted, but we think of change of environment will be a benefit.
May 15, 1920.  Upon examination found all reflexes diminished.  Pupils do not react to light.  Finger to finger test poorly performed.  Slight Romberg.  Very unsteady on his feet.  General tremor.  Blood Wasserman strongly positive, diagnosis paresis.
Jul 12.  Patient is getting weaker.  Very untidy.  Kept in bed.  Difficulty in swallowing.
Aug 20.  Patient had paretic convulsions, getting worse.
Sep 16, 1920.  Patient died at 11:50 p.m.  General paralysis of the insane, 4 months + 8 days.


History and clinical notes:
History:  Patient brought by her relatives who state that she has been in present mental condition for the last 3 years.  Very noisy, untidy, at times destructive.  They could not manage her at home.
May 12, 1920.  Progressive enfeeblement of mind and paresis of the body.  Has to be kept in bed; perfectly helpless.  Speechless, untidy.  Has decubitis.  Patient is very weak.  It is impossible to take blood for Wasserman test.
May 20.  Difficulty in swallowing.  Patient lies motionless.
May 23.  Patient cannot swallow.
May 24.  Patient has convulsive seizures.
May 25, 1920.  Patient died this morning at 8:45 a.m.  General paralysis of the insane, from pers. kn. 18 days, from history 3 years.


History and clinical notes:
History:  Certificate states that she has been insane for six weeks.  Patient has visited here daughter here for a number of years and she has always been very peculiar during this time.  Has repeatedly said that the doctors and nurses here were putting a spell on her daughter and that we were constantly giving her daughter medicines to make her worse.  Lately will not eat, says her food is being tampered with and that people are trying to poison her.  Also says that she is in communication with all the world by megaphone.  She hears this day and night.  Patient is in very poor physical health.
No further entries.

Additional notes:
Daughter Jennie Tatnall, has been a patient at DSH for many years.  See file.


History and clinical notes:
History:  Patient brought by an officers; no history obtainable.  Med. Certificate states patient at times is violent, destructive.  Uses abusive language.  No other history.
No further entries.

Additional notes:
Readmitted to hospital 10/29/1923, died at DSH 9/2/1944.


Form:
psychosis with somatic disease; post infectious psychosis

History and clinical notes:
History:  Patient brought by his brother who states that patient has not been in good health since last Oct, when he had at attack of epidemic influenza.  Since about 5 weeks he would not go to work, but stayed home, sitting in one position, refusing to eat.  Would not talk unless forced to it.  Last few days he was getting worse.  Would not take any food or even water.  Patient is very weak, has to be put to bed.  Kept in bed.
Sep.  Pat. improving mentally and physically.
Oct 21, 1920.  Patient working outside.
No further entries.

Additional notes:
Readmitted 6/25/1932; died of pneumonia, buried in Silverbrook.


History and clinical notes:
History:  Patient brought by her son, who states that she has not been normal since she had an attack of epidemic influenza last year.  About two months ago she lost her brother and since then she has been wandering, praying, singing all day along (sic) at times even at night.  Has taken poison and attempted to drown herself.  Eats very little and suffers from insomnia.
No further entries.

Additional notes:
Died 12/27/1929 at DSH of TB, buried in Sussex County.


History and clinical notes:
History:  Patient brought by an officer.  Med. Certificate states that patient claims to be a habitant of two layers of earth.  Has been doped.  Claims mother is his aunt and many other delusions of similar character.  Very profane in his manifestations against his father and threatens to kill him by burning his bed when asleep.  Wasserman negative.
No further entries.

Additional notes:
At DSH for 1940 census.  Died 8/8/1951, buried in Cathedral Cemetery.


History and clinical notes:
History:  Patient brought by his son, who states patient has been very disagreeable since last May.  Getting worse all the time.  History of a sunstroke several years ago.  At times patient gets very violent, but for a short time.  His son states that patient had a stroke a few weeks before he was brought here.
Jul 5, 1920.  Physically and mentally improving.
Jul 28, 1920.  His son came and took him home against the wish and advice of the Supt.  Paroled improved.

Standard form attached:  Jul 28, 1920.  “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 [M.A. Tarumianz], Signed [Miles S. Levey].”

Additional notes:
Djied 3/16/1921.  Died of cerebral hemorrhage, buried in Christiana, Del.


History and clinical notes:
History:  Patient brought by her friends.  Med. Certificate states that this patient was at the Little Sisters of the Poor, but was sent away.  Was taken to the County Almshouse at F., but they would not receive her.  She has been queer all her life.  Has attacks at various intervals, but this is the longest.  Patient claims she is 63 years old, but others say 75 years.  Her brother will have nothing to do with her.
No further entries.

Additional notes:
Died at DSH on 7/5/1921 of chronic myocarditis.  Buried at Riverview.


History and clinical notes:
istory:  Patient brought by her son who states she has been in present mental condition for over 2 years.  Lately attempts of suicide.  At times she gets very violent.  Very noisy.  Physically very weak.  Patient’s daughter is an inmate of this institution.  Another daughter of hers died here as insane.
No further entries.

Additional notes:
At DSH until her death on 12/19/1929 of chronic myocarditis


Complications:
anterior poliomyelitis and nevus flammeus on face, back, and legs

On certificate of:
Drs. Joseph Bringhurst and William F. Hory (??)

History and clinical notes:
History:  Patient brought by relatives.  They state that she has been in this condition for over two years, at times she gets very destructive and violent.  She tried to harm her relatives.  She is also crippled from anterior poliomyelitis.  Kept in bed for yrs.  Patient has nevus flammeus of face, back, and legs.
No further entries.

Additional notes:
At DSH until her death 2/5/1923; died of pneumonia, buried in Mt. Olive.  Nevus flammeus: a large congenital vascular malformation nevus having a purplish color; it is usually found on the head and neck and persists throughout life.See also: Sturge-Weber syndrome.
Synonym(s): port-wine stain.  Was at DSH until her death on 2/5/1923 at DSH, from broncho-pneumonia/influenza.  Buried at Mt. Olive.


History and clinical notes:
History:  Patient brought by her parents who state that she has been a normal child up to 7 years of age.  From 7 years of age to two months ago, epileptic convulsions every 2 to 3 months.  Otherwise she was a good child, but weak minded.  No paroxysms for last 2 months.  Very destructive and violent at times.  She had to be tied to a chair or would escape.  Would not take any food.  Almost unmanageable at home.
No further entries.

Additional notes:
At DSH until her death on 8/8/1925, buried in Townsend, Delaware.  Died of status epilepticus, age 19 years.


History and clinical notes:
History:  Patient brought by an officer.  No history obtainable.
No further entries.

Additional notes:
Died at DSH of chronic interstitial nephritis on 12/25/1921, buried at Meth. Episc. Cem. In Christiana.


History and clinical notes:
History:  Med. Certificate states that patient has delusions of persecution.  Cigarette smoker and probably masturbates.  Patient has been in this institution from Sept 20, 1919 to Nov 1st.  Discharged May 27, 1920, as imp.  See Case Book VIII, page 408.
No further entries.

Additional notes:
Was at DSH from date of admission to his death on 11/16/1954.  Died of rectal cancer, metastasized to adrenal glands, plus bilateral hydronephrosis, cremated and buried at Silverbrook


History and clinical notes:
History:  Med. Certificate states that patient has one to nine (??) epileptic seizures weekly for past 3 months until she is now completely without “any mental faculty.”  Patient brought by her parents, who state that she had scarlet fever when she was 12 years old, she has been a very bright girl in the school.
1914, when she was 14 years old, she had the first epileptic convulsion.  Since then continuously once or twice every month.  Seizures very irregular.
1916, menstruation for first time and occurred and last time Dec. 1919.  Since about 3 weeks at times she is very noisy, violent, and destructive.  Physically very weak.
No further entries.

Additional notes:
At DSH until her death on 5/4/1921.  Died of status epilepticus, buried in Wilmington & Brandywine


History and clinical notes:
History:  Patient brought by the Sheriff of Kent Co.  No history obtainable, but that he has been in present condition for a few days.  At times very violent and destructive.
Jul 5, 1920.  Patient’s father was here stating that on July 1st patient while working on the field went away and disappeared for a few hours; later they found him walking around the bridge without any clothing on.  It was very difficult to keep any clothes on patient.
Jul 6, 1920.  Patient improving mentally and physically.  He realizes what he has done and he explains that he had sunstroke.  Sent outside for work.
Jul 22.  Has worked outside every day.
Aug 6, 1920.  Patient’s brother came and took him home.  Paroled recovered.


History and clinical notes:
History:  Patient brought by two friends, no history obtainable.  Med. Certificate states that patient had prostatic operation some time ago, and after that he became very violent, probably due to uraemia.  Wasserman positive.  Upon examination, found that patient had suprapubic cystotomy.  Dr. Washburn of Wilmington reports that about 4 mos. Ago patient came to him with symptoms of vesicle calculus and prostatic hypertrophy.  He could not urinate for 3 days.  Physicians in his town have tried to catheterize, but without any success.  He tried to pass some instruments within, but could not.  Then he operated on him.  Suprapubic cystotomy.  No calculi.  Prostatectomy.  A few weeks after operation, patient became very violent.  B. Wasserman and spinal fluid Wasserman strongly positive.  When patient brought here, very violent.  Could not pass any sound (??) in urethra.  Urine passing through the wound of operation.  Upon examination, diagnosis: paresis. Jul 23, 1920.  Patient quieter today.  Intravenous injections of neoarsphenamin 0,6.
Aug 31.  Patient received 4 intravenous injections of neoarsphenamin 0,6.  
Sep 1.  Wasserman negative.  Blood test of patient, negative.
Sep 8.  5th injection.
Before the intravenous injections of neosalvarsan the reflexes were diminished.  Pupils did not react to light.  Finger to finger test was performed very poorly.  Now all three have improved very much.  Romberg is negative.  Patient’s mental condition is very much better.  We were able to pass sound into his urethra every other day.  No fr. 21.  Patient urinates very freely.  Without any trouble.
Sep 15, 1920.  Patient’s wife and relatives came and took him home against the advice of the Supt.  Patient had 6 intravenous injections of neosalvarsan and Merc.  Paroled improved.


History and clinical notes:
History:  Med. Certificate states that patient has been an inmate in a New York Hosp. for Insane.  Has been living in Del. for past 8 years.  She imagines that neighbors are attempting to kill her and that some one has stolen her children.  Throws stones and breaks windows.  Patient brought by her husband, who states that she has been in present mental condition for many years, but he tried to keep her home; for last few months she was so bad that it was impossible to keep her home.  Patient’s daughter is in this inst. as inmate.
No further entries.

Additional notes:
Daughter also in DSH.  At DSH until her death on 5/31/1927.  Buried in Lombardy.  Daughter was at DSH until her death in 1973.


History and clinical notes:
History:  Patient brought by friends, who don’t know anything about the case.  Med. Certificate states that patient has been in Kirkbride for one year and one week and is much worse since after a stroke one wk. ago, has been growing much worse.  His talk is business and he thinks he is wealthy.  Pennsylvania Hosp. gives the following history of this case.  Was admitted to that inst. July 14, 1919 voluntary.  Two brothers have been mentally unbalanced.  Physical exam: arteries thickened, bilateral inguinal hernia.  Pupils do not react to light; slightly to accommodation.  Patella diminished.  Finger to finger test poorly performed.  Slight Romberg.  All test phrases slurred and words stuttered, audition impaired.  B. Wasserman strongly positive, spinal fluid Wasserman strongly positive.  Globulin tests all positive.  Urine negative.  Course of psychosis.  Patient has deteriorated progressively both in physical and mental condition.  On July 11th had an apoplectic stroke, affecting speech and muscles of [ill.] side of face.  Very much confused and very unsteady on his feet.  Paralysis of facial muscles has disappeared, but speech is still merely of jumble of sounds (??).  Irritable at times.  Generally euphoric.  Memory past and recent events impaired.  Delusions; shifting ideas of slightly grandiose character.  Careless in habits.  Thus, diagnosis: G. Paresis.
No further entries.

Additional notes:
At DSH until his death on 11/4/1923 of syphilis.  Buried in Middletown.


History and clinical notes:
History:  Patient brought by officers; no history obtainable.  Med. Certificate states that patient claims that she has been hounded from one end of the country to the other by a man, who gave her a “blood disease.”  Upon examination, patient claims two men have been following her in New York City, then she went to Baltimore to escape their threats.  Then she had to go away from there for the same reason; that is why she came to Wilm, where she has been just a few days.  Patient has a few ulcers around the rectum and ulcera canris (??).  She also admits she had syphilis 4 years ago and that Wasserman was positive and had 4 salvarsan injections, intravenous.  Patient isolated.
Jul 23, 1920.  Intravenous injection of neoarsphenamin 0,6.
July 30.  Intravenous injection of neosalvarsan 0,6.
Aug 9.      “                    “           “        “
Aug 28.  Wasserman positive +++.
No further entries.


History and clinical notes:
History:  Patient brought by an officer; no history.  Med. Certificate states that patient has delusions that food that he has eaten has been poisoned.  Has taken him 53 years to learn it.  His brother was here stating that patient had sunstroke 10 years ago and had delusions then.
Aug 6, 1920.  Wasserman negative.
No further entries.


History and clinical notes:
History:  Patient brought by her son, who states she has been in her present mental condition for last 10 years.  Lately, she wanders around the streets and as she refuses to go to Phila., where her son lives, it is very hard to get any place to put her in with.  When they brought her here, patient fought the Dr. and nurses and was very violent and noisy for one hour.

Additional notes:
At DSH until her death on 1/25/1939 of chronic vhd.  Buried in Mt. Moriah Cem.  Widow of Dr. James M. Moat.  Mother was named Phoebe Seeds (nice name!).


History and clinical notes:
History:  About 6 years ago acted very queer, quit work, walked the floor incessantly, was depressed and taciturn.  All attacks since the first have been similar.  About one month ago the last attack began.  Has been much more depressed and morose than during preceding attacks.  Lately has been become (sic) much worse, talked of suicide, said he was no good to anybody.  Yesterday drank medicated alcohol, said he wanted to die.  Never has been violent.  Lately has slept but little and appetite has been very poor.  Has steadily lost flesh.  Drs. have said that he had kidney trouble.
Aug 8, 1920.  Patient refused to eat and was fed with tube today.
Aug 9.  Very incoherent and rambling in his conversation.
Aug 10.  Takes nourishment a little better if force is used.  While on the ward today, fell and was unconscious for a few moments.  Imagines that he sees things walking on the floor and on the walls.
Sep 1.  Patient improving very much.  Walks outside.  Had 2 abscesses.
Sep 9.  Physically and mentally improving very nicely.
Sep 11, 1920.  His wife came and took him home.  Paroled recovered.

Additional notes:
At DSH for 1930 census.  Died 7/19/1937 at home of coronary occlusion.  Buried in Glebe Cemetery, New Castle.


History and clinical notes:
History:  Patient brought here by officers; no history obtainable.  His wife visited him today and states that patient has been working on a boat as 2nd engineer, has been in Mexico for a few months.  Used to think (drink?) very heavy.  Last time he took some medicine [ill.] and “something else.”  Drank very heavy.  Was drunk all [the] way back from Mexico.  He was in Delaware Hosp. for a few days.  He was sent home last Friday.  Wanders around the streets and tried to kill himself.  No history of syphilis.
Aug 28, 1920.  Wasserman negative.
Aug 15 (sic).  Patient states that all his mental trouble was the result of Mexican liquor.  Improving very nicely, works in and outside.
Sep 4.  Patient has been working outside every day.
Sep 9, 1920.  Patient’s wife came and took him to Brooklyn, NY, where she lives at present.  Paroled recovered.

Additional notes:
Wife to him to Brooklyn, NY.  Wife's name is May.  He was a steamboat engineer.  In 1930 census, is listed as a patient at the Minnesota State Hospital for the Insane in St. Peter.  In 1940 census is listed as Lorentz Jackson, patient since at least 1935 at Willmar State Hospital, in Willmar, Kandiyohi County, Minnesota.  Died in Minnesota on 8/8/1960.  No further info.


History and clinical notes:
History:  Officers who brot patient know little of his history.  Certificate states that he has been a patient in a sanitarium for past six months at expense of his correspondent.  Came to Wil. from California in 1918, where he had always lived.  Stated to Dr. Flinn that he had $900 somewhere; would not tell where.
No further entries.

Additional notes:
Died at DSH 5/24/1931.  Buried in Cathedral Cemetery with some folks named Kelleher.


History and clinical notes:
History:  Patient has been in Del. Hosp. for past week.  Certificate states that she had a child 4 months ago.  That her husband at Dover where she lived repeatedly abused her and has threatened to kill her.  Patient is very weak and poorly nourished.  While in Del. Hosp. was very restless and talkative.  Refused to eat unless forced.  Kept everyone awake at the Hosp.
No further entries.

Additional notes:
At DSH until her death of TB of the lungs on 12/26/1921.  Buried at Lakeside, Dover.  Her 4 year old son Raymond survived to adulthood, married in 1941.  Second child Sarah also survived to adulthood, married in 1942.


History and clinical notes:
History:  Dr. Hocker states that he has been a neurasthenic for years.  For the past year his mind has rapidly deteriorated.  Does not remember what is said to him and does not realize what he is doing.  Wanders away from home and they have been afraid that he would be killed.  His propensity to wander frequently occurs in the middle of the night.  Has been failing physically for past year.  Appetite is fairly good, but has lost flesh and strength.
No further entries.

Additional notes:
At DSH unitl his death on 12/4/1923, of chronic vhd, buried in Selbyville, Sussex County.


History and clinical notes:
History:  Patient brought here by her father and Dr. Bishop, who state that about a year ago she had an abdominal operation and since then she has not been “herself.”  Mostly melancholic.  At times violent and destructive.  Has many delusions, specifically about receiving messages.
No further entries.

Additional notes:
Was released at some point.  Died at home on 4/14/1926 of meningitis, the week after she had influenza.  Buried in Christ Church Cemetery, Dover, Delaware.


History and clinical notes:
History:  Med. Certificate states that this patient has been worse since her mother died about 6 weeks ago.  It seems her condition was kept from others.  Her mother kept her locked up in room.  About 20 years ago she fell down stairs and [ill.] scissors in forehead, leaving a scar.  Since her mother died she is very uncleanly of her person and gets unmanageable.  At times she gets violent and destructive.  She also has convulsions.
No further entries.

Additional notes:
Was at DSH until her death on 5/23/1927 of TB of the lungs, contributory cause epileptic psychosis.  Buried at Riverview.


History and clinical notes:
History:  Patient brought by his sister, who states that since July 15th, patient has been acting restless, always worried about his health, claims he had gonorrhea and cannot get cured; wanders around the streets.  Tried to take some poison.
Nov 27, 1920.  Wasserman doubtful.  +/-.  Wasserman negative.
No further entries.


Form:
constitutional psychopathic inferiority without psychosis

History and clinical notes:
History:  Patient brought by his father, states that the patient had cerebrospinal meningitis when he was 4 months old.  Has been deaf and mute, but had pretty good education.  Up till 10 years ago patient has been acting very well.  Lately he would get violent once or twice in month, at time destructive and threatened to kill his father.
Sep 20, 1920.  Patient has been acting well.  No trouble at all.  Still studying the case.
Oct 29.  After careful watching, studying, and mental examinations of the case, our diagnosis is constitutional psychopathic inferiority without [ill.].
Nov 18.  Patient had an attack of acute nephritis.
Nov 27, 1920.  Patient up and around, physically much better, his mother came and took him home.  Paroled.

Additional notes:
Readmitted to DSH 1/13/1922 where he died 4/24/1927 of chronic nephritis.  Buried in Riverview.


History and clinical notes:
History:  Grandson states that patient is very feeble but is not noisy or troublesome.  That his mother [grandson’s mother] is too feeble to care for him any longer.  Says his talk is rambling at times and that he is afraid he would wander off and that something might happen to him.  Patient was so feeble that it was necessary to send a conveyance to depot and was carried to ward.
Oct, 1920.  Patient physically very weak; kept in bed, has chronic myocarditis.
Oct 14, 1920.  Died at 10:45 p.m., chronic myocarditis from pers. kn. 1 month and 14 days.

Additional notes:
His daughter got too old/feeble to care for him any more.  Sent by train.


History and clinical notes:
History:  Med. Certificate states that patient is a congenital imbecile, is violent at times and has assaulted mother on several occasions, has epileptiform seizures during which she is violent.
Sep 3, 1920.  Patient was very noisy.  Refuses to eat.
Sep 4, 1920.  Her parents came and took her home against the wish and advice of the Supt.  Paroled unimproved.
Jan 17, 1921.  Discharged unimproved.

Standard form attached:  Sep 4, 1920.  “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 [James T. Twigg].”

Additional notes:
Back at DSH 7/11/1924, was at DSH for 1930 and 1940 censuses and until her death there.  Died at DSH 1/10/1959, buried in the Spiral Cemetery, Grave #664.  Died of bronchopneumonia, carcinomatosis, adenocarcinoma of uterus.


History and clinical notes:
History:  Med. Certificate states patient is an imbecile.  No other history obtainable.
Sep 11, 1920.  Wasserman negative.
Nov 6, 1920.  No improvement whatever.  Was removed by his brother today against the advice of the Supt.  Paroled.

Additional notes:
Taken out by brother AMA.  Died at Stockley 10/3/1933 of interstitial nephritis.  Buried in Lewes.


History and clinical notes:
History:  Patient brought by his relatives who state that he has been in present mental condition for the last two yrs.  He had an operation for appendicitis and since that time he has been acting “not right.”  Doesn’t want to work.  Wanders around the streets.  Complains of headaches; gradually getting unmanageable.  His uncle has been a patient in an Insane Asylum in Maryland.  No other history obtainable.  Med Cert. states as a case for observation.
Sep 11, 1920.  Wasserman negative.
No further entries.


History and clinical notes:
History:  Patient brought by his mother.  She and also the Med. Certificate states that patient worked until Oct 1917, he was deaf in one ear for 17 years following diphtheria.  About 11 years ago was struck by a baseball, having hemorrhage from his good ear about 18 months.  After his good ear began to bother him and has been deaf ever since.  Began in 1917 to be unmanageable.  He had a love affair which seemed to aggravate matters.  He pulled a trigger on mother and is general feared by all around.  I have seen him screaming out at intervals while walking.  Mother thinks if he could hear, there would be no trouble, but as it is, he will not talk.
Sep 11, 1920.  Wasserman negative.
No further entries.

Additional notes:
Died 3/21/1937 in Wilmington, but no further info.


History and clinical notes:
History:  Patient brought by an officer and her husband who state that patient has been normal up until Sept 7, 1920.  Patient has been violent since then.  At times very destructive and also very noisy.  Refuses to eat, has [not] had anything to eat for the last 3 days.  Very much exhausted.  Very weak.  Med. Certificate states there is history of syphilis.
Sep 24, 1920.  The specimen of blood show the presence of a positive Wasserman, CBM ++.  PBA ++.  A. ++++
Nov 27, 1920.  Wasserman positive.  Patient is getting neosalvarsan 0,6 weekly.
No further entries.

Additional notes:
At DSH until her death 4/16/1933 of cerebral hemorrhage.  Buried in Glasgow.


On certificate of:
Drs. Walter E. Cann and Henry G.M. Kollock

History and clinical notes:
History:  Patient brought by an officer, who states that patient has been in present mental condition for over a year.  Wanders around, sings religious songs.  Does not work.  Thinks he is a holy prophet.  Children are afraid to go anywhere he is present, as he has threatened them.  They cannot keep him home.
Sep 24, 1920.  Wasserman negative.
No further entries.

Additional notes:
Died at Farnhurst.  Buried at DSH, Grave #639.


On certificate of:
Drs. Willard R. Pierce and William Marshall, Jr.

History and clinical notes:
History:  Patient brought by her husband, who states that she has not been well balanced for the last 3 years, worse in summer time.  But she has never been violent until about 3 weeks ago when she attempted to kill her husband.  Talks incessantly about “men,” “love.”  At times very noisy and destructive.  Refuses to take any food.  Patient’s father and uncle died in this hospital.  Patient was very violent, destructive, and noisy when she was brought here.  Wanted to fight with nurses, and refused to take any nourishment.
Sep 16, 1920.  Patient getting worse.  Violent and destructive.  Took one glass of milk.
Sep 22.  Mentally and physically getting worse.
Sep 26, 1920.  Patient died at 10:30 p.m.  Chronic myocarditis from pers. kn. 13 days.

Additional notes:
Only in hosp. for 2 weeks before she died!  Died at Farnhurst.


History and clinical notes:
History:  Patient brought by his sons, who state that he has been in present mental condition for over 3 years.  At nights he gets very noisy, mostly calls to people that “they are killing him.”  It was impossible for them to keep him home.
No further entries.

Additional notes:
At DSH until his death on 12/24/1924 of chronic vhd.  Buried in Townsend.


History and clinical notes:
History:  Patient brought by his wife and Dr. Smith, they state that patient has not been normal since 1916, getting worse.  Wanders around the streets; at times he gets violent and a few times he attempted to strike his wife.  This mental trouble started about 4 years ago, when he had some financial trouble.  Lately his wife has not been able to manage him and nobody else would stay with him.
Oct 2, 1920.  No change in patient’s mental condition; physically he is getting weak.  His daughter and wife came and took him home against the advice and wish of the Supt.  Paroled unimproved.

Standard form attached:  Oct 2, 1920.  “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 [M.A. Tarumianz], Signed [Edith D. Fisher, 1807 Franklin St. Wilm.].”


History and clinical notes:
History:  Patient brought by Dr. Bringhurst, who states that he has been attending the patient for a few years and since about a year he noticed peculiarities in his conduct and talk.  Lately his patient has complained of very unsatisfactory dental work and very peculiar conduct.  Upon examination he found patient had phimosis.  Thinking that his mental condition was the result of some irritation from phimosis, he took him to Phila. Meth. Hosp. where they operated on him 4 days ago.  2 days ago he escaped from the Hosp. in Phila., was very violent; was caught by an officer.  Upon examination found: reflexes exaggerated, R. pupil reacts to light, left pupil very slow.  Slightly to the accommodation.  Finger to finger test performed very poorly.  Romberg positive.  General tremor.  Very unsteady on his feet.  Speed and walk very much affected.  Irritable and violent at times.  [Memory for] Past and recent events impaired.  Orientation at times impaired, at times delusions.  Very careless in his habits.  No history of syphilis.  Report on the Meth. Hosp. Wasserman neg.  X-ray negative.  Dr. Bringhurst reports that patient had epileptic seizures 2-3 times weekly.
Sep 24, 1920.  Wasserman negative.
No further entries.

Additional notes:
First name Crois.  Died 4/26/1926 at DSH.  No COD.


History and clinical notes:
History:  Med. Certificate states that about a year ago she was confined in Lima, Pa. at county home, where she remained two weeks.  The family seems to be moving from one place to the other and have no settled home.  One of the features of her trouble is always wanting to move.  Takes no care of home and husband has to do the cooking.  Patient’s husband states that she has been in the same mental trouble after the birth of the 4th child which continued 2 months.  The main trouble is wandering around the streets and also from town to town.  At times she is destructive.
No further entries.

History:  Med. Certificate states that about a year ago she was confined in Lima, Pa. at county home, where she remained two weeks.  The family seems to be moving from one place to the other and have no settled home.  One of the features of her trouble is always wanting to move.  Takes no care of home and husband has to do the cooking.  Patient’s husband states that she has been in the same mental trouble after the birth of the 4th child which continued 2 months.  The main trouble is wandering around the streets and also from town to town.  At times she is destructive.
No further entries.


History and clinical notes:
History:  Patient brought by her husband who states that she has been in present mental condition for last 4 years; lately getting worse.  The first attack started about 2 months after the child birth.  She imagines that her mother, who has been dead for 9 years, that she is in wireless communication with her, and that her mother ordered her to take her children and go to [the] north where she would be in better communication with her.  She took her children, while her husband wa away, and went to Maine and stayed there until her husband went after her.
NO further entries.

Additional notes:
Was discharged at some point.  Back at DSH from 4/10/1952 until her death on 7/17/1952 of chronic myocarditis.  Buried at Wilmington & Brandywine Cemetery


History and clinical notes:
History:  Patient brought by her husband and Dr. Lofland.  For former history, see Case Book VII, page 199.  She was admitted June 2, 1914 and paroled July 14, 1914.  Discharged March 9th, 1915 as unimproved.  She was taken home against the wish and advice of the Supt.  Her husband states that patient has been in this condition since they took her home.  At times she is more or less violent.  Wandering away from home, preaching the gospel, telling people what to do, etc.  She claims she is in communication with God and that people have to do exactly as she orders.  Lately she did not allow the boys to sell newspapers, etc.
No further entries.


History and clinical notes:
History:  Patient brought by officers.  No history obtainable.  Med. Certificate states that patient has 3 children and she treats the children badly – is altogether impossible.
No further entries.

Additional notes:
Still in DSH for 1930 census.  Died March 1968.


History and clinical notes:
History:  Patient brought by officers.  A former patient of this hospital.  Was admitted Oct 11, 1919.  His wife took him home against the wish and advice of the Supt. on May 10th, 1920.  Discharged Sept 21st, 1920.  See Case Book 8, page 416.  Wasserman positive ++++.
Nov 27, 1920.  Wasserman positive ++++.  Patient is getting neosalvarsan 0,6 weekly.
No further entries.


Form:
psychosis with somatic disease, cardio renal disease

History and clinical notes:
History:  Patient brought by her husband, who states that she has been in her present mental condition since last Jan.  She refuses to eat, does not care about her appearance.  Won’t take a bath or change her clothes.  Very depressed.  Med. Certificate states that patient has lived on one glass of milk daily for past 6 months.  Patient has sto-[illegible].
No further entries.

Additional notes:
Husband much younger.  At DSH for 1930 and 1940 censuses.  Died in Wilmington.


History and clinical notes:
History:  Patient brought by his brother, who states that since about 12 days he has been wandering around, would not work, very depressed.  Since yesterday patient has been very destructive and at times violent.  No other history obtainable, but that patient’s sister has been insane for a few months, has been in Pennsylvania Institution, has recovered and now is home.
Nov 5, 1920.  Wasserman negative.
Nov 27.  Wasserman negative.
Nov 30.  Mentally and physically improving very nicely.
Dec 6, 1920.  His brother came and took him home, paroled.


History and clinical notes:
History:  Patient brought by officers.  No history obtainable.  Med. Certificate states that patient has been in present mental condition for the last year.  The family have had a great deal of trouble with this man and find him altogether impossible.  Patient had syphilis about 10 years ago.  Patient has chronic gonorrhea.
Nov 5, 1920.  Wasserman positive ++++
Nov 27, 1920.  Wasserman positive ++++
No further entries.

Additional notes:
At DSH until his death on 8/10/1921 of general paralysis of the insane.  Buried in Mt. Olive.


History and clinical notes:
History:  Son states that she has been insane for 4 years (certificate states 5), that the symptoms were first manifested by neglecting her work at home and thought that someone was talking about her.  Has been steadily but gradually growing worse.  Lately has thought that someone was in her room at night and that men were kissing her.  At times at night she is a little noisy and cries out loud.  Has had a fair appetite.  On admission is very reticent and would not talk or would only answer in monosyllables.  Is thin and anaemic.
No further entries.

Additional notes:
At DSH for 1930 and 1940 censuses and until her death on 7/13/1950, of heart failure following by 2 days an operation to insert a pin for a fractured bone.  Buried in Harrington.


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

History and clinical notes:
History:  Patient brought by officers; no history obtainable, but that patient has been in present mental condition for the last 10 years.  At times very violent.  This is history of syphilis??
Nov 27, 1920.  Wasserman negative.
No further entries.


History and clinical notes:
History:  Patient brought by officer, who states that patient has religious delusions.  A former patient of this institution.  See Case Book VIII, page 451.  Admitted Jan 11, 1920 with manic depressive psychosis, depressive type.  Discharged May 27, 1920 as recovered.
No further entries.


History and clinical notes:
History:  Patient was discharged from this institution Apr 14th, 1914 as recovered.  See Case Book VII, page 107.  Patient has been in this institution 5 times previously.  Officer who brings patient knows nothing of his history with the exception that he has been very violent, noisy, and troublesome for the last week – they could not manage him at home.
Nov 27, 1920.  Wasserman negative.
No further entries.

Additional notes:
Was at DSH for 1940 census.  Died at Farnhurst.


On certificate of:
Drs. Thomas D. Cook and Taleasin H. Davies

History and clinical notes:
History:  Patient brought by her husband who states that she has been in present mental condition for one week – has been ill in bed with heart dis.  Patient is depressed; talks to herself most [of] the time.  She wouldn’t take any medicine, thinking somebody is poisoning her.
No further entries.


History and clinical notes:
History:  Patient brought by Mr. H.J. Ake (??).  No history obtainable.  A former patient of this institution.  See Case Book VI, page 435.  Was discharged as recovered April 14, 1914.
No further entries.


History and clinical notes:
History:  Patient brought by officer; no history obtainable.  Med. Certificate states that patient has been at Byrn Brae for 2 months.  At times he is violent; has delusions.
No further entries.


History and clinical notes:
History:  For former history see Case Book VIII, page 405; was admitted Sep 13, 1919, paroled Nov 5, 1919, discharged May 27, 1920 as improved.  Patient is talking about people trying to poison him.
No further entries.


History and clinical notes:
History:  Certificate states that “the house in which he lives is haunted, hears noises and voices and at times hears coal being shoveled, when he burns the same as if he was in hell.”
Mar 20, 1919.  Patient refuses to talk.  Sitting in the same position for days – has to be dragged to bed.  Very apathetic.
Jul 5.  Mentally improving.  Talks and works in and outside.  Eats and sleeps well.
Feb 10, 1920.  Improving very nicely; wants to go home and work.
Mar 17, 1920.  His friends came to take him home.  Paroled recovered.
Sep 21, 1920.  Discharged recovered.

Additional notes:
In 1920 census he was still at DSH; no further info.


History and clinical notes:
History: First symptoms manifested about 18 months ago.  Has not improved since that time; was at Dr Weir Mitchell’s Sanitorium for 2 months, no improvement.  Was taken to a sanitorium in New York State, no change.  For past 2 weeks has slept but little, moans a great deal of the time.  In center was very noisy, had to be carried to ward.
Sep 1, 1903.  Very noisy at times.  Lies most of the day sleeping.  Takes no interest in anything.  Answers questions promptly.  When awake makes a drowning noisy continuously.  
Feb 19, 1904.  Sits drowsily in chair all day.  If spoken to, rouses and replies.  Has spells of weeping occasionally.  Very pale and thin.
Jun 5, 1905.  Patient melancholy, very quiet.  Eats and sleeps well.  Cries often.
Jul 25, 1906.  Paroled.
Sep 27, 1906.  Discharged improved.
Two newspaper clippings attached (one is falling apart).  
#1 – Obituary notice for patient’s mother.  [Last name redacted] – Feb 3.  Mrs. J.T., wife of the late J.T. [last name redacted] aged 63 years.  Relatives and friends are invited to attend the funeral services Thursday at 7:30 p.m. at the residence of her daughter [daughter’s name and address redacted].  Internment Springfield, NJ.  
#2 – Miss [name redacted] of Philadelphia, Confined in Delaware State Hospital.  Mother of Young Woman Died Recently.  “Confined in the Delaware State Hospital at Farnhurst is [patient] , aged 24 years, of Philadelphia, who is part heir to a legacy of $50,000 and who has been in the institution for about eighteen months suffering from a mild form of mental aberration.  [Patient’s] history is a strange one.  Her mother, [name and address redacted] of Philadelphia, died on Saturday last, having received word the day before her death that a fortune of $50,000 was at her disposal.  For twenty years she had been awaiting news of the fact that the funds, the bequest of a millionaire of Chicago, and which had been tied up in litigation, were available.  Then, when the postman delivered the letter last Friday, and she had hastily scanned its contents, the joy proved too great.  She became dazed and appeared to be exhausted when she retired for the night.  The next morning she was dead.  Tied Up In Court.  It is likely the facts of this unusual case would never have come to light had it not been for an effort made by [name redacted], the married daughter of [the heiress] to obtain letters of administration upon her mother’s estate.  In answer to the questions of Deputy Register of Wills Irwin, she said that when, more than twenty years ago, [name of benefactor redacted], a millionaire merchant of Chicago, died, he left a portion of his estate to her mother, who was the daughter of a brother.  That portion of the estate left to his niece, however, was tied up in litigation, but she was assured that as soon as a property in Randolph Street, Chicago, was sold, she would receive her portion.  Since then she has received various sums on account, and day after day for the twenty years she eagerly awaited the news that the estate had been settled.  For herself alone, [the heiress] did not pray, the last years of her life, for the settling of the estate, but was seeking the welfare of her daughter [who is the patient].  Was a Second Mother.  When her sister [name redacted, the one who sought control of estate after heiress’ untimely death] married, [patient] was only a young girl.  She went to live at the home of her new brother-in-law.  When the first child was born, [patient] bestowed upon it all of the love and affection that a warm nature usually feels for children.  She was a second mother to the infant.  As the child grew older, Aunt [patient] and her niece became like mother and daughter.  Other children arrived, but [patient] stayed by her first love.  About two years ago, the child died, and the aunt was heartbroken.  She refused to be comforted, and slowly her health declined.  At last her mind seemed to give way, and her sister found it necessary to take her to a sanitarium.  [Patient] has an equal share in the fortune.  [Her older sister] will act as her guardian.  Mr. and Mrs. [sister and brother-in-law], went with the body to Springfield, where it was buried.
Note: See alphabetical index of terms for more information about the Weir Mitchell Sanitarium and “rest cure.”
Note: Information from 1910 census revealed that patient, at age 37, was single and living with her older sister, brother-in-law, and a nephew in New Jersey.  In the 1920 census, her sister and brother-in-law are listed as boarder in a home in Philadelphia (without patient).  In 1930, sister and brother-in-law are living in their own house in Philadelphia (without patient).  I was not able to find any information out about the “rich uncle” who left the fortune to patient’s mother.

Additional notes:
Case of woman whose mother died upon receiving word she would finally get a $50,000 inheritance.  Her daughter was the patient, in this case.


On certificate of:
Drs. J.R. White and Le Couer and J. Tyler (?)

History and clinical notes:
History:  Patient has delusions concerning X Rays.  Had operation short time ago for fissure in ano and hemorrhoids.
Jun 28, 1904.  Full of delusions, old witch across street from her used magnet to steal silver, having first made hole in the wall with an X Ray machine.
Jul 19.  Patient has been growing more sensible steadily.  Does not talk about X Ray machines, etc.  Eats and sleeps well, is cheerful and assists daily in the work of the ward.
Sep 12, 1904.  Discharged recovered.


History and clinical notes:
History:  Patient has been confined in a school for incorrigible girls from which she was recently released; she caused some disturbance and was arrested and later examined by two physicians and declared insane.  The history states that seven years ago she was kicked in the face by a horse.  Patient’s mother was an inmate of this institution from May 26, 1906 to Sept 27, 1906.
Jul 12, 1909.  Troublesome at times; annoys other patients.
Sep 29, 1909.  Taken home by her mother.  Paroled.
Feb 2, 1910.  Returned today.
Apr 12.  Was allowed to go home today, on parole, on account of the death of her sister.
Jul 23.  Returned to hospital today; brought by officers.
Sep 29, 1910.  Paroled.
Jun 7, 1911.  Discharged improved.

Standard form attached, dated September 29, 1909.  “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: E.M.C. Weber.  Signed [mother].
Note: From online search: in 1920 census, patient was in Tewkesbury State Hospital and Infirmary in Tewksbury, Middlesex County, Massachusetts, age 27.  Same in 1930 and 1940 (in Tewksbury Hosp.).  Died May 15, 1966 at age 73 in North Grafton, Massachusetts.

Additional notes:
Spent most of her life in an asylum in Massachusetts.


History and clinical notes:
History:  A former patient; for previous history see Book III, page 273.
May 1, 1913.  Patient same as for years.  Helps out at Dr. Hancker’s house.  No further entries.


History and clinical notes:
History:  For history of care see attached letter.
Jun 5, 1905.  Child very quiet and tractable.  Learns easily and remembers well.  Save for obstructed speech seems quite as intelligent as the usual normal child of six years.  Eats and sleeps well, is neat and tidy about her person.  Has not screamed or shown any of the abnormal symptoms recorded in accompanying letter.  Urine negative.
Jul 5, 1905.  Paroled.
Oct 11, 1905.  Discharged recovered.

Attached letter handwritten on three sheets of letterhead from “The Presbyterian Hospital in Philadelphia (including Richardson Home and Eliza Cathcart Home, Devon, PA.)  51 North Thirty-ninth Street.  Telephones: Bell-Preston 23-51, Keystone-West 1-30.”  [Names of President, VP, Treas., Secretary, Superintendent and Asst. Superintendent all listed at left margin.].  No date filled in at top.

“Alexina Givens, female, col., 6 yrs – clear history not obtainable as mother had been away from child for some time.  Fam. Hist. – neg.  No insanity.  Parents denied venereal history.  Prev. Med. Hist.  Child is one of twins, the other being normal mentally and physically.  Was born without instrumentation.  Breast fed for a year.  Has had no diseases parent knows of.  Three years ago had a pin stuck in throat and an anesthetic was necessary to remove the pin.  Child was normal in development, and walked and talked as well or better than her twin sister until 10 mon. ago.  Present Illness – At this time she began to “roll her eyes and act queer – sing and scream.”  Has been gradually getting worse.  Admitted 4/4.  T. 100° P 88 R 28.  Phys exam – Tongue clear.  Chest shows evidence of vaclutis (?) – rosary present.  Lung and heart neg.  Liver and spleen not enlarged.  Abdomen rather full and tympanitic.  Legs straight – no tenderness.  KJ about normal.  Epitrochlear and supraclavicular glands palpable.  She seemed to understand what was said to her but her language, except for an occasional word or two, was unintelligible.  She apparently made an effort to talk and cried to “go home.”  She appeared to have hallucinations as she would watch the course of some imaginary object across the ceiling, and then go into paroxysms of laughter, or emit an ear-splitting screech.  Her calm was interrupted by frequent intervals of coughing or jumping up and down and she screamed about every 30 seconds to 2 minutes.  It was necessary to use restraint in order to keep her in bed, but she slept well at night.  Her temperature after the first day was slightly subnormal.  She let the nurses know when she wanted to evacuate her bladder or rectum.  When her aunt or mother was present she seemed to [be] less excitable and to talk with more intelligence.  Her movements, although quick and jerky, were apparently entirely voluntary.  Urine was negative.  Her condition was practically the same until she was discharged on 4/9, as our children’s ward is not a suitable place to treat such cases.  The condition was suggestive of hysteria although no definable diagnosis was reached in our short examination of her, and therefore a prognosis would hardly be justified.  We should be much interested to hear of any further development.  Very truly yours, Tasker Howard (Resident physician).”

Note: Was not able to find any more info via ancestry.com.  But did find Tasker Howard, who graduated from the University of Pennsylvania Medical School in 1903, and who apparently has a descendant alive today who is also a pediatrician.  Left a phone message with the current Dr. Howard’s nurse and she said she would tell him.  2/11/2013.  Never heard back.


History and clinical notes:
History:   Woman of good habits and respectable German parentage.  Has been abused by drunken husband.  Has been reduced to extreme poverty by dissipation of husband, and has nearly starved at times.  Has had several miscarriages for which she has not had proper care and treatment.  When patient was 18 years old was very anaemic and was insane at this time for about 2 years, had to be sent to a hospital.  Was never overbright or intelligent.  Patient has been insane for past 3 or 4 months and has been steadily growing worse.  Imagines that her neighbors and her sister and her husband are all persecuting her.  
Jun 10, 1906.  Is less depressed and is now helping in light work on ward.
Jun 24.  Was visited by husband today who removed her against advice of superintendent.
Jun 24, 1906.  Paroled.
Sep 27, 1906.  Discharged improved.

Standard form attached.  Dated June 24, 1906.  “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 [not sure of Davies first name, need to check.  Looks like T/Valeasus].  Signed by husband [name redacted].

Additional notes:
Taken out by abusive husband, AMA.  Was living in Wilmington with husband and two children (ages 16, 15) at 1910 census.  Seems as though child born in 1906 did not survive?  No further info.


History and clinical notes:
History:  Patient ran away from home when she was 18 years old and married.  Husband never treated her right, but frequently beat her before her mother and has repeatedly had abortions committed upon her.  Mother complained of this to authorities and he was arrested and served 21 months.  His whereabouts now is not known.  Patient’s mind became affected about 8 years ago.  Neglected her household duties, was insanely jealous of her husband, became very moody and depressed, refused food.  Disease steadily increased.  Was taken to Kirkbride about 3 years ago but was removed from there about 1 year ago.  Mother has cared for her since.  Usually becomes worse during menstrual period, that is, more taciturn.  At other times will talk quite rationally, but her mind is never entirely right.  Her appetite is good and she usually sleeps well.
Jul 31, 1906.  Very quiet.  Eats well.  Sleeps without chloral, and is tidy about person.  Losing flesh all the time.  Does not talk much, but answers when spoken to pleasantly.
Oct 15.  In much better physical condition.  Very quiet.
Apr 2, 1906 (’07).  Sits quietly in dark corner all the time.  Eats and sleeps well.
Nov 12, 1907.  No change in any way.
Jul 11, 1908.  In fair health.  No mental change.
Dec 1.  No change in any way.
Jun 8, 1909.  Very quiet, in good physical health.
Jun 1, 1915.  No change whatever since last note; was visited by her mother today who removed her against advice of Supt.
Jun 1, 1915.  Paroled.
Dec 13, 1915.  Discharged unimproved.


History and clinical notes:
History:  Brought by officers who state that patient tried to gain entrance to Wilmington Conference Academy and said he was looking for Gov. Lea.  When arrested a revolver was found in his pocket.  When searched at hospital, six 32-caliber bullets were found in pocket, also a threatening letter (Letter in commitment case).
Mar 20, 1908.  No improvement since admission.
Mar 30, 1908.  Good physical condition, but no mental change.
Aug 25.  Insists upon having some lawyers take charge of his case, claiming he was only arrested for trespass.
Nov 11.  Very violent at times and bears close watching.
Feb 4, 1910.  No mental improvement, says he is worth millions of dollars, due him as royalties on his musical compositions.
Jan 1, 1910 [1911?].  Does not improve and is sometimes violent.
Jul 20, 1917.  No change in mental condition, physically he is not so well, has slight cough, slight temperature in p.m., is losing weight.  Was transferred to T.B.
Sep 25.  Is quiet [illegible words – looks like “necessary impaired”], is gradually growing weaker, eats very little.  Was visited today by his father who took him home.
Sep 25, 1917.  Discharged.

Newspaper article attached: “SINGER NOT RELEASED.  Still in Dover Jail To Be Examined As To His Sanity.  Special to The Star.  Dover, Del., Jan 25 – Harry I Singer, better known as Harry Robinson, step-son of Fraser Robinson, Wilmington’s well-known veteran musician, and himself a musician and composer, was not released from Kent prison today, notwithstanding the pleadings of his father.  Mr. Robinson met with a number of old friends and made some new ones while here in the interests of his step-son, but he could not induce his old comrade, Magistrate Wood, to release Singer.  Singer is held on the nominal charge of carrying concealed a deadly weapon.  Although apparently rational, he went about Dover looking for Governor Lea, and said he had important business with him.  He threw the co-ed girls at the Wilmington Conference Academy in a state of excitement bordering on terror by “going through” ladies’ hall, where no mere man is ever allowed.  He did not find the governor, as he was not in Dover.  The sheriff, however, found on the defendant a 38-calibre revolver, loaded for bear.  The authorities have decided that they will hold the young man for examination by physicians tomorrow or late tonight, as to his sanity.  The prisoner has been playing in moving picture performances and the peculiar glint and flashing of the motion pictures is said to have temporarily deranged him, but that will have to be shown by the doctors’ examination.  Singer has had a peculiar run of ill luck.  He is an accomplished musician, and recently wrote “My Sweetheart.”  He was financially unable to circulate the song, and a man of means took it up and is said to have made $10,000.  For nine weeks, Singer has not been well.”


On certificate of:
Drs. Robert S. Long and Joseph K. France

History and clinical notes:
History:  Patient brought by her husband, who states that she was in good health for last 4 years; about six months ago when she was in 6th month pregnancy she confessed to him that when she was a girl of 13-14 years of age she was assaulted by her step-father, had an abortion.  Two months after childbirth, she visited her mother; when she met her step-father coming back home she was very different in her actions, first very melancholic, after a week she began to be very talkative, at times violent and Nov. 5 she was very noisy, violent.  They kept her in restraint.  Since that day she had temperature 99 2/5 - 101°.  Refusing to take food, very restless.
Dec 5, 1918.  Patient still in bed, but shows some improvement.
Jan 5, 1919.  Mentally and physically improving.
Feb 5, 1919.  Her husband removed her to his home in York, PA, with the promise that he would not return her to Delaware.  She was removed against the wish and advice of the Superintendent.  Discharged improved.

Standard form attached:  Feb 5, 1919.  “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 [H.E. Gebhard].”


Form:
psychosis with consti psychopathic inferiority (Congenital imbecile crossed out)

History and clinical notes:
History:  Patient has been weak minded all his life.  Lately he has been masturbating and committing sodomy.  Will not work.  Has no home and no one to care for him.  Is not a proper person to have been admitted here.  Has been in the colored house at Clayton since Nov.  Came from Wilmington.
July 10, 1957.  Still in hospital.

Additional notes:
Not buried at DSH.  Not able to find after 1940 census record.  In 1900 census was listed as living at St. Joseph Colored Home in Wilmington (not Clayton), age 13.  Born in 1887.  Noted that he could read, write, and speak English.


History and clinical notes:
History:  Patient states that her husband deserted her and has been much affected by it.  States that he is a traveling man and left her.  Has been under previous treatment and has taken the “rest cure.”
Jun 14, 1912.  Patient extremely nervous and continually talks of her husband.  On eliciting history states that he made her have four abortions performed.  Urinalysis: color straw, acid reaction, sp. Gr. 10.17.  Albumin trace, sugar negative.
Micro: oxalate, epithelial cells, debris, hyaline cast.  Internal exam: profuse discharge perceptible; brawny appearance of vagina and cervical mucous memb.  Extensive lacerations of vagina and cervix.  Uterus low and much inflamed.  Tubes and ovaries somewhat tender and enlarged; ovary on left side extremely tender.  Examination of vaginal smear: pus from uterus and cervix; show evidence of gonococci?
Jul 8, 1912.  Fell on floor of Wd. 1 and produced a Colles fracture of right arm.
Jul 25, 1912.  Patient has improved; very cheerful and affable; was allowed to leave today on parole.
Dec 13, 1912.  Discharged improved.

Additional notes:
The Sarah A. person who died in 1933 was not this patient.


Form:
delirium tremens; toxic alcoholic insanity

History and clinical notes:
History: Patient’s home is in Washington, DC; was in Newark Saturday night, running through the streets with his coat and hat hollering police, murder, fire, and etc.  Was locked up and has been very noisy ever since, saying that people were after him and that he was sure to be shot.

May 9, 1899.  Has some delusions, little nervous.
May 10.  Some improved.
May 12.  All symptoms of D.T. disappeared.
May 13.  Was removed today by his brother to Washington.

Final disposition:
Removed by brother, all symptoms of DTs gone.

Additional notes:
Was arrested after running around in Newark hollering; later was found wading partially clothed in White Clay Creek near Red Mills.  Newspaper article attached: “Insane Man From Washington.  [Name redacted] in Delaware Asylum Pending Advices from his Relatives.  Special to the Post.  Wilmington, Del. May 10.  [Patient], who says he is a Washingtonian, has been committed to the Delaware State Hospital at Farnhurst, three miles from this city, pending communication with his relatives who, he asserts, live in Washington.
	[Patient] visited Newark, twelve miles from Wilmington, on Saturday night and acted so strangely that the town bailiff arrested him, and kept him locked up until Sunday morning, when he was released, after promising to leave town.  
	On Monday morning Harvey Baldwin, proprietor of the Red Mills, two and a half miles east of Newark, found [patient] partly nude and almost exhausted, wading in White Clay Creek.  With the assistance of his miller, Mr. Baldwin took [the patient] to his residence, where he was given dry clothing.
	During the day, [patient] was taken to the office of Magistrate Medill, at Newark, where he was examined by Drs. Henry and Kollock, who pronounced him insane.  On the recommendation of the physicians, the Magistrate committed the stranger to the hospital.


History and clinical notes:
History: Officers who bring patient know nothing of his history.  Nail of finger (McBride) of Right hand torn across where he had bitten it.  Physical exam on admission: Well-nourished and developed Negro of about 30 years.  Height about 5’.  Wt.  Short moustache.  Eyes: sclera clear, pupils equal, 3.5 mm, apparently react to L.A.C.  Pulse 140, quick.  Tension moderate.  Tongue moist, gray coated.  Ears small in all parts, lobules and helixes peculiarly so.  Skull of fair size and shape.  Tongue is protruded very slowly th tip being held for some time back of lower lip.  Protrusion seems difficulty th.  Muscles of anterior neck being made very rigid.  Just one mm exed of R clavicle is a walnut sized cystoid tumor.  Head, lungs, and abdomen show no gross lesion.  [Note from transcriber: Above as appears in ledger.]  [Ill.] muscular and strong.  Occasionally a coarse tremor to same anus and leg, often made rigid spontaneously and when placed in peculiar position remained so for a considerable time.  Reflexes: No J.J. B.J. K.J. much quickened.  Apparently understands what is said, but beyond speaking his own name slowly and with apparent difficulty has not spoken since admission.  Took supper, eats slowly, swallows with difficulty.
Oct 30, 1901.  Quiet during night.  Was in apparent distress at 8 a.m.  Complained of pain on moving either arm.  No rigidity of neck or spine.  No tenderness.  No change from yesterday.  When made to stand, leg became very rigid, and gait is apparently spastic.  All efforts to throw patient off of feet unavailing however.
Oct 31.  Asks for drink in normal voice.  Eats and drinks easily.  When first stands, gait if free but soon becomes spastic.  Reflexes still ++ below.
Nov 8.  Eats and sleeps well.  Clean and orderly.  Acts on level (??) and when asked to shake hands apparently makes efforts to do so, but [ill.] less marked.
Nov 16.  Slight spuvian catalepsy, quiet and cleanly.
Jan 12, 1902.  Quiet and clean.  Does not talk.  If watch has difficulty in swallowing, walking, etc.
Feb 27.  Is becoming brighter and more talkative.
Apr 10.  Visited by father who says patient was always bright and industrious.  First that father noticed anything wrong was last fall.  Patient ran home from work, cried and howled, and was nervous and frightened.  Never right after this attack.  Growing gradually worse.  Frequently has spells of crossness, would hit anyone who touched or made fun of him.  At times would refuse to eat.  Always slept pretty well except when attacks of fright, then he would stay awake several days.  Father says tumor on clavicle commenced about the time that first attack was noticed.  Seemed to worry him a great deal.  [Patient] was only 20 years old last fall.  
Apr 15.  No old scar.  Vaccinated today.
Apr 25.  Headache, nausea, temp 103.
Apr 26.  Anorexia, temp 103-104.
Apr 27.  Typical papular eruption of small pox, transferred to VT (infirmary).
Jun 13.  Passed through several attacks of S.P. complicated by about 30 boils.  [Ill.] boils present.  Has been brighter mentally since attack.
Aug 13.  Father allowed to remove him on parole.
Dec 27, 1902.  Discharged improved.

Newspaper article attached: “Punched Actor’s Jaw.  [Name redacted] Then Bit Policeman McBride’s Finger.  “W.H. Fishler and wife, who are with a company performing at the Wonderland Theater this week, last night had an unpleasant experience with a demented colored man, who was landed in the police station by Patrolman McBride after he had bitten one of the policeman’s fingers and gave him a hard (t)ussle.  [Patient], colored, of Sluby’s Court was standing on the corner of Sixth and French streets when Mr. and Mrs. Fishler came along.  “I guess you are looking for me,” said Lewis as he stepped up to Mr. Fishler and hit him a hard punch in the jaw.  Mr. Fishler saw that something was wrong with the man and did not strike him.  Patrolman McBride who was near by seized Lewis, who showed fight, and a hard struggle took place during which the colored man seized the middle finger of the policeman’s right hand with his teeth and bit as hard as he could.  The policeman started for the police station with the man who fought all the way.  Lewis was arrested about a week ago . . . . . (newspaper clipping cut off) . . . . charge of his brother.”


History and clinical notes:
History:  No history other than patient has been drinking to excess.
May 16, 1913.  Is rational and eager to return to his work.
May 19, 1913.  Paroled.
Oct 20, 1913.  Discharged recovered.


History and clinical notes:
History:  Patient was “picked up” in New Castle, Del., by Constable, when his strange antics had been noticed; he invited a motorman to get off trolley car and have a fight, threw bricks through windows and would run in front of freight trains.  Patient was quite rational when admitted and state that he had escaped from an asylum in Minnesota.  Brought to hospital on Thursday, March 3rd but trustees’ certificate did not arrive until March 4th.
Mar 30, 1910.  Is well behaved and a good worker, says he is anxious to be discharged.
May 12.  Condition remains about the same as when last reported.
Jul 27.  Quarrelsome at times with fellow patients; was transferred today from “C” to “D”.
Sep 1.  Very much improved, transferred to Wd. C.
Sep 12, 1910.  Paroled.
Mar 16, 1911.  Discharged unimproved.


History and clinical notes:
History:  Brought by officers, who state that patient is addicted to the use of drugs – no other history obtainable.
Dec 5, 1910.  Paroled.
Jun 7, 1911.  Discharged recovered.

Standard form attached, dated Dec 5, 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 [father].


History and clinical notes:
History: Patient has never been very strong and since nursing baby has lost flesh.  Since six weeks ago, baby was sick and she became very nervous and cried a great deal thinking that it was going to die.  From this time, became very much depressed and melancholy, worried that her child was going to die.  At first imagined that someone was going to injure her or her baby and that there were snakes and animals in her house.  Latterly, she has but little to say to anyone.  Wanders around the house at night and sleeps but little.  Appetite is good, but is steadily losing flesh.
Aug 1, 1901.  Since admission has been very noisy, destructive, and uncleanly.  Masturbates to excess.  Sits in semi-demented condition most of the time allowing the saliva to flow from her mouth.  Occasionally spits all around her, cries and moans a good deal, wants her own clothes.  Seldom answers a question and then whispers it and only after great crying.  Has been restrained part of the time.  Has had a good appetite and eats all that is given her.  Once in a while is taken out on the ward and sits in a rocking chair.  Constantly moving fingers or hands, gazing either at them or ahead of her, seems to take little interest in her surroundings or what she does.
Jan 8, 1902.  Condition remains as above noted.  If anything, patient a little more demented.  Sits for hours with her head in the lap of another demented patient or else curled up on a bench, saliva running from her mouth.  Never seems to take the least interest in her surroundings.  Husband gives history that mother of [patient] extremely nervous, predisposed to insanity.
Jul 6, 1903.  Some improvement at this date.  Paroled.
Oct 7, 1903.  Discharged recovered.

Additional notes:
From online census records, in 1910 patient was living in New Jersey with husband and two children, son age 10, daughter age 3.  Son died in Philadelphia at age 10.5 years.  In 1920 census, patient now living with her brother, no sign of daughter.


History and clinical notes:
History: Patient had her last child about 2 years ago and shortly after this her friends noticed that she was peculiar.  Talk was somewhat incoherent at times, but has been able to attend to her affairs.  Last August had an attack of fever and after this patient became much worse.  About 1 month ago, began to wander from home.  About two weeks ago left her house and was found about 1 mile from home and resisted somewhat when they attempted to bring her back.  Lately has not been sleeping well and her appetite has not been as good as usual.  Lately has not talked much; when she does, talks about someone trying to burn her house down and wanted to get away.  Has lost flesh and strength.
Jun 8, 1901.  Patient pregnant.  Last period in Sept 1900.  Is very indifferent to surroundings, sleeps and eats poorly, latter only when forced – then is very [ill.] and somewhat uncertain in movements.  Threatens at times to harm herself.  Sits indifferently on wards with her hands folded in her lap.  Occasionally wants to go home.  Anaemic and thin.  
Jun 13.  15:15 pm.  Physician called to see [patient].  Found her crouching on floor with baby under her; had complained of little pain immediately before she [ill.] to room.  Delivery of placenta followed.  Child 5 lbs. 10 oz., male, well developed.  Mother and child doing well.
Jun 23.  Mother, with exception of persistent attack of constipation, has made good convalescence.  Last four days has been particularly bright, taking an interest in her surroundings, baby, etc.  Answers follow closely to question, without the long pause characteristic of her speech earlier.  Desires to go home and see her children, seems fond of the youngest child, says she could not leave her here.  Patient still pretty anaemic and thin but looks better than earlier in month.
Jul 29.  Went home with husband.  Greatly improved mentally.  Of late has taken quite an interest in her baby and in assisting with the various household duties of the Hospital.  Frequently is constipated; at these times spirits are a little depressed and she seems to be indifferent to things that at other times interest her.  As soon as this condition is relieved she brightens up wonderfully.  Baby also in better shape of late.
Jul 28, 1901.  Went home with husband on parole.
Nov 25, 1901.  Discharged improved.


Insane Relatives:
mother died here; uncle now here; maternal grandfather insane

History and clinical notes:
History: Patient has always been weak minded.  Never could learn much at school, although she can read and write a little.  Has always kept by herself and would never play with other children.  About three years ago began to get worse – wander from her house and frequently threatened suicide.  A short time ago attempted to drown herself in the well near her home.  Has required so much care and watchfulness to prevent her from injuring herself that her father had to bring her to Hospital.  Menstruates regularly; at least her father thinks so.  Has lost some flesh lately – appetite is fair and she usually sleeps well at night.

Nov 16, 1897.  Patient has cried a great deal since she came here.  As her abdomen was enlarged, pregnancy was suspected.  The Supt. asked her and she denied ever having intercourse with anyone although she sobbed and cried.  Said she did not remember when she menstruated last.  A vaginal examination was made in the presence of the Matron [name unclear] by Dr. Hancker.  The abdomen was much enlarged.  The os uteri was well up in the pelvis almost out of reach of examining fingers.  The areola around nipples were dark and she has all the appearance of pregnancy of 5 or 6 months duration.
Mar 18, 1898.  12:10 p.m. was delivered of a girl child.  6 p.m. mother and baby both doing well.
Jun 20.  Has steadily improved since child was born.  Mother and child was sent to Kent Co. Almshouse today accompanied by Mrs. [ill.] one of the attendants.
Sep 24, 1898.  Discharged not insane.

Additional notes:
Note attached: Dated November 18, 1897.  “Dr. W.H. Hancker, Dear Sir, My oldest daughter, the one [patient] has been living with tells me that she believes that [patient] is pregnant, that she has not seen any sign of monthlys since July or August.  That is all the knowledge I have of it.  She cried a great deal at home, would have a spell or two almost every day, been so for two years or more, growing worse all the time.  Yours respect, [father’s signature].”

Newspaper clipping attached, half of it is missing: “Tried to Kill Her Baby.  Camden, Aug 21.  A Miss [name redacted], an inmate of the Kent County Almshouse last night threw her 2 year old baby out of a second story . . . over a porch roof, onto the . . . pavement.  Keeper Downes . . . wife are caring for the chi . . . has three ribs broken and . . . internally.  The mother . . . fectly sane, has been lo . . . prison part of the . . . women in the neigh . . . to tar and feather . . . mother.”  Mildly retarded, pregnant without anyone's knowledge, gave birth to healthy baby girl, sent to Alms House where she tried to kill the baby at age 2 by throwing it out the window.  At age 21 (1900 census) was still living in Alms House in Kent Co., apparently without the child.  Tried to track down child through ancestry.com but w/o success.


History and clinical notes:
History: Congenital imbecile.  Brought by Dr. Steel, who states that patient suffered from a “G.U.” trouble a few months ago and since that time has worried very much and imagines he has syphilis.  Had a brother, insane.
Jul 29, 1905.  Today he suddenly arose from his seat and ran down the hall, fell and cut his head by falling against radiator.  His reason for doing so, was he imagined he was going to be burned at a stake.
Aug 2.  Made second attempt at suicide by attempting to cut his throat and radials with a piece of broken glass.
Aug 8.  Is quiet and intellectually dull.
Sep 25.  Has been quiet since last report but is still in restraint.
Oct 11.  Condition remains unchanged.
Nov 20.  Suffering from facial eczema, covering entire area.
Dec 1.  Eruption has disappeared and has also improved mentally.
Feb 16, 1906.  Continue to improve mentally and is cheerful.
Apr 14.  Paroled in care of father.
May 4.  Returned today, brought by Dr. Steele.
Jun 26.  Has given us no trouble since he returned.
Jul 10, 1957.  Still in hospital.
Note: Died in 1971 at DSH, 87 years of age.

Additional notes:
Note: Died in 1971 at DSH, 87 years of age.


History and clinical notes:
History:  Father and mother are suffering from syphilis and tuberculosis and mother was dying when child was brought here.  Is incorrigible and no one to care for him.
May 27, 1916.  Paroled.
Oct 19, 1916.  Discharged unimproved.

Additional notes:
In 1920 census was living with father, younger brother, and some unrelated woman.  Also listed in 1920 census at being at DSH.  In 1930 census was back at DSH; still there in 1940.  Find a grave says he died in 1971 and is buried in Hollywood Cemetery, Harrington.


On certificate of:
Drs. John S. Prettyman and John L. Pratt

History and clinical notes:
History:  For former history see Case Book VII page 462.
No further entries.

History:  For former history see Case Book VII page 462.
No further entries.

Additional notes:
1920 census, living with father and younger brother in Wilm., but also listed as being at DSH under last name Tulley.   At DSH for 1930 and 1940 censuses.  Died in 1971, buried in Hollywood Cem. -- on findagrave under both Paris and Parris


History and clinical notes:
History:  Patient has been using liquors to excess.
Jul 7, 1906.  Has given us no trouble since admission; is quiet and well-behaved.
Oct 26.  A well behaved patient, works about stable.
Dec 25, 1906.  Eloped.
Apr 19, 1909.  Discharged recovered.

Additional notes:
Died at Governor Bacon Health Center, 9/30/1971.


History and clinical notes:
History:  Brought by husband who says patient has been excitable for the past two years, has delusions of persecution against her neighbors and everyone with whom she comes in contact; says she is sure her neighbors are going to kill her, has been violent at times and is gradually growing worse, has also been very talkative.
Nov 15, 1916.  Has been very quiet since admission; husband insists that nothing is the matter with her, and insists on taking her home, but [she] has marked delusions of persecution.  On admission her head was full of pediculi.  Visited by husband today and removed her from the hospital against the advice of the Supt.
Feb 6, 1917.  Discharged improved.

Additional notes:
1920 census, back at DSH.  Died in March 1971.  Buried in Cathedral.


History and clinical notes:
History:  Brought by officers who know nothing of the history of the case.  For former history see case book No. VIII, page 49.
March 5, 1917.  Has been very stubborn and resistive since her last admission.  Was visited today by her brother who removed her from the institution (her husband giving consent), making affidavit stating that he would removed her permanently from the state of Delaware.  Paroled.
Jul 16, 1917.  Discharged unimproved.

Additional notes:
Died 3/26/1971.  Buried in Cathedral Cemetery.


History and clinical notes:
History:  Husband states that patient remained in N.Y. for two months after she had been removed from the above named hospital, Mar 5, 1917, then returned to his house in Wilmington.  Recently she has become very noisy and troublesome.  For former history see case book VIII, pages 49 and 79.
May 20, 1918.  Patient at times violent and destructive.  Works around the ward.
Jan, 1919.  No change in patient’s mental and physical condition.
Sep 15, 1919.  Patient’s sister came and took her home, as patient’s child died 2 days ago.  They took her home against the wish and advice of the Supt.  Paroled.
Oct 1, 1919.  Patient brought back by an officer; she was wandering in the city and claiming she was a nurse.

Additional notes:
No further info.  1940 census, she was at DSH.  Died 3/26/1971.  Buried in Cathedral Cemetery.


History and clinical notes:
History:  Brought to institution on June 21, 1905 but papers did not arrive until today, June 22, 1905.  Is very nervous and his main topic is religion.  Physical condition – good.  
Sep 25.  Is emotional at times but gives no special trouble.
Oct 11.  Marked improvement, works about kitchen.
Oct 14, 1905.  Paroled.
Feb 8, 1906.  Discharged recovered.


History and clinical notes:
History:  Brought by Constable Wirdson (??), during the trip from R.R. station to hospital patient became noisy and violent; officer had to call for assistance.  During night he was very noisy and irrational in his conversation and feared someone was going to kill him.  Gave Hyoscine 1/75.
Aug 28, 1912.  Is more quiet today but still restless and irrational.
Oct 24.  No change since last report.
May 22, 1913.  Does not improve.
Jun 25.  Some improvement since last report.
Jul 12, 1913.  Removed today against advice of Supt.  Paroled.
Oct 20, 1913.  Discharged improved.

Standard form attached:  July 12, 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, with an X].”

Additional notes:
1930 and 1940 census at DSH.  He died in November 1969 according to SSA.


History and clinical notes:
History:  A former patient, discharged Oct 20th, 1913.  Is very restless and incoherent, wanders about the streets at night and is considered a menace to the community.  See Book VI, page 466.
Aug 5, 1914.  No change since admission, is quiet and does some work on ward.
Mar 25, 1915.  Does not improve, is untidy about personal appearance.
Oct 2, 1916.  No improvement, sits on bench most of the time with head inclined.


History and clinical notes:
History:  Father states that patient recovered from an attack of typhoid fever and since that time has not been normal mentally.  At first was restless and discontented at home, frequently wandered away from home.  For the past 10 days has been very troublesome.  Says he is going to kill the Kaiser.  Wants to go to France at once.  Has delusions of grandeur.  Says he is going to buy a shipload of horses and send them to the other side, etc.
Jan 18, 1918.  Patient’s mental condition is somewhat improved; conversation irrelevant; is very talkative at times.
May 18, 1918.  Patient very much improved.  Was visited by his father today who removed him.  Paroled.
Oct 15, 1918.  Discharged recovered.


History and clinical notes:
History: Has always used alcohol to some extent but for the last 4 months has been drinking to excess.  For the last several days has been delusional and has hallucinations.  Is quite restless and has slept little for the last week.  Does not retain food.
Oct 25, 1903.  Much better at this date.  Up and about the ward.  Complains some of pain and tenderness in lower legs and feet.  Alcoholic neuritis.
Nov 2, 1903.  Paroled today.
Jan 21, 1904.  Discharged recovered.
Handwritten note attached on plain paper.  “Wilm., Del.  10/14/03.  Delaware State Hospital.  Dear Doctor, Please receive into your care [name redacted] of Wilmington, Del.  Give him such care and attention as he requires and charge the same to Wilmington Aerie #74, Fraternal Order, Eagles, at rate quoted to me $2,00 per day.  Respectfully yours, Mr. E. Sherwood, M.D., 9th and Washington.”

Additional notes:
Expenses paid by Fraternal Order of Eagles, Wilmington Aerie #74.  Died at DSH 10/7/1969.


History and clinical notes:
History:  Present trouble was first noticed 10 years ago, when patient became very nervous and irritable and from year to year has been gradually growing worse; has given birth to two healthy children, both were instrumental deliveries.  She imagines her husband is unfaithful, sometimes she will take from 8 to 10 baths per day, recently she has become destructive and has torn her clothes and broken furniture.
Dec 1, 1908.  Patient very nervous but quiet and affable.  Eat fairly well, but complains of being disturbed at night.
Jul 12, 1909.  Periods of depression, quiet and usually affable.  Appetite good.  Sleeps well.
Nov 13.  Condition unchanged.  Eats and sleeps well.
Jan 9, 1910.  No change.  At times is very irritable and cross and during these periods is profane and vulgar in her conversation.
Jan 1, 1911.  Very little change.  At times very cross and still occasionally profane and vulgar in her conversation.
Apr 26.  No improvement.  Husband took her to Wilmington today to have her teeth attended to; was absent from 10 a.m. until 3:30 p.m.  
Dec 29, 1912.  No change.  Husband took her to Wilmington yesterday – she escaped from him and was picked up later at Newark Center.  He returned her to the institution today about noon.


History and clinical notes:
History:  Brought by officer, no history obtainable.
Oct 20, 1914.  Has been drinking to excess but has shown marked improvement.
Nov 3, 1914.  Paroled.
Apr 20, 1915.  Discharged recovered.


History and clinical notes:
History:  Brought by parents who state that patient had meningitis at two years of age and since that time has been peculiar, growing worse as he grows older and sometimes is unruly.
Jan 6, 1910.  Is rather destructive in regard to furniture and etc. and requires restraint.
Aug 9.  No change since last report.
Dec 30.  Condition about the same as when last reported.
Oct 15, 1914.  Very untidy about his personal appearance, tears his clothes and slippers.
[Last entry]

Additional notes:
From ancestry.com -- still at DSH in 1920 census; SS Death records say he died in February 1969.  No further information.


History and clinical notes:
History:  Patient brought by Dr. J. Ball and her father, who states that she has been acting funny since about 2 years after she had broke her engagement with a young man, but she was working at home and taking care of her chickens.  About 5 days ago she started to talk about somebody trying to poison her; two days ago she tried to break the window of her room and run away.  At times very destructive and violent.
Jun 25, 1919.  Patient still has delusions; last night she thought there was somebody after her.
Jul 2.  Patient suffering from dysentery, very weak.
Aug 6.  Patient improving mentally and physically.
Aug 20, 1919.  Patient’s father came and took her home.  Paroled improved.
Dec 19, 1919.  Discharged unimproved.

Additional notes:
She was at DSH in 1930 and 1940 censuses, died in 1972, buried at Longwood Cem., Kennet Square with her dad George.  Have a photo of her in a file, from ancestry.com -- her family apparently thinks she went to Germany in 1915 and married some guy who died in 1920, but this is clearly incorrect.


History and clinical notes:
History:  Patient was brought by officers and no history was elicited.  Upon questioning patient and physical examination she states having had a baby to a man so called “Crusty” and there are evidence of linea on abdomen and buttocks.
Aug 1, 1912.  Very quiet and orderly since admission.  Has but very little to say.  Is about 5 or 6 months pregnant.
Oct 10, 1912.  Exam external: Fundus 3 fingers above umbilical.  Breasts – colostrum present.  Internal: Os patulous.  External: Outline foetus, back to left, small parts to right, head floating.
Dec 14, 1912.  Paroled.
Jul 18, 1913.  Discharged recovered.
Pencil note below:  see #2959 (a future book)

Newspaper clipping:  “Girl is Violent.  Annie Brown, Colored.  Adjudged Insane and Committed to State Hospital.  Annie Brown, colored, aged 16 years, of No. 913 Pleasant Street, who has given the police considerable trouble during the past few years, on account of her strange actions, while on the street, was taken into custody by Officer Devenish this morning at Second and Jackson streets, and after being examined by Drs. Tomlinson and Wales was pronounced insane and was committed to the State Insane Hospital at Farnhurst.  She will be taken to that institution this afternoon.  When taken to the police station she was placed in a cell in the female quarters of the building, which is on the second floor, but she became so noisy there that it was necessary to bring her downstairs and place her in a cell in the male quarters, where she could not be heard so plainly throughout the building.  The girl has a habit of undressing herself while on the street and many complaints have been received by the police about her.”

Additional notes:
1910 census she was at Almshouse; 1930 and 1940 censuses -- in DSH (parents were Nathan and Rachel).  Died 11/21/1972.  Buried at DSH, Grave #757.  Died of congestive heart failure and arteriosclerotic heart disease.


History and clinical notes:
History:  A former patient in this institution, for previous history see Book VI, page 444.  Brought from N.C.Co. Hosp. where she has been an inmate for 3 mos.  Mr. Faucett says, patient is very noisy at times.
May, 1919.  Patient working outside, helping in the kitchen.
Jul 1.  Some of the attendants found her with Charles [illegible], Col., an inmate, in one of the rooms of basement.

Additional notes:
Buried at DSH, Grave #757.  At DSH until her death, 11/21/1972 -- 57 years for second admission.  MR, prone to having sex with varous men, had several children.


