# Demographic info and clinical notes

History and clinical notes:
History: Patient was brought to hospital by an officer who could give no history of the case.  Patient’s clothes were ragged and dirty; he is blind in left eye; probably the result of trauma.
Dec 22, 1903.  Patient quiet today, eats and sleeps well, he states that he was an inmate of Norristown Asylum.
Feb 26, 1904.  Mental condition unchanged, some improvement physically.
Jun 14.  No improvement, mentally or otherwise.
Jun 1, 1905.  Condition remains unchanged.
Sep 27, 1914.  Gradually growing weaker, is confined to bed, extremities cyanosed.
Dec 1, 1914.  Takes but little nourishment, heart irregular and very weak.
Dec 23, 1914.  Died.  Valvular disease of the heart.

Final disposition:
Died; valvular disease of the heart; buried at DSH #243


History and clinical notes:
History: Brought by Mr. R.P. Small, who was unable to give us any history other than attack began in April, 1903.
Jan 9, 1904.  Good physical condition, eats and sleeps well and rarely has anything to say.
Feb 19.  Quiet.  Physical condition good.
May 6.  Condition the same. 
Nov 14.  No change in patient’s condition.
Jun 5, 1905.  Condition unchanged.  Eats and sleeps well.
Jul 29.  Patient ill this morning.  Has been losing flesh lately, although no marked disease was apparent.  This a.m. considerable difficulty of breathing.  Nearly the entire right lunch showed dullness on percussion.  Friends were notified of her condition.
Aug 4, 1905.  Died.


On certificate of:
Drs. Joseph P. Wales and Samuel G. Elbert

History and clinical notes:
History: Above named patient was discharged (unimproved) from institution Oct 7, 1903.  He was brought to institution today with a note from his father who states that he is quarrelsome and possibly dangerous.  For previous history, see Case Book IV, p. 193.  Patient had a laceration on scalp when admitted and said his brother hit him with a bed slat.  
Dec 13, 1903.  Patient states that he has received a commission as Lieut. Colonel in the Army and also states that he must report for duty at once.
Jan 3, 1904.  Attempted to escape today.  Placed in muffs.
Feb 26.  Talks incoherently, cries at times, and says he wants to preach the gospel “to sinners.”  
Apr 4.  Attempted to escape today.
Jun 14.  Talks irrational, but is not violent.
May 28, 1905.  Condition unchanged since last report.
Jan 1, 1908.  Marked physical decline, suffering from laryngitis (Tubercular).
Jan 17.  Removed to “T.B.” today.
May 10.  Patient was returned to main building today.
Jan 1, 1910.  No mental improvement, very violent and troublesome at all times, removes his clothing and is very untidy.
May 25.  Patient quite ill today.  Temp 104°.  Apices of both lungs involved, both solid.  Very hard to get him to take any medicine or keep application on his chest.
Jun 1.  No better, both lungs at apices solidified.  Very restless at all times, will not keep any covers over him.
Jun 3, 1910.  Failed rapidly today and died at 7:20 p.m.  Lobar pneumonia.


On certificate of:
Drs. James L. France and Edgar Worthington

History and clinical notes:
History: Patient brought to institution by officers who could furnish no history other than patient had been ill for past 3 months.
Dec 1, 1903.  Patient became noisy and made an effort to escape when attendant opened door, and it became necessary to put him in restraint.
Dec 3.  Mr. [name redacted, same last name as patient], a brother of patient, called today, who states that patient suffered from an attack of Thermic Fever several years ago and since that time has had an irritable temper, but no great changes were noticed in his mental condition until two months ago.  Up to day of admission he has not been destructive and has never made any threats.  No history of insanity on either paternal or maternal side of family.  He has used tobacco to excess and alcohol moderately.  Patient has a traumatic cataract and vision greatly impaired, O.S.  
Jan 1, 1904.  Inserts foreign bodies in nose, was again placed in muffs.
Jan 9.  Abscess developed of radio-ulnar articulation, restraint was removed.  Abscess incised and treated antiseptically.
Feb 26.  Is very noisy, tears his clothing and requires restraint.
Mar 18.  Has developed haematoma aura, more marked on right ear.  Is still very noisy at night.
Apr 12.  Is very untidy and also very noisy.
May 2.  Condition remains unchanged.
Jul 17.  Talks in monosyllables, and very noisy.
May 16, 1905.  Is in poor physical condition, appetite poor and does not sleep well.
Jun 12, 1905.  Died.  Exhaustion from chronic mania.


History and clinical notes:
History: On admission, patient was in a weakened condition, aenemic and emaciated.  He seemed confused and would not [ill.] answer questions; he is suffering from cystic trouble and as a result has incontinence of urine.  Patient has trophic scars on back; he also has a large vesicle on each heel (os calcis), evidently due to pressure.  On meatus urinarous a small slough is present due to irritation of urine.  About two weeks ago he attempted suicide by inhaling gas and it was with great difficulty that he was resuscitated.  Patient has been suffering from a cystitis and incontinence; pus has been exuding through urethra.  
Dec 10, 1903.  Temperature and pulse of septic type, the former ranging from 102° to 105°, the latter 130 to 150 and of poor volume.
Dec 11.  Bladder washed today with Sol. Boric and Pot. Permang.
Dec 12.  Decided improvement, temperature 100°, pulse 122 and patient is more rational.  Visited by father and Dr. Briggs.
Dec 23, 1903.  Died today at 7:30 a.m.  Septicemia and cystitis.


On certificate of:
Drs. Henry R. Spruance and Henry J. Stubbs

History and clinical notes:
History: Patient brought to institution by officers who could give no history of patient; he is in good physical condition apparently, but imagines he is very ill.  Up to recent he has not been violent or destructive.
Dec 10, 1903.  Up to present date patient has been very quiet.
Dec 13.  Complains of pains in chest and states that he is positive he is a victim of tuberculosis.
Dec 14.  [Patient] was very noisy during the night and begged those about him not to kill him.
Dec 15.  This morning he told Dr. D., that he would like to see his family because he is positive he would only live a few hours.
Dec 17.  Extremely nervous and seems to fear he is going to be killed by some enemy.
Dec 31.  Sleeps better and eats well.  
Jan 15, 1904.  Has been quiet since above date, sleeps well, appetite good.
Apr 4.  Has been very quiet since last reported, works about ward.
Jun 14.  Still very quiet and a good worker.
July 19, 1904.  Paroled.
Jan 12, 1905.  Discharged recovered.


History and clinical notes:
History: Brought by officers who could give no history relative to patient other than he was picked up by them and sent to City Jail pending examination.  When admitted, he was noisy but not violent and begged those about him not to give him any more poison.  Patient is of small stature, aenemic, and emaciated.
Dec 10, 1903.  Patient very noisy and it was found necessary to place him in restraint.
Dec 12.  Patient is more quiet today and slept better during the night.
Dec 12.  We learn today that patient has been using alcohol to excess for past year and his diet consisted mostly of free lunches around taverns.
Dec 17.  Very quiet and rational today, sleeps well and appetite better.  Successfully vaccinated.
Jan 6, 1904.  Paroled recovered.
Jan 21, 1904.  Discharged recovered.


History and clinical notes:
History: Officer who brought patient could give no history, for previous history see Case Book IV, page 108.  
Dec 3, 1903.  Patient became irritable and cross and was transferred from Ward C to Ward 6.  
Dec 18.  Successfully vaccinated.
Feb 3, 1904 (says 1903).  Has delusions of grandeur.
Feb 15, 1904.  Asked Dr. Davies for some matches, stating that he wanted to make a bonfire out of Delaware State Hospital.  
Apr 30.  Becoming more delusional, removed to Ward 6 and placed in restraint.
Jul 17.  Condition remains unchanged, writes letter to Municipal Officers.
May 28, 1905.  Remains in good physical condition, but shows no mental improvement.

Additional notes:
He is listed as a patient at DSH in the 1910, 1920, and 1930 census records.  His death record says he died at Farnhurst on 12/19/1930, but is not buried there.  His death certificate says he had chronic interstitial nephritis and also broncho-pneumonia at the time of death.


On certificate of:
Drs. Dorsey W. Lewis and J.H. Hardcastle

History and clinical notes:
History: First symptoms of disease was noticed last August, when her son’s employer died in Charleston, S.C..  She worries over this a great deal and cried and began to neglect her work.  Climacteric occurred 4 years ago without any trouble.  Patient has continued to become more depressed and melancholy since that time; imagines that everything is going wrong.  Is losing flesh and sleeps but little at night.
Dec 22, 1903.  Transferred to Ward A today, slight improvement mentally.
Jan 5, 1904.  Paroled.  Successfully vaccinated.
Feb 19, 1904.  Parole, Jan 4, 1904.
Jun 18, 1904.  Discharged recovered.


On certificate of:
Drs. G.W.K. Forrest and Henry R. Spruance

History and clinical notes:
History: Patient was brought from New Castle County Alms House, where he has been an inmate for past two weeks.  About one week ago patient became irritable and at times violent, he would also attempt to tear his clothes from body, but is not destructive otherwise.  He has lucid moments.  Patient, on admission, was in very poor physical condition, very much emaciated.  Coughs frequently and expectoration profuse.  On physical examination of chest we found depression of eusiform cartilage, ribs prominent, several areas of dullness over both apices.  Heart sounds normal.  Abdomen – Liver slightly enlarged, abdomen rigid, but not tympanitic.
Dec 17, 1903.  Examination of sputum reveals vast numbers of Tubercle Bacilli.
Dec 22.  Expectorates on floor and clothes, gradually failing in health.
Dec 23.  Started “Sercerse Treatment” today.
Dec 25, 1903.  Died at 1:40 p.m. today.
Autopsy held at 10 a.m.  Body very much emaciated, postmortem rigidity marked.  Abdominal and thoracic viscera tuberculous.  Liver considerably enlarged.  Cause of death: Tuberculosis – general.

Final disposition:
Died of general tuberculosis.  Buried at DHS, #118.

Additional notes:
Burial #118.  Last name in cemetery records listed as Bans.  Census data from before he was at DSH lists him as Bans/Baus and says he was born in Germany.


On certificate of:
Drs. John H. Hammond and Rowland G. Paynter

History and clinical notes:
History: Patient brought by Dr. James H. Hammond and Mr. George Mears, but they could give no history relative to patient, other than he was not violent or destructive.  From observations he seems to be in good physical condition.
Dec 22, 1903.  Quiet, transferred to Ward C.
Feb 3, 1904.  Works about ward, is quiet and respectful.
Feb 21, 1904 (says 1903).  Became stupid, made attempt to expel flatulence from stomach, then suddenly became very noisy.  An opiate was administered, under the influence of which he became quiet.
Mar 3.  Much improved, is up and about ward.
Apr 1.  Struck an attendant on Ward C, was removed to Ward 6 and placed in restraint.
Apr 8.  Eruption developed on body which was pronounced Small Pox, he was removed to Emergency Hospital, in charge of attendant Kelly.
Apr 10.  Reported today as a [ill. – looks like ‘confliench’] case.
May 7.  Returned from Emergency Hospital today, face very much pitted.
Jun 12, 1905.  Is disagreeable, sometimes violent and requires restraint.
Jan 17, 1908.  Condition remains unchanged.
Jul 3, 1954.  Died.

Additional notes:
Buried at DSH, Grave #627.  Last entry for him in ledgers is 1908, but he stayed at DSH until he died in 1954 at the age of 81.


History and clinical notes:
History: Patient has been employed by Jones & Co. of Dover, Del., as bookkeeper.  Six weeks ago he imagined people were after his body and he also had delusions of persecution.  He ran away from Dover and could not be located until December 22, 1903, when it was learned that he was in Harrisburg, Penna.  He was brought from Hb’g to Farnhurst today and committed to this institution.  When admitted his body was covered with pediculi and it was necessary to destroy his clothes.  He has no relatives in the United States.  
Dec 31, 1903.  Has been quiet since admitted.
Mar 12, 1904.  Examination of urine reveals a marked amount of sugar.  
May 10.  Rapidly losing flesh.
Jul 17.  Some improvement physically, since last report.
May 31, 1905.  Is very quiet; is quite feeble but has a fair appetite, marked impairment of vision in O.D. & O.S.
Jun 21, 1912.  No mental change, is quite feeble.  Quiet and appetite fair.
Nov 2, 1916.  Is quite feeble, appetite poor, no mental change.
Jan 11, 1917.  Is confined to bed and is rapidly growing weaker, takes very little food.
Jan 14, 1917.  Died of pulmonary tuberculosis.

Final disposition:
Died of pulmonary tuberculosis.  Buried at Farnhurst, #268.


History and clinical notes:
History: Patient has been drinking for past few weeks, has been eating and sleeping but not as much as is usual.  Has not been noisy or quarrelsome.  Whiskey seems to (be) his usual drink, but his brothers state that he will drink as many as three bottles of Peruna in one day.  Was a patient in this institution in Sept 1900 for same trouble.  When admitted he was quiet but gait unsteady.  For former history see Case Book IV, page 119.  
Dec 31, 1903.  Has been quiet since admitted and sleeps well.
Jan 4, 1904.  Paroled.
Jan 21, 1904.  Discharged recovered.


History and clinical notes:
History: Brought by [name redacted] (brother-in-law), who states that she has been mentally deranged for past two months; appetite good but does not sleep well.  In January 1903 she was taken to Medico-Chirurgical Hospital – Phila., where an operation was advised, but she refused to submit to treatment and after remaining in hospital for five weeks, she was again taken home, unimproved.  She complains of severe pain over right ovarian region, pain is more several at menstrual periods.  Is constipated and it requires powerful cathartics to have any effect.  She is fond of reading and then recites verbatim.  When admitted, she was very nervous and said she wished to consult Prof Pearse, immediately.
Jan 9, 1904.  Seems more quiet and contented today.
Jan 13.  Patient’s mother states that her first attack began during her first menstrual period, which occurred about 6 years ago.  She also states her attacks were more severe during the fall months.  She would have attacks, hysterical in character, crying and laughing, alternately.  Sometimes she would not eat or sleep for a week at a time, suffers from constipation and says she does not care to take medicine to relieve the condition, because she says she does not know what the medicine contains.  She also imagines that physicians are eager to use her for experimental purposes, with the aid of batteries and X-ray apparatus.  Mother states that she suffered from an attack of fever when she was 15 years of age, but she does not recall the type.  She was menstruating when admitted.  Does not sleep well.
Feb 18, 1904.  Has steadily improved since her admission, was visited by mother today who removed her.
Jun 13, 1904.  Discharged improved.

Additional notes:
In 1910 census, at age 25, she was living at home with her folks and two younger siblings.


History and clinical notes:
History: Patient was a former inmate of this institution and was first admitted on 14th day of August, 1901.  She improved rapidly and was allowed to go home on Sept 11, 1901.  On Sep 22, 1901 she again became noisy and was returned to institution.  The present attack began Jan 5, 1904, when admitted she was noisy and violent and had to be restrained.  For previous history, see Case Book IV, page 201.
Jan 9, 1904.  Talks constantly about religion, has to be strapped to bench, moves to and fro and attempt to release herself.  
May 25.  Was released today on parole.
Oct 6.  Has been working at Mrs. McFarlin’s since she left here.  For past few days has been very restless and tonight was returned to institution.
Nov 14.  Is quiet and cheerful, appetite good, sleeps well.
Jan 15, 1906.  Left on parole and went to Mrs. McFarlin’s to work.
Feb 26, 1906.  Was returned today, very reticent, would not speak to any one.  Has been acting very peculiar for some days.

Additional notes:
In census records is listed as being at DSH in 1910 and 1920.  Death record says she died 9/24/1922 of carcinoma of the liver.  Buried at DSH #331.


On certificate of:
Drs. R.P. Stubbs and G. Clarkson (?) Taylor

History and clinical notes:
History:  Patient brought by an officer from New Castle Co. work house where he had been serving sentence of sixty days for vagrancy.  Officer states patient was quiet until 5 days ago, when he showed signs of an unbalanced mind.  Violent at times but not destructive in regard to clothing, furniture, etc.  Patient has been eating and sleeping poorly.  Has small frame and physically weak.
Jan 15, 1904.  Patient has been very quiet since admission.  
Feb 3.  Works about dining, is quiet and respectful.
Mar 21, 1904.  Paroled.
Sep 12, 1904.  Discharged recovered.


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

History and clinical notes:
History: Patient brought to institution by her sister, who states that patient has suffered from epilepsy since infancy.  She usually has a spree of coughing preceding attacks.  She has never been violent, but has an irritable temper following attacks.  Her mother died six weeks ago and since that time has been calling her sister “mother.”  She eats and sleeps well, physical condition is good.  Attacks usually last from 20 to 30 minutes.
Jan 22, 1904.  Patient talks very irrationally, had an attack this morning.  Physical examination shows arms very badly scarred from burns.  Small lump on right shoulder, free movable under skin.  Teeth very badly decayed.  2 vaccination scars, patient says made when a child.  Lungs normal.  Rapid heart, accentuation of 2nd sound.  Vaccinated patient in left arm.
Feb 19.  Condition of patient unchanged.
Mar 31.  Patient has one to two epileptic fits every day.  Otherwise health good.  Is very stupid and childish.  
May 6.  Patient’s condition remains about the same.  Has occasional fits of temper.  Eats and sleeps well. 
Jan 30, 1905.  Condition unchanged.
Jun 5.  Has had very bad burn of hand from steam pipe, which she grasped while falling in epileptic convulsion.  Has now healed, with slight contraction.  Physical condition good.  
Feb 20, 1906.  No change.  Convulsions frequent.
Nov 20, 1907.  Mental and physically unchanged.
Sep 25, 1909.  No change.  Convulsions frequently.  Appetite good.  Childish and silly.
Jan, 1912.  Breast condition.  Pus exuding from space anterior to sternum.  
Apr 19.  Patient is growing more feeble.  Breast condition not entirely healed.  Patient much bent over and says very little.
May 12.  Patient steadily growing weaker.
Jun 26.  Patient very weak and unconscious.  Pus still flowing from mediastinal space.
Jun 26, 1912.  Died.  Cerebral apoplexy.


On certificate of:
Drs. Daniel I. McColley and Joseph P. Wales

History and clinical notes:
History: Officers brought patient but could give no history.  He has been without employment for a few months and has been reading religious tracts which serve to have had a peculiar influence on his mind.  One of the tracts is entitled “The wages of sin is death.”  Physical condition good.  Certificate states that he has threatened to do bodily harm to his children.
Jan 22, 1904.  During night became noisy, took his bedstead apart and attempted to break down door.  He was restrained and transferred to Ward 6.
Jan 31.  Still irrational, has hemorrhoids, placed under treatment, shows some improvement.  
Feb 10.  Developed a carbuncle on neck, but up to present no serious systemic disturbance has resulted.  Treatment – excision.  Urinalysis: Sugar found in moderate amounts.
Mar 5.  Has developed an Erysipelatous condition involving face.
Mar 17.  Very much improved today.
Mar 25.  Has recovered from attack of Erysipelas.
Jun 14.  No improvement mentally since last report.
Jul 17.  Condition remains unchanged.
Nov 12.  Appetite poor, very stupid, emaciated.
May 31, 1905.  No improvement.  Is untidy and seldom talks.
Nov 2.  Again placed in bed, suffering from Enteritis.
Nov 16.  Somewhat improved, able to sit up in bed.
Nov 21.  Has suffered a relapse; is growing very weak.
Nov 22, 1905.  Died.  Asthenia and chronic enteritis.


On certificate of:
Drs. John Palmer, Jr. and Jmaes A. Draper, Jr.

History and clinical notes:
History: Brought by husband who states that she have never been violent, but talks irrationally and sometimes wanders away from home.  Fours years ago gave birth to a child, who died soon after.  From the perpeurium she began to talk strangely but showed no other signs of being unbalanced.  She again gave birth to a child which also died, about two years ago.  Since which her conduct has been still more irrational.  When admitted to Hospital today she fought violently to go away with her husband, and a straight jacket was put on her temporarily.
Feb 19, 1904.  Patient vaccinated several days after admission.  No take.  Is stubborn and refuses to remove her clothing at night.  Transferred to Ward III.
Mar 16, 1904.  Patient shows no change since admission.  Taken out on parole at 4 p.m.  Jun 13, 1904.  Discharged recovered.

Additional notes:
Gave birth to two children, but they both died shortly after birth.  Could not track her any further in census records.


History and clinical notes:
History: Brought by a friend who knows nothing relative to her present condition.  Physical condition fair.  
Feb 19, 1904.  Patient has many epileptic convulsions every day.  Vaccinated.
Mar 30.  In fit several days ago patient cut her lip.  Two stitches were introduced, but were bitten out by her the same day.  Has offensive discharge from the nose.  She seems absolutely stupid and seldom speaks, even in answer to questions.  Eats and sleeps well.
Apr 25.  Has been having frequent epileptic attacks for past few days, refuses nourishment and is failing rapidly.
Apr 24, 1904.  Died a 2 a.m. today.  Status epilepticus.


On certificate of:
Drs. C. Burton and John A. [illigible last name, --rne].

History and clinical notes:
History:  Patient came all alone in cab.  Does not talk irrationally; appears feeble but cheerful.  Says she was a slave in Sussex County, before the war.  Has evidently been a very hard worker.
Feb 19, 1904.  Patient quiet in the morning but every afternoon tries to break up furniture and is generally destructive; has to be restrained.
Mar 13.  Has grown much weaker and was put to bed today in very feeble condition.
Mar 15.  Nephew came to see her.  Would not talk much.  Is in very weak state.  Toe extremely painful, has bad odor.  Possibly gangrenous, ulcerated.
Mar 19, 1904.  Patient died at 3 p.m.  Senile dementia.


History and clinical notes:
History: Patient is an alcoholic and has been an inmate of this institution several times.  When admitted, he was very dirty, linen very much soiled.  He was also suffering from an enteritis when admitted.  He clearly showed the effects of alcohol, being nervous and somewhat excited.
Feb 12, 1904.  Is more quiet today and sleeps better.
Feb 24.  Continues to improve but he annoys the attendants by asking so frequently to see one of the physicians, to whom he “states his case.”
Feb 29, 1904.  Discharged.  Cured of attack.


History and clinical notes:
History: Patient brought by officers and a friend who states that the patient has never been violent but recently he has been having epileptic seizures, numbering as many as four in one half-hour.  He imagines he has the power to perform miracles.  When taken into custody, he broke away and attempted to climb a tree.  His father was a patient in this institution about 5 years ago; who was discharged improved.
Feb 11, 1904.  While out walking today, he attempted to run away, but was overtaken by attendant Davis.
Feb 25.  Has been quiet for several days, was confined to bed for one day, due to some slight gastric disturbance.
Mar 25.  Works about wards and dining room.
May 10.  Marked improvement since last report; works about dining room; is quiet and respectful.
Jun 11.  Began to act strangely and was removed from duty in dining room.
Jul 17.  Shows signs of improvement since last report.
Sep 9, 1904.  Paroled.
Jan 12, 1905.  Discharged recovered.


History and clinical notes:
History: Patient brought by brother.  Seems very quiet.  No history save that for the past ten days she has been drinking heavily and has eaten very little.  A few days ago tried to jump out of window.  Says she is unable to sleep.
Feb 19, 1904.  Improving.  Not so nervous.  Is quite rational in her conversation.
Feb 27, 1904.  Wants to go home.  Is not nervous, helps in dining room.  Brother visited her today and removed her on parole.
Jun 13, 1904.  Discharged recovered


History and clinical notes:
History: Patient has been a steady drinker for years and for past 15 days has drank to excess, so much so that he has been unable to work.
Feb 14, 1904.  Is very nervous, sleeps very little, appetite poor.
Feb 25.  Improving rapidly, eats and sleeps well and is quite contented.
Mar 8, 1904.  Paroled.  Mar 23.  Returned today and shows the effect of alcohol.  Has been drinking since March 8th.
Mar 24.  Slept 4 hours during night.
Apr 4.  Eats and sleeps well.
Apr 6, 1904.  Paroled.
Jun 14, 1904.  Discharged unimproved.


History and clinical notes:
History: Patient about two months since showed signs of insanity, wandered about the streets and was sent to the work house last Sunday, Feb. 7th.  Sometimes talks very incoherent.  Eats and sleeps poorly.  Getting better.  Has sister here in the institution named [name redacted].
Feb 19, 1904.  Condition unchanged.
Mar 24, 1904.  Paroled today in care of her mother.
Aug, 1904.  Discharged improved.


History and clinical notes:
History: Patient was born idiotic and has had epilepsy since he was a child.  At times patient tears his clothing.  General health is very good.
Mar 4, 1904.  Became quite noisy because he was not allowed to smoke on wards, he was placed in restraint.  Mentally – very weak.
Mar 22, 1904.  More orderly, works about ward, has had no epileptic seizures since admitted.
Apr 17, 1904.  Had three epileptic attacks during past week.
Jul 17, 1904.  Condition remains unchanged.
Nov 29, 1904.  Somewhat emaciated since last report; continues to have epileptic seizures.
Feb 20, 1905.  Conditions remains same as when last reported.
Sep 10, 1905.  Condition remains unchanged.
Apr 7, 1908.  Died.  Status epilepticus.


History and clinical notes:
History: Patient has been an inmate of this institution on three different occasions, suffering from alcoholism.  When admitted he was extremely nervous and his gait unsteady.  He had not slept for several nights and ate very little.  His wife states that he has been imbibing to excess since Xmas.  For previous history see Book IV, page 399.  
Mar 2, 1904.  Slept six hours during night and is more composed.
Mar 10, 1904.  Continues to improve, eats and sleeps well.
Mar 22, 1904.  Paroled.


On certificate of:
Drs. J.H. Hammond and Rowland G. Paynter

History and clinical notes:
History: Patient brought by officer who could give little history relative to patient, other than he became excited at times over religious subjects.  When admitted, his physical condition was poor and he refused to talk.  He worked at his trade as tailor but had very little work too do and as a result, worried very much.
Mar 10, 1904.  Was visited today by his uncle [name redacted].
May 27, 1904.  Very quiet and respectful.
Jul 17, 1904.  Condition same as when last reported.
Sep 27, 1904.  Paroled.
Jan 12, 1905.  Discharged recovered.

Additional notes:
Came back just a few months later; died at DSH 8/26/1909.  Buried at DSH, Grave #175.


On certificate of:
Drs. J.H. Hardcastle and Henry Field Smith

History and clinical notes:
History: Patient has attacks about every ten days.  During interval she is tractable and amiable – during attack violent and homicidal.  Succession of attacks and then interval.  Eats well and sleeps soundly.  
Apr 31, 1904.  Sometimes has attacks during day, but usually at night.  Threatened to use rifle as weapon while at table the other day.  Vaccinated last week, good take.  Otherwise well.  Appetite good.
Jun 28, 1904.  No change either mental or physical.  Patient quiet and well behaved.
Jul 19, 1904.  Silly and childish.  Is in good physical condition.
Sep 22.  Condition the same; works on ward and is very cheerful.
Nov 18.  Condition unchanged.
Jan 30, 1905.  Condition good.
Feb 20.  Condition unchanged.  Good appetite.  Sleeps well.
May 3.  Very silly and sometimes untidy.  Physical condition good.
Jun 5.  Condition unchanged.  Quiet and usually orderly.
Jun 15.  In good physical condition.  Quiet, but sometimes untidy.
Sep 17.  No change in mental or physical condition.
Sep 18.  Fell on floor of ward and fractured tibia; lower third, simple fracture.
Nov 13.  Cast removed from leg; no deformity; much swelling.
Jan 4, 1906.  Patient seems to have no control over locomotion and falls frequently.  Eats and sleeps very well.  Uses broken leg very comfortably.
Feb 20.  In good physical condition.
Apr 6.  No particular change.
Jul 30.  No change.
Apr 2, 1907.  In good physical condition.
Nov 12.  No change.
Jul 11, 1908.  In good physical condition.
Dec 1.  In very good physical condition.
Apr 14, 1909.  Paroled improved.
Oct 14, 1909.  Discharged improved.


History and clinical notes:
History: Brought by Dr. Messick who has served patient since birth and states until child was two years old, it seemed as bright as the usual child of that age.  Patient was able to walk until about 10 years ago, but since that time has not done any walking.  He cannot talk but sometimes has an irritable temper and if food is placed before him that he did not like, he would throw plate away.  He sits with chin resting on knees.  Physically weak and very anemic.
Apr 17, 1904.  Condition remains about the same as when admitted.
Apr 19.  Failing rapidly for past two days.
Apr 20.  Died at 1:20 pm today.  Aortic insufficiency.


History and clinical notes:
History:  Patient has been gradually growing more feeble-minded for the past 3 years.  Began to neglect work and wander about the house at all hours of the night.  She is not destructive, but has a liking for fire and carries lighter wood and live coals about, depositing them in bed and various places.  Eats moderately, and although rather feeble, general condition fair.  Husband is a farmer, and they have had five children, three of whom are living.  
Jun 28, 1904.  Patient has had numerous ulcers on legs, arms, and back.  Blood in general unhealthy condition.  Put on KI but no reaction.  Is being given iron, quinine, and strychnine and local treatment, healthy granulations beginning in ulcers.  Put patient to bed June 24th.  
Jul 19.  Sores healing very well.
Jul 25.  Patient growing weaker, seldom speaks.
Jul 31.  Died at 2:30 pm.  Senility and aortic insufficiency cause of death.

Final disposition:
Died of senility and aortic insufficiency


History and clinical notes:
History: Husband states that patient has shown signs of not being right in her mind ever since the lynching of the Negro at New Castle.  She thinks the people whom she passes on the street are talking about her, and says things to them.  She imagines her husband wants to get rid of her, and that all her children are against her.  She is constantly fighting with some one.  Does not sleep at all, will not remain in bed at night, and eats very little.  Will not help about the house, has four children, but does nothing for them.  The other two are not at home.  Husband states that she is constantly asking for whiskey and beer, which he sometimes procures for her.  She has always had a taste for them and has been intoxicated a number of times.  Patient has had cold, and on admission complained of nausea.
Apr 20, 1904.  Patient has delusions that people about her are saying unkind things of her.  Yesterday thought her daughter Minna was in the Hospital and she would not be allowed to see her.  She escaped to the office in search of her.  Was immediately transferred to Ward B.  Grieves incessantly for her home and children.
Jun 28.  Patient growing more emaciated; groans and cries because she thinks her children are abused.  Sometimes insists that they are here in the hospital and she is not allowed to see them.  Eats fairly well and mind seems clearer when at work.
Jul 19.  Patient quieter now; deodorized tinct. Opium taken three times a day.
Sep 22.  Patient now on Ward III.  Tries to escape and cries and moans most of the time.  Eats fairly well.
Nov 11.  Recently attacked attendants, breaking heavy crockery cup over her head; was put in restraint.  Is morose and violent at times.  Eats and sleeps well.
Jan 30, 1905.  Is malicious and violent; necessary to keep in restraint all the time.  Eats and sleeps well.
Feb 20.  Treacherous, apt to strike anybody, but usually quiet.  Eats well.
May 3.  Surly and treacherous.  Eats and sleeps well as usual.
Jun 5.  Quiet and inoffensive.  Physical condition fair.  Eats well.
Jul 15.  No change in any way.
Sep 18.  Quiet, fairly well physically.
Nov 13.  Very cross and vicious.  Sometimes attacks patients.  In restraints.
Jan 4, 1906.  Very emaciated; looks sick but complains of nothing.  Eats well.  Very disturbed at times, is always kept in restraint.
Feb 20.  About the same.
Apr 6.  Quiet at present.  Physical condition only fair.
Jul 31.  Violent and disturbed at present.
Apr 2, 1907.  No change in any way.
[Ill.] 12, 1907.  No change.
Jul 11, 1908.  Very cross; physical health poor.
Dec 1.  No change in any way.
Jul 12, 1909.  Failing physically.  Very noisy, especially at night.
Feb 24, 1910.  Is now bedfast.  Physical health very poor.  Lungs breaking down and indications of phthisis pulmonalis.  Was removed to her home by her daughters today.
Feb 24, 1910.  Paroled.  Died at home a few days afterward.
Mar 22, 1910.  Discharged unimproved.

Additional notes:
Upset by lynching of Negro at New Castle


History and clinical notes:
History: Patient always running out all the time, desired to go to places which did not exist.  Talked to herself and thought people were shooting bullets into her.  Sleeps well, quiet at night.  Appetite good.  Destroys clothing by picking braid, buttons, etc. off her dresses.  Suffers constantly from rheumatism.  Cataract in both eyes.  Has been growing queer for a year or so but has been quite off since Christmas.  
Apr 12, 1904.  Has been failing rapidly.  He been in bed for ten days with high fever rapid pulse.  Areas of consolidation in right lung, vitral murmur.  Has umbilical hernia of a number of years standing.  Joints enlarged by rheumatism.  Cataract in one eye completely shuts off vision.  Urine examined.  1% albumin and many granular and hyaline casts, renal and bladder epithelium.
Apr 13.  Patient much worse; heart failing.
Apr 14, 1904.  Died at 10:30 a.m.  Cause of death: acute nephritis.


History and clinical notes:
History: Patient brought by officer, who could give no history relative to patient.  He imagines he is a great hunter and asks for ammunition and a gun, that he may go hunting.  A few days ago he threatened to shoot his wife.  Physical condition, on admission – fair.
Pr 12, 1904.  Very eager to go home and has made several attempts to get out.
May 2.  Has been quiet since last reported, but speaks of going home continually.
May 27.  Is more orderly and works about ward and farm.
Jul 17.  Quiet and works about ward and grounds; always speaks of going home “to-morrow.”
Feb 20, 1905.  Has been noisy for past two weeks and quarrelsome with roommates.
Sep 10.  Condition remains unchanged.
Feb 14, 1906.  Growing weak and is confined to bed, takes very little nourishment.
Apr 27, 1906.  Died.  General paresis.


History and clinical notes:
History: Officer knowns nothing of patient’s history.  Patient states that he was at one time an attendant at Norristown Asylum during Dr. Chase’s administration and was also employed at Penn. Hospital for a time.  Has been at Blickly (spelling?) several times for attacks of insanity (periodic).  Certificate states that this attack has lasted 3 weeks and that it is increasing, but does not give particulars.
Apr 12, 1904.  Is very much bewildered, but eats and sleeps well.
Jul 17.  Quiet and respectful.
Oct 12, 1904.  Paroled.
Jan 12, 1905.  Discharged recovered.


History and clinical notes:
History: Brought by officer and mother; who states that patient has been drinking to excess.  His wife left him several days ago on account of cruel treatment.  When admitted he was very nervous and reached about him for “imaginary objects.”  When taken to Ward C he struck an attendant and it became necessary to place him in restraint.
Apr 12, 1904.  Is still very nervous, but slept 3 hours during the night.
Apr 20.  Has been more quiet for past few days, restraint removed, sleeps better, appetite good.
Jun 3.  Very quiet since last report.
Jun 17.  Paroled today in care of father.
Sep 12, 1904.  Discharged improved.

Additional notes:
Readmitted to DSH in 1940, died there 2/5/1941.  Buried at Lawncroft.


On certificate of:
Drs. Harry Spruance and George W.K. Forrest

History and clinical notes:
History: Patient brought here from Alms House.  Has been wandering about at night; has delusions about men chasing her to kill her.  Physical condition fair.
Jun 28, 1904.  Patient eats and sleeps well.  Seldom says anything about her delusions.  Is quiet and cheerful and works about ward.
Jul 19.  Patient in good condition.  Talks rationally.
Sep 22.  Very silly in conversation.  Physical condition good.
Nov 14.  Physical condition the same.  Is quiet, cheerful and obliging.  Not quite so foolish as she was a while ago.
Feb 20, 1905.  Is silly in her conversation.  Attacked nurses one day and was transferred to Ward III.  Is helpful about ward.  
May 3.  Very irritable.  Eats and sleeps well, but complains constantly.
Jun 5.  Transferred to Ward I.  Very annoying.  Eats and sleeps well.
Jun 15.  Constantly quarreling.  Eats and sleeps well.
Sep 18.  No change in any way.
Nov 13.  Irritable and troublesome; constantly quarreling.
Jan 4, 1906.  No change; fights with other patients.  Eats well.  Very thing.
Feb 20.  Has been fairly well behaved lately.  Physical condition good.
Apr 6.  No change in any way.
Jul 30.  Condition unchanged.
Aug 1, 1907.  No change.
Nov 12.  Very irritable.  Transferred to III.
Jul 11, 1908.  In J.J. Black cottage.  Very irritable.
Dec 1.  No physical or mental change.
Jun 8, 1909.  No physical change; is very irritable.
Jul 12, 1909.  Constantly complaining, physically in good condition.
Mar 2, 1926.  Died.


History and clinical notes:
History: Brought by brother who states that patient has not been violent, but occasionally tears his clothes.  He has delusions of persecution and will not allow his wife to come near him.  He also has “spells” similar to epilepsy, which last for several hours.  Physical condition fair.  
May 2, 1904.  Is unruly at times and requires restraint.  Has a hesitancy in speech, characteristic of general paresis.
Jun 14.  Speech markedly tremulous, unequal dilation of pupils, the left being the larger.
Aug 16.  Very noisy at night.
Oct 19.  Has been rapidly failing, mentally and physically, tongue very tremulous.  Has been very noisy at night since last report.
Oct 31, 1904.  Rapidly failing.  Resp 60, pulse imperceptible, temp 105° Fahr.  Died at 11:50 pm.  General paresis.


History and clinical notes:
History: The patient is a cripple, following an accident on March 22, 1904, he had leg amputated at lower 1/3 of tibia and fibula.  On April 22nd, he was found at R.R. Station at Farnhurst, where he attempted to burn his crutches.  He was taken to New Castle County Alms House and later transferred to D.S.H.  He has many delusions (of grandeur).  
May 2, 1904.  Has been more rational for past two days.
May 19.  Keys were found in his possession by which he claimed he was going to escape.  He also had a large steel file secreted in his room, which he was going to use to assault night watch, Toppin.  Transferred to Ward 6.
Jul 17.  Has been more quiet and obedient, is very fond of reading matter – fiction.
Oct 13.  Discharged.
[Undated entry].  Returned to institution in care of officer.  The Board of Trustees at a meeting held Nov 3, 1904 ordered his discharge acting upon the advice of Supt. Hancker, who pronounced him Not Insane.  He was sent to Wilmington, in care of Supervisor Nickle and placed on train for Brooklyn, N.Y. (his home).
Nov 7, 1904.  Discharged.
Marginal note in pencil says: “Returned Oct 23, 1904.  Sent home Nov 7, 1904.  Not admitted.


History and clinical notes:
History: Patient has been teaching school twenty miles from home, and three weeks ago returned from school and her parents noticed that she talked a little strangely about her school and scholars.  Said she was going to have nervous prostration and wanted to be taken where her cousin had been taken five years ago.  She has been steadily growing more irrational and last night, stripped herself completely and tried to get away twice.  She has had a lover (??) for several years, but has had no trouble.  Has been said of her that she was in love with the principal of the school where she teaches and that was what gave her nervous prostration.  This she says is not true.  Physical condition was very good, looks delicate and seems weak.  Talked very rationally.  Told Doctor Hancker that principal was bitten by dog and had to go away, leaving school in her charge, which she thought was more work than she could do, and worry over this caused her to break down.  Above facts are true.
May 10, 1904.  Patient has been very noisy, singing religious songs and expressing erotic fancies.  Was discovered in the act of masturbation.  Vomits every morning, and this fact, together with the appearance of her breasts gives rise to the suspicion of a possible pregnancy.  A general physical examination was made.  Heart action rapid, but no valvular lesion.  Lungs normal.  Gynecological examination showed enlarged clitoris, hymen present, opening stellate.  No discoloration of vulva, cervix soft, no enlargement of uterus, position slightly retro-verted.  Breast somewhat swollen, large areolae of inflammation about each, nipples small, almost absent.  No pigmentation.  No evidence as yet of pregnancy.
Jun 28.  Patient growing worse.  Is extremely untidy in her habits.  Sings much of the time, and makes a great deal of noise.  Dances up and down ward, tries to stand on her head, etc.  Is very vicious – stealing up behind physicians and attendants and kicking them in the back, biting the other patients, etc.
Jul 19.  Patient is in about same state both mentally and physically.
Aug 13, 1904.  Paroled.
Jan 13, 1905.  Discharged recovered.

Attached note on standard form, dated August 13, 1904:  “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. T.H. Davies, signed by father [name redacted].”

Additional notes:
Taken out by father, AMA.  She went on to marry and have six children and live to a ripe old age, seemingly fine.  She died in 1961.


On certificate of:
Drs. Charles A. Ritchie and G. Burton Pearson

History and clinical notes:
History: Patient was brought by Dr. Pearson but says he does not know very much about the case, only having him under observation for a short time.  He was a former patient in this institution, having been admitted March 12, 1895.  For previous history, see page 61, case book iii.
May 27, 1904.  Seems more cheerful than he was when admitted.
Jul 17.  Still very melancholy, has been suffering from attack of dysentery for several days, but is improving.
Oct 10.  Has been allowed to walk about grounds for past few days.
Nov 1, 1904.  Paroled.
May 9, 1905.  Discharged recovered.


History: Patient was brought by Dr. Pearson but says he does not know very much about the case, only having him under observation for a short time.  He was a former patient in this institution, having been admitted March 12, 1895.  For previous history, see Page 61, Case Book III.
May 27, 1904.  Seems more cheerful than he was when admitted.
Jul 17.  Still very melancholy, has been suffering from attack of dysentery for several days, but is improving.
Oct 10.  Has been allowed to walk about grounds for past few days.
Nov 1, 1904.  Paroled.
May 9, 1905.  Discharged recovered.


History and clinical notes:
History:  Brought by officers who know nothing relative to her history.  Father Bermingham informs us that she locked herself in a room and threatened violence to anyone who might enter.  She imagines she is being persecuted by The Catholic Church and refuses to accept food, only from strangers.
May 20, 1904.  Refused to eat dinner and supper.
May 23.  Seven years ago she had an attack of Enteric Fever and since that time she has frequently been delusional.  She refuses to converse with her most intimate friends.
Jun 21.  Refuses to eat.  Has been fed by tube twice daily for about three weeks.  Threatens to kill physicians, and is sometimes very violent.  Refuses to speak to either doctor and wishes to consult a lawyer.  Since force feeding began has lost flesh rapidly.
Jul 19.  Patient was transferred to Ward B for a week, during which time she ate well.  New patient came in, very much emaciated, and she refused to sleep in room with her.  Was returned to Ward III, since which time she refused to eat, and been fed by tube.
Sep 1, 1904.  Paroled.
Jan 13, 1905.  Discharged unimproved.

Attached note on standard form, dated September 1, 1904: “I hereby removed 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. T.H. Davies, signed by brother [name redacted].”


History and clinical notes:
History:  Patient brought by friends who state, that he has been drinking to excess during past two weeks and yesterday ran away from his home, claiming a number of men were following him and were going to burn him.  He wandered to Landsowne, Pa., where he was arrested and confined in the bastille over night.  His physical condition when admitted was good.
May 23, 1904.  Quiet but still claims that “ghosts” haunt him during the night.
July 17.  Very much improved, mentally and physically, works in dining room.
Aug 29, 1904.  Paroled.
Jan 12, 1905.  Discharged improved. 


History:  Patient brought by friends who state that he has been drinking to excess during past two weeks and yesterday ran away from his home, claiming a number of men were following him and were going to burn him.  He wandered to Landsdowne, Pa., where he was arrested and confined in the bastile (sic) over night.  His physical condition when admitted was good.
May 23, 1904.  Quiet, but still claims that “ghosts” haunt him during the night.  
Jul 17.  Very much improved mentally and physically, works in dining room.
Aug 29, 1904.  Paroled.
Jan 12, 1905.  Discharged improved.

Additional notes:
Readmitted in 1925, died 8/13/1925.  COD says he is buried at Farnhurst, but he isn't.


History and clinical notes:
History: Patient brought by father, who states that son has been using cocaine for past two years, in form of snuff.  At present he says he is usingƷi 1 per day.  He is also an inveterate smoker.  He also has a brother addicted to the use of cocaine.  When admitted he claimed he had not used any of the drug since Sunday?  He was in fair physical condition, but complexion somewhat sallow.
Jun 3, 1904.  Has slept well since admitted, seems contented and says? he has no desire for the drug.
Jun 17.  Paroled.
Sep 12, 1904.  Discharged recovered.


History and clinical notes:
History:  Brought by officers of New Caste County Work House, who could give no history relative to patient.  When admitted he was very much excited but would not answer any questions.  Clothing infested with pediculi and were burned.  In case of recovery, patient is to be detained and Warden of New Castle County Work House notified.
Jul 15, 1904.  Slight improvement since admission, works about ward and is very quiet.  Oct 14.  Condition unimproved.
Nov 12.  Threw a cup at patient [name redacted] striking him on forehead.  Placed in restraint.  
Feb 20, 1905.  Has gained greatly in weight, still very stupid.
Jan 1919.  No change in patient’s mental condition.  Works outside.  
Mar 23, 1920.  Patient suffering from lobar pneumonia.
Mar 29, 1920.  Patient died this afternoon at 4 pm, after six days of lobar pneumonia.


History and clinical notes:
History:  Brought by officers who could give no history of patient other than he had been committed to N.C.Co. Work House.  He was a former patient in this institution suffering from Mania Acute, under date of June 24, 1902.  For further history see Book IV, page 286.  When admitted he was very excitable and claimed he was being persecuted.
Jun 10, 1904.  Very unruly today and had to be restrained.
Jun 26.  Very quiet and transferred to Ward C.
Jul 15.  Rather excitable for past few days but not noisy.
Jul 21.  Very much improved.
Aug 1.  Paroled.
Sep 12, 1904.  Discharged recovered.


History and clinical notes:
History:  Brought by brother, who states that patient has been drinking to excess for past two weeks.  When admitted she was quite nervous but talked rational.
Jun 12, 1904.  Paroled today in care of daughter.
Sep 12, 1904.  Discharged.  Not insane.


History and clinical notes:
History: Patient began to talk queer 2 weeks ago but worked until June 6, ’04, then employer thought he had been drinking, but later he acted so strangely that they feared he was mentally deranged.  Patient says he is a half-breed Indian, that he owns two “Wild West” Shows, has plenty of money.  He has tied himself to trees, for fear he would harm his children.  For past year he has been drinking to excess.
Jun 10, 1904.  Excitable but not noisy.
Jun 13.  Still very talkative and has systematized delusions.
Jun 16.  Very noisy during the night.  Physical examination reveals nothing abnormal.  Complexion ruddy.  Hair sandy.  Eyes blue and pupils equal.  Resp 22.  Pulse 80.  “Extracts” from his conversation: “Richest” man in the world, states that his father was a dog.  Killed three Negroes last Saturday.  A member of Congress.  A son of “Buffalo Bill.”  He also claims that M.D.s took one gallon of Indian blood from his veins and now he is a civilized being.  
Jun 27.  Talks very irrational, speaks of killing people, but is not violent.
Jul 15.  Extremely noisy and untidy.
Aug 18.  Removed to Ward 2, behaves better, more cheerful.
Feb 20, 1905.  Has been very quiet since last report, is very nervous and irritable at times, and for the past few days has been very morose.
Sep 1, 1906.  Patient has been quite noisy lately and is much more feeble.  Was placed in bed today.
Sep 30.  Has been in bed since last note.  Much more feeble.  Speech very tremulous.
Oct 18.  Very feeble today.  Friends visited him yesterday.
Oct 19, 1906.  Patient continued to fail and died today at 7:45 p.m.  General paresis.

Note attached on lined paper, dated July 16, 1904:  “Received of Dr. W.H. Hancker, one gold watch, knife, bunch of keys, one gold watch chain and sixteen cents belonging to [name redacted].  Signed by relative [name redacted].”


On certificate of:
Drs. E.W. Cooper (Camden) and James S. Crossmore (Wyoming)

History and clinical notes:
History: Patient claims to have been hurt by her son about five years ago.
Jun 28, 1904.  Patient is both noisy and untidy.  Has to be kept in continual restraint.  Has delusions about the identity of the people around her.  Eats and sleeps well.  
Jul 19.  Patient remains about the same.  Is getting thin, but eats well.  Is sometimes noisy at night.
Sep 22.  Very noisy, and filthy in her habits.  Physical condition fair.  
Nov 14.  Still noisy and untidy.  Physical health good.
Feb 20, 1905.  Still very noisy.  Growing thin, but eats well.
May 3.  Condition unchanged.
Jun 5.  Very noisy and untidy.  No perceptible physical change.
Jul 15.  Grown very thin.  Has complete prolapsus uteri.  Weaker.
Sep 18.  Noisy and very untidy.  Physical condition somewhat improved.  
Nov 12.  Is no better.  In corner room.  Untidy and noisy.  
Jan 4, 1906.  No change in any way.  Appetite good.  Very untidy and noisy.  Patient fell from chair and was found almost dead, green pus coming from nose.  Heart very weak, pulse almost imperceptible, put to bed and revived soon after.
Jan 5, 1906.  Patient somewhat stronger.  Talks and is noisy.  Got out of bed and ran down to bathroom.  Patient sank into stupor about 2 o’clock, could not be roused.  Passed away quietly at 3:30 pm.


On certificate of:
Drs. E.J. Brown (Wyoming) and Thomas O'Connors (Dover)

History and clinical notes:
History: Patient hysterical, is sometimes violent, and has been growing worse steadily, caused by overwork and study.  Violent attacks last from 5 to 24 hours.  Is not destructive of furniture or clothing.
Jun 28, 1904.  History of case as given by brother of patient as follows.  Serious illness in June 1903.  After recovery, began to complain to friends of the difficulty of living amicably with her mother.  Soon after, her appetite failed and she was sick in bed.  Had many delusions of persecution, such as scandals about herself and noises of various kinds gotten up to cause her annoyance.  Telephone wires over which she heard people saying disagreeable things about her, etc.  Has been masturbating for about a year.  Plays the piano very well and sings, but now refuses to do either.  Is generally quiet in ward, but asks daily to be sent home.
Jul 19.  Patient plays and sings occasionally.  Does not complain of noises, machines, and persecutions as formerly.
Jul 30.  Patient complained of backache, headache and general malaise.  Temperature 102° F.  Gave her spray bath and temp. came down to 100°F.
Jul 31.  Still ailing.  Eats nothing but milk, sent to bed.  Temp 101.6° F.
Aug 2.  Symptoms of typhoid.  Urine examined.  Diazo. reaction positive.  Blood sent to Board of Health for Widal test.
Aug 4.  Rose spots appeared, very few.  Temp. 102° F.  Headache continues.
Sep 22.  Report positive from Board of Health.  Patient in bed for several weeks, attack slight, recovery uneventful.
Nov 14.  Still has delusions regarding Dr. O’Day.  Signs her letters [name redacted, variant of real name].  Is very pleasant, but asks to go home.  Eats and sleeps well.
Jan 30, 1905.  Still has delusions regarding her marriage to Dr. O’Day.  Is rather melancholy, lies around on couch nearly all day.  Plays piano occasionally for her own amusement.
Feb 20.  Still retains delusions.  Is rather quiet and melancholy.
May 3.  Plays piano and sings very often now.  Seems more cheerful.
Jun 5.  Continues about the same.  Does not play much now.  Eats fairly well.
Jul 15.  Is more cheerful.  Enjoys “dressing up” and spends much time at piano.
Aug 12.  Patient removed by sister, although still has marked delusions.  Thinks herself the wife of Dr. O’Day, signs all letters [own name, O.D.].  Complains of machines and electrical appliances kept running to annoy her, not much improved.
Aug 19.  Paroled unimproved.
Sep 20.  Patient returned this 11 am accompanied by Dr. Bishop and sister of [patient].  They state that she is steadily growing worse, that she annoyed the neighbors at night, yelled out the window, stood in street jumped up and down and screamed.  Resisted in [illegible] and with some difficulty was placed on Ward B.
Nov 13.  Is rather melancholy.  Digestion impaired, reads much.
Jan 4, 1906.  Seems fairly contented.  Says little.  Eats and sleeps very well.
Apr 6.  In fair physical condition.  Works on ward.  Eats well.
Nov 12, 1907.  Rather run down physically.
Jul 11, 1908.  No change mentally.  Physical condition fair.
Dec 1.  Quiet and amiable.  Eats and sleeps well.
Jul 12, 1909.  Sits around all day with head bowed.  Eats and sleeps well.  Reads much.
Jan 6, 1938.  Died.
Note attached, standard form, dated August 12, 1905:  “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, Edna Bice, signed by brother [name redacted].”


On certificate of:
Drs. John P. Wales and Evan G. Shortledge

History and clinical notes:
History:  Has been a patient in institution on two different occasions, this being the third admission.  Was discharged on February 14, 1901.  For previous history, see Page 76, Book IV.  When admitted she had delusions of persecutions.  
Jun 28, 1904.  Patient rather noisy.  Works about ward.
Jul 17.  Gynecological exam.  Uterus large, involution not quite complete, perineum and cervix in good condition, some anteflexion.  Patient talks very foolishly and is sometimes noisy and put in restraint.  Eats and sleeps well and helps with ward work.
Oct 3.  Somewhat improved.
Oct 8, 1904.  Paroled.
Jan 13, 1905.  Discharged improved.

Note attached on standard form dated October 3, 1904: “I hereby remove my [name redacted] 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 by [name redacted, unclear what relation, if any].”


History and clinical notes:
History: Patient has had quarrel with her husband lasting about a week.  Her child born three years ago died 8 months later.  She is very quiet and amiable, and does not talk in a delusional way.  Urine examined, showed the presence of considerable sugar.  Gynaecological examination uterus retroverted, wide bilateral cervical laceration, area of congestion about opening, perineum intact, ovaries small and not sensitive.
Jun 28, 1904.  Refuses to eat occasionally.  Attendants had a struggle with her in regard to her underclothing, but is generally quiet and inoffensive.  Has shown as yet no signs of delusions, or evidence of hysteria.  
Jul 17.  Patient very contrary, screaming and crying because clothes clean every day were not given her.  Tries to tell Alms House people that she was abused by attendants.  Transferred to Ward B, afterwards to Ward III.
Jul 19.  Patient returned to Ward A, and has been quiet since.  Is very silly and childish in her conversation.
Sep 22.  Very troublesome, talked to men in centre (sic), and walked out on porch.  Was transferred back to Ward III.
Nov 14.  Still untractable and stubborn, physical health good, mental condition also good, save for fits of temper, usually excited because of not being allowed to wear the clothes she wishes or change as often as she pleases.
Jan 20, 1905.  Condition about the same.  Has been quiet for some time.
May 3.  Well behaved at present.  Physical condition good.
May 5.  Has been peevish and irritable lately, cries a good deal.  Eats well.
Jul 15.  No change.  Is irritable and has fits of temper frequently.  Eats and sleeps well.
Sep 18.  Very irritable, growing rather thin.  Eats well.
Jan 4, 1906.  Is very stubborn and irritable.  Eats well, but says she is starving.
Feb 20.  Very unruly, ordered into [illegible – looks like “state clothes.”]  Eats well.
Apr 6.  Quiet, seems to like wash clothes.  Eats and sleeps well.
Jul 30.  Quiet.  Eats and sleeps well.
Apr 2, 1907.  Is disorderly and peevish.  Eats and sleeps well.
Nov 12.  No mental change.
Dec 1, 1908.  Patient very irritable.  In fair physical condition.
Jul 19, 1909.  At times very irritable and abusive in her language.
May 28, 1941.  Died.


History and clinical notes:
History:  Brought by officers who knew nothing, relative to patient’s condition.  He was found this morning in Brandywine Park in nude condition.  He said a crowd of people were coming from New York to dissect him and gave that as a reason for disrobing.  He says he came from Pittsburgh a few days ago and while in Pittsburgh he was employed on Wabash R.R. (depot building).
Jun 24, 1904.  Discharged.  Not insane.

Newspaper clipping attached:  “[Last name] thought that he had to die: New York Man Labored Under Impression That Crowd Was Seeking to Kill Him.  Was Found Nude in Brandywine Park.  James [last name], aged 40 years, of New York City, was arrested by Patrolman Collins at the Market street entrance to the Brandywine Park at noon today where he was running about in a nude condition.  [He] had the idea that he was to be killed.  Half a dozen of the men from New York, sent here by a dissatisfied saloon keeper he said were to kill him.  He undressed in order that the party of New Yorkers could dissect him without trouble.  He says that he has a sister in New York and a brother in New Haven, Conn.  Officer Collins made him don his clothes and he was sent to the police station, where he will be examined as to his sanity.


History and clinical notes:
History:  Patient has been drunk for a month.  
Jun 28, 1904.  Sleeps better and eats well.
Jul 6.  4 pm, complained of severe pain in region of heart, radiating down left arm, symptomatic of Angina Pectoris.  9 pm, died.  Angina pectoris.


History and clinical notes:
History:  Brought by officer and mother.  Mother states that boy is incorrigible, smokes to excess, used vile language and has numerous epileptic attacks.  Patient is suffering from hemiplegia, right side, but walks fairly well.
Jul 15, 1904.  Three epileptic attacks during day.
Oct 25.  Still continues to have numerous epileptic attacks.
Feb 20, 1905.  Condition remains unchanged.
Feb 22.  Complains of myalgia pains and was placed in bed.
Feb 28.  Very much improved, able to be up today.
Sep 10.  Is very mischievous.
Jun 14, 1907.  Condition remains unchanged.
May 20, 1940.  Died.


History and clinical notes:
History: Patient has been living with Reed [listed as correspondent], also an imbecile, for a number of years, not married.  Up to present time she has been able to do housework of a somewhat primitive form.  Is now able to walk with difficulty and on her face there are a number of bruises, probably due to falls.
Jul 19, 1904.  Patient remains in bed all the time.  Has a very disagreeable odor about her.  Vaginal examination – uterus in good position, very small, long cervix, ovaries could not palpate.  Leucorrheal discharge.  Patient has very little to say.  Will answer questions if sufficiently aroused from usual lethargic condition.  Has grown fat since admission and has better color.  Eats better, and seems stronger.
Sep 22.  Physical and mental condition improving.  Sits up half a day, eats well, and does not talk incoherently although she can remember nothing.
Nov 14.  Very feeble.  Eats when urged.  Sleeps well.
Dec 1.  Confined to bed, eats very little.
Dec 13.  Suffering from an attack of erysipelas.  Both sides face, left eye and ear affected.
Dec 14.  Patient much worse – delirium – takes no nourishment.
Dec 15, 1904.  Sank into stupor and died at 1:10 p.m.  Erysipelas.

Note attached on lined paper, headed “Woodside” and dated November 16, 1904.  “Gentlemen, I am in receipt of the [illegible – perhaps “message”] of my sister’s death.  She has a husband living that is able to have her put away.  He has got a brother in Dover, Del.  That is a lawyer that is [ill.] guard deen (sic).  Her husband’s name is George Johnson and lives at Felton, Del or nearby.  I don’t feel able to put her away myself so if he don’t have her put away just bury her where you have her.  [Signed] J.G. Reed.”  On back: “George Johnson brother’s name is Harry Johnson, attorney at law.”  Buried at DSH, Grave #14.


History and clinical notes:
History:  Patient has been failing mentally for past 3 years; is very talkative; imagines people steal his clothes.  Is not abusive and is in fair physical condition.
Jul 13, 1904.  Is untidy, urinates on floor.
Nov 12.  Physical condition somewhat improved.
Jan 12, 1905.  Condition remains about the same as when last reported.
Mar 6.  Is gradually failing in health and is confined to bed, requires restraint to prevent him from destroying bed clothing.
Jun 10.  Has developed bed sores and was placed in water bed, suffers from diarrhea and is rapidly growing weaker.
Jul 2, 1905.  Died.  Senile asthenia.


History and clinical notes:
History:  Patient brought by officer who could give no history of case.  She was a former patient in this institution, but was discharged recovered.  On admission patient was markedly anemic and emaciated and is in all probably a tuberculous case.  For previous history see Book IV page 345.  
Jul 19, 1904.  Patient has remained in bed since admission.  Is very weak, talks little, but incoherently.  Very quiet, except at night when she rolls out of bed.
Sep 22.  Physical condition of patient much improved.  Sits up all day and has good appetite.  Mental condition unchanged.  Expresses fear of injury constantly.
Nov 14.  Condition somewhat improved.  Does not seem to fear injury as formerly, and eats well.  Is sometimes restless at night.
Feb 20, 1905.  No change in mental or physical condition.
May 3.  Very noisy and violent at times.  Has bad temper.  Eats fairly well, but is sometimes noisy at night.
Jun 5.  Transferred to Ward B.  Quiet and eats better.
Jul 15.  Is now on Ward A.  Quiet and well-behaved.  Appetite good.  Sleeps well.  Very thin.
Sep 18.  Back to Ward B because of screaming spells.  Eats and sleeps well.
Nov 13.  Is quiet and well behaved.  Rather thing, but eats and sleeps well.
Jan 4, 1906.  Very silent.  Eats and sleeps well, but sits all day without moving.
Feb 20.  Ward A.  Very quiet.  Eats and sleeps well.
Apr 6.  No change in any way.
Jul 30.  No change.
Nov 12, 1907.  Physical and mental conditions the same as usual.
Jul 11, 1908.  No change in any way.
Dec 1.  Never says anything.  Works in dining room.  Eats and sleeps well.
Jul 12, 1909.  Very silent.  Eats and sleeps well.
Sep 10, 1941.  Died.

Additional notes:
Readmitted 7/16/1904, at DSH until her death on 9/10/1941.  Buried at DSH, Grave #524.


History and clinical notes:
History:  Patient when admitted had to be carried from the vehicle that brought her, being stupefied from Hyoscine and whiskey.  Husband states that she would buy pills from druggist labeled “For men only.”  She is violent at times, tears her clothes, and is untidy.  A sister died in this institution in June 1903.
Jul 19, 1904.  Patient continues in low, muttering delirium.  Temperature 8 pm July 18th 102° F.  This morning at 6, temp was 100°.  Pupils equal, urine examined, no albumin.  Ehrlich’s reaction negative.  Considerable abdominal tenderness, left side more marked.  Breath very foul.  Bowel movement thin and yellow.
Jul 24, 1904.  Died at 8:40 p.m.


On certificate of:
Drs. R. Raymond Tybout and Henry J. Stubbs

History and clinical notes:
History:  Brought by husband and physician from Pleasant Hill, MD.  The physician states that she was always very eccentric, especially so for past 16 years.  She imagines poisons are placed in food given to her and at times refuses, nervous hiccough, also has delusions of persecution and grave fears that some person or persons will do her husband bodily harm.  Physical condition on admission, fair.
Nov 11, 1904.  Mental condition growing worse.  Was visited by husband and brother the other day and has since been more excited and delusional.  Eats voraciously at times, and again refuses food for several days and has to be fed by tube.  Has become very emaciated.  Does not sleep unless a narcotic is administered.
Dec 28, 1904.  Discharged unimproved.  

Note attached on standard form dated October 28, 1904: “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 by [husband].”


History and clinical notes:
History:  Brought by an officer who states that patient was always weak minded.  He has worked about, doing little odd jobs and has been cared for by friends.  Had a hemorrhage (cerebral) last February, which seemed to aggravate his mental condition.  At present he shows no signs of paralysis, on admission he seemed somewhat debilitated, facial expression dull.  Patient is an uncle of Miss [name redacted] a former inmate of this institution.
Aug 12, 1904.  Condition remains unchanged.
Nov 12.  Gradually growed weaker and is confined to bed.
Nov 19, 1904.  Died.  Cause – asthenia.

Additional notes:
Weak-minded.  Cared for by friends, did odd jobs.


On certificate of:
Drs. S. Willard Springer and John Palmer, Jr.

History and clinical notes:
History:  Patient brought by son who states that he first noticed his mother acting strangely, about 4 weeks ago.  She had been taking medicine, which she purchased from a New York physician and told her children she was going to marry the physician who was quite wealthy.  She wandered away from home a few days ago and when found, she said she was going to the bank to get a check cashed for a vast amount of money.  On admission she seemed rather melancholy.
Nov 14, 1904.  Patient grows steadily more foolish in her actions and conversations and dances about ward on one foot, falls upon her knees and is at times most indecent in her language.  Does some work on ward and eats and sleeps well.
Feb 20, 1905.  Thinks she has two people in her body, and always uses the editorial “we.”  Calls her “partner” Prof. Atkins.  Physical health good.
May 3, 1905.  Has not spoken of Prof. Atkins for several weeks, and is much improved.  Is very helpful about ward.
May 27, 1905.  Paroled.
Nov 7, 1905.  Discharged recovered.

Additional notes:
Claims to be two people in one body.  Alter-ego is Professor Atkins


On certificate of:
Drs. J. Harvey Spruance and Joseph P. Wales

History and clinical notes:
History:  Officers who brought patient could give no history of case, other than he was arrested and was violent at times.  Irrational in his conversations when admitted.
Aug 3, 1904.  Very noisy during night.
Aug 16.  Shows marked signs of improvement, eats and sleeps well.
Sep 19, 1904.  Paroled.
Jan 12, 1905.  Discharged improved.

Newspaper clipping attached:  “[Last name redacted] sent to Farnhurst.  Insane Bricklayer Gave Police the Time of Their Lives to Arrest Him.  Said he was Elijah IV Prophet.  For some time past, the queer actions of George [last name], a well-known bricklayer in this city, led many of his friends to believe that he was gradually entering a state of insanity, but little attention was paid to him and his condition became so bad that last night, it required the efforts of six men to subdue him.  The unfortunate man broke loose in a saloon on the “coast” last night, where he had gone to get a glass of beer.  He refused to pay for the drink saying he was Elijah IV., and everything was free to him.  He was thrown out of the saloon and placed under arrest by Patrolmen Eakin and Burchinal who had the time of their lives to get [him], who is a powerful man, into the patrol wagon.  At the police station Chief Black, Captain Kane, Sergeant Tucker, Operator Gaynor, Turnkey Wardle and Patrol Sergeant Rice had their hands full placing the insane man behind bars.  Earlier in the evening [he] declared that a volcano was soon to belch forth and engulf all Wilmington.  He put in his appearance at the police station on the hunt for a reporter to impart the news to him.  He left explicit orders at the hall, upon departing, for the scribes to keep their weather eyes open.  [He] was examined this morning by Dr. J. Harvey Spruance and Police Surgeon Wales who committed him to the Delaware State Hospital for the Insane.  His affliction is only believed to be a temporary disorder and he is expected to fully recover.  The unfortunate man was a strong union man.  He had been on a strike so long that it worried him and it is believed this is what finally turned his head.  He has a wife and children.”

From ancestry.com: Was listed in the 1910 Census with his wife Etta and their 3 daughters, but could not find him after that date.

Additional notes:
Committed suicide by slashing his throat; died at Hahnemann Hosp., Phila.  11/22/1924.


History and clinical notes:
History:  Patient came in this morning fearing another attack of mania was imminent.  Very nervous and restless.  Desires rest and treatment.  Has been married since last admission, former name was [name redacted].  States that she has been losing memory and feels as she did before previous attacks.
Aug 18, 1904.  Eloped from kitchen this 12:15 pm.
Oct 6, 1904.  Has been working at Mr. McFarlin’s since she left here.  Has been restless and nervous, and tonight was returned to institution.
Nov 14.  Is quiet and cheerful, appetite good, sleeps well.
Dec 12, 1904.  Released on parole.  Again working for Mr. McFarlin.
May 12, 1905.  Returned.
Jun 5.  Patient improving.  Quiet, appetite good, sleeps well.
Jun 27, 1905.  Patient went to Robert McFarlin’s today.  Paroled.


On certificate of:
Drs. Willard Springer and Henry R. Spruance

History and clinical notes:
History:  Patient first complained of feeling dizzy some time in 1898.  After a month or so there appeared a slight want of coordination of arms and legs and from that time to this this condition is apparent, more marked at times than others.  He had to stop work on account of this condition as he would fall on the floor at times.  No indications of epilepsy (petit or grand).  His physician suspects syphilis as the cause altho there has been no external signs of the same.  Disease has been constantly increasing.  Patient is mischievous at times.  Is an incessant smoker and drinks to excess at irregular periods.  Has had no special treatment from his physician.
Nov 12, 1904.  Physical condition improved.  No changes mentally.
Feb 16, 1905.  Has been suffering from auto-intoxication.
Feb 28.  Very much improved but still confined to bed.
May 25.  Has been growing worse rapidly and he takes nourishment with difficulty, is very much emaciated.
Jun 12.  Still confined to bed, take nourishment with difficulty, very much emaciated.
Jun 24.  Very much weaker, refuses nourishment.
Jun 24, 1905.  Died.  Cerebral embolism.


On certificate of:
Drs. Robert B. Hopkins and R.H.T. Wilson

History and clinical notes:
History:  Patient has been an inmate of this institution before under date July 23, 1894 and was discharged recovered November 16, 1895.  His mother, 2 brothers and a sister are insane.  When admitted, he was in good condition physically, but talks incoherently.  For previous history see Book III, page 14.
Aug 17, 1904.  Very noisy during night.
Nov 12.  No change since last report.
Feb 20, 1905.  Not so noisy, otherwise unimproved.
Sep 10.  Quiet and works about ward and farm.
Jun 15, 1907.  Some improvement since last.
Jul 10.  Has been working about stable for past few weeks.  Mental and physical improvement.
Aug 15, 1907.  Paroled.
Dec 10, 1907.  Discharged, recovered.


History and clinical notes:
History:  Brought by officers who could give no history of patient.  When admitted she had a few lacerations over trachea, probably caused by a knife.  Has been an inmate of this institution before under date of . . . . . . 1901.  For previous history see Book IV, page 141.
Aug 29, 1904.  Very noisy during night.
Nov 14.  Is very suicidal and has to sleep in restraint.  Does some work about ward, has good appetite but is noisy at night.  
Feb 20, 1905.  Gets very wild at times, has many delusions.  Eats and sleeps well.
May 3.  Quiet and well-behaved.  Suffers from pruritis vulvae.  Delusions continue.
Jun 5.  No change in any way.
Jul 15.  Physical condition fairly good.  No mental improvement.
Sep 18.  Condition unchanged.  Still suffers from pruritis.
Nov 13.  No change.  Physical condition fairly good.  Pain in abdomen constant.
Jan 4, 1906.  Vaginal examination shows uterus retroverted, cervix congested, uterus inflamed, slight rectocele.  Left ovary enlarged, sensitive to touch both internally and externally.  Abdomen distended, tympanitic.  Possible ovarian cyst.
Feb 20.  No change in any way.
Apr 6.  Physical condition bad.  Pain constant in left side.  Abdomen distended by tumor-like mass.
Apr 25.  Patient operated on today by Dr. Stubbs.  Double salpingo-oophorectomy.  Came out of ether slowly, collapsed twice.  Pulse and respiration slow.
Apr 27.  Pulse and temperature normal.  Patient did not suffer much from nausea.
Apr 28.  Condition the same.  Doing well, no fever.
Apr 29.  Doing well.
Apr 30.  Doing well. 
Jul 30.  Is in good physical condition.  Much quieter, on Ward B.
Apr 2, 1907.  Is a little better physically.  No mental change.
Nov 12.  In fair physical condition.
Jul 11, 1908.  No change mentally or physically.
Dec 1, 1908.  In fair physical condition.
Jul 12, 1909.  No change in condition.
Mar 6, 1922.  Died.


History and clinical notes:
History: Mother states that patient has been drinking to excess for past few months, is violent at times.
Aug 25, 1904.  Quiet and sleeps well.
Sep 2.  Paroled.
Sep 12, 1904.  Discharged not insane.


On certificate of:
Drs. John C. Fahey and J. Harvey Spruance

History and clinical notes:
History: Brought by officer who states that patient has been drinking to excess for past 3 months.  When admitted he was extremely nervous.
Aug 27, 1904.  Suffers from alcoholic gastritis, but is improving.
Sep 3.  Paroled.
Sep 12, 1904.  Discharged not insane.


History and clinical notes:
History:  Brought by officer who could give no history except that patient wandered about streets away from home.  Is noisy at times.  Suffered an attack of Thermic fever 3 months ago.
Sep 20, 1904.  Quiet and respectful.
Oct 15.  Has shown marked improvement since last report.
Nov 2.  Paroled.
May 9, 1905.  Discharged recovered.


History and clinical notes:
History:  Patient brought by officers, was a patient in this institution before under date of July 29, 1902.  When admitted she was excitable and said she wanted to preach the gospel, that it was not preached loud enough, etc.  For previous history see Book IV, page 296.  
Nov 14, 1904.  Is very noisy and preaches continually.  Is profane in her language, and abusive, occasionally violent.  Was in restraint all day for attacking Dr. Hancker.  Since then has been quiet.  Physical condition good.
Feb 20, 1905.  On Ward B.  Works in dining room.  Occasionally preaches sermons, otherwise quiet.
May 3.  Very quiet and industrious as a rule.  Occasional outbreaks over religious matters.
Jun 5.  Condition continuing the same.  Appetite not very good.
Jul 15.  Sews for hospital.  Quiet as a rule.  Physical condition good.
Sep 18.  Preaches a great deal lately.  Helps in dining room.
Nov 13.  Very industrious, making braided rag rugs for ward.
Jan 4, 1906.  Very disturbed at times and annoys other patients.
Feb 20.  Very irritable.  Preaches constantly and disturbs other patients.
Apr 6.  Quiet period just now.  Physical condition good.
Jul 30.  Knits table covers for ward.  Quieter.  Eats well.
Apr 2, 1907.  No change in any way.  Quiet.
Nov 12.  Industrious, and in good physical health.
Jul 11, 1908.  Is fairly quiet.  Eats and sleeps well.
Dec 20.  Very stupid of late.  Keeps to her bed most of the time.  Symptoms of uranium poisoning.
Jan 1, 1909.  Has been in bed almost constantly since last note.  Is in a semi-comatose condition.
Jan 4.  Failed rapidly, died at 11:30 pm last night.
Jan 3, 1909.  Died.

Note attached on standard form dated March 7, 1908: “I hereby remove my mother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness, T.H. Davies, signed by [son].”


History and clinical notes:
History:  Patient brought by sister, who states that attack began four years ago.  The attacks usually come at almost stated intervals, i.e. lasting about four months, then she seemed apparently well for about the same length of time, lately she is violent and could not be cared for at home.
Nov 14, 1904.  Physical condition good.  Is very quiet, and has shown no signs of violence.
Feb 20, 1905.  Condition unchanged.
May 3.  No change.
Jun 5.  Quiet and orderly.  Physical condition good.
Jul 15.  No change.  Works on ward.
Sep 18.  No change in condition.
Nov 13.  No change.  Is quiet.  Eats and sleeps well.
Jan 4, 1906.  About the same.  Eats well.
Feb 20.  No change in any way.
Apr 6.  No changes.  Physical condition good.
Jul 30.  No change.
Apr 2, 1907.  Is amiable and quiet.  Physical health good.
Jul 11, 1908.  No change.
Dec 1.  Sullen, but works on ward.  Physical condition good.
May 1918.  Patient suffers from chronic arthritis, almost unable to walks.  No change in her mental condition.
Feb 10, 1919.  No change in patient’s mental condition.  Physically getting worse.
Jun 5, 1919.  Patient died at 1:30 pm.  Chronic endocarditis 1 year, 1 months, contributory chronic arthritis 6 years.

Additional notes:
See glossary for definition of hebephrenic type of schizophrenia


History and clinical notes:
History:  Patient brought by son, who states that patient has suffered from epilepsy since childhood, the attacks coming on about once a month, at times she wanders away from home.  History of epilepsy on maternal side.
Nov 14, 1904.  Patient has occasional epileptic fits, is hysterical and irrational in her conversation.  Has good appetite.  
Feb 20, 1905.  No change either mentally or physically.
May 3.  No change.
May 27, 1905.  Paroled, not improved.
Oct 11, 1905.  Discharged, not improved.


On certificate of:
Drs. Joseph A. Draper, Jr., and M. Flinn

History and clinical notes:
History:  Patient brought by Dr. Draper yesterday, papers did not arrive until today, Sept 3, 1904.
Nov 14, 1904.  Is delusional and for a time was very melancholy, now seems most cheerful and contented.  Has had sore throat, but at present is much better.  Is often noisy at night.  Eats very well.
Jan 30, 1905.  Disposition somewhat improved.  General health good.
Feb 20.  In good physical condition.  Mentally about the same.
May 3.  Very surly and complains of everyone.  Eats and sleeps well.
Jun 5.  No change.  Somewhat more amiable, asks to go home occasionally.
Jul 15.  Reads Bible constantly.  Scolds imaginary persons from windows of ward.  Appetite good, sleeps well.
Sep 18.  Is rather sullen and irritable.  Eats well.
Nov 13.  Impertinent and stubborn.  Eats and sleeps well.
Jan 4, 1906.  Much quieter and more amiable.  Helps on ward.  Eats and sleeps well.  Does not scream out of window as much as formerly.
Feb 20.  Condition remains about the same.
Apr 6.  No change in any way.
Jul 30.  Condition unchanged.
Apr 2, 1907.  Condition about the same.  Has had bronchitis but nearly well.
Nov 12.  Very discontented, and noisy at night.  Eats and sleeps well.
Jul 11, 1908.  In fair physical condition.
Dec 1.  Physical condition good.  Mental condition unchanged.
Jun 8, 1909.  Physically very well.  Very sullen and impudent at times, occasionally noisy at night.
Jul 12.  No change in any way.
Dec 27, 1915.  There has been no change in patient’s condition for years.  Is frequently noisy at times and is quite cross and irritable nearly all the time.  For past few weeks her breathing has been somewhat labored, especially after working a [illegible].  This am Dr. Davies was called to see patient at 2 o’clock; breathing is difficult and pulse hardly perceptible.  Remedies were given but to no avail and patient died in a few moments.
Dec 27, 1915.  Died.  Fatty degeneration of heart.


On certificate of:
Drs. N.T. Corkran and J. Harvey Spruance

History and clinical notes:
History:  Brought by officers who state that patient has been drinking to excess for past two months.  When admitted he was extremely nervous and wanted “one more drink?”  Was a patient in this institution in March 1899.
Sep 20, 1904.  Much improved, eats and sleeps well.
Sep 21.  Paroled.
Jan 12, 1905.  Discharged recovered.


History and clinical notes:
History:  Brought from work house by Warden Meserve who states that patient has served a number of sentences for theft.  When younger, he was an inmate of reform school.  Has epileptic attacks which are growing in frequency, also masturbates.  He has a brother who is an inmate of this institution, father of patient served about 15 years sentence in New Castle County Jail.  Has a sister who is weak minded.
Sep 20, 1904.  Is have numerous epileptic attacks.
Oct 29.  Condition about the same as when last reported.
Nov 12.  Surly and requires frequent reprimands.
Dec 19.  Has frequent epileptic attacks.
Jan 20, 1905.  Removes tobacco and etc. from cuspidors, placed in restraint.
Apr 30.  Assaulted attendant Neal and made his escape but was captured and brought back to institution.  Struck Superintendent Nickle, producing a contusion of face.
Sep 10.  Since above date has been agreeable and kind in assisting to care for helpless patients.
Nov 6.  Very well behaved, is kind to invalid patients.
Nov 25, 1905.  Condition same as when last reported.
Nov 27.  Paroled.
May 7, 1906.  Discharged recovered.


On certificate of:
Drs. J. Harvey Spruance and C. Anthony Beck

History and clinical notes:
History:  Brought by wife who states that husband has been drinking to excess for past ten days and as a result has not been eating or sleeping.  When admitted he was extremely nervous.  Has been an inmate of this institution before, suffering from alcoholism, under date of Aug 3, 1899.
Sep 19, 1904.  Much improved.
Sep 24, 1904.  Paroled.
Jan 12, 1905.  Discharged recovered.


History and clinical notes:
History:  Brought by brother who states that patient could not be managed at home.  Is violent at times.  Has a R.S. paralysis which followed attack of scarlet fever during childhood.
Nov 14, 1904.  Patient is very simple and childish, sometimes malicious, and attacks other patients.  Eats only when urged and fed.
Jan 30, 1905.  Very mischievous and vicious.  Often strikes other patients.  Eats fairly well, and is sometimes noisy at night.
May 3.  Very untidy, has paroxysms of screaming and fighting.  Removes clothing when out of restraint.
Jun 5.  Very restless and untidy.  Physical condition unchanged.
Jul 15.  Has haematoma of left ear.  Eats well.  Sometimes noisy at night.
Sep 18.  Quiet most of the time, rather emaciated, but eats and sleeps well.
Nov 18.  No change.  Is noisy at times.  In constant restraint.  Eats well.
Jan 4, 1906.  Patient remains about the same.  Alternately disturbed and quiet.
Feb 20.  No change in any way.
Apr 6.  Has frequent disturbed periods.  Shrieks and beats her head.  Eats well.
Jul 30.  Has improved somewhat.  Is quieter.  Appetite good.
Apr 2, 1907.  No change in any way.  Often very disturbed mentally.
Nov 12.  Very noisy and disturbed.  Eats very well.
Jul 11, 1908.  No change in any way.
Dec 11.  Is violent at times.  Has fits of weeping.  Eats well.
Jun 8, 1909.  No change in condition.
Jul 12.  Has to be restrained constantly, is violent towards others, constantly muttering.
Jan, 1918.  No change.  Very noisy and untidy and difficult to care for.
Feb.  Has been in bed for a week.  Has a severe cough.  Both lungs tuberculous.  Is very weak.
Mar 1.  Still in bed and quite feeble.
Mar 25.  Very much weaker.
Mar 26, 1918.  Continued to fail and died at 6 pm.  Pulmonary tuberculosis.


History and clinical notes:
History:  Brought by wife and officers.  Wife states that they recently moved from New Haven, Conn., to Wilmington where her husband has been filling a very responsible position; his duties were numerous and he showed signs of great depression, could not sleep, appetite poor.  On Tuesday morning of this week he went to his wife’s room and said he could not get well and he was going to kill her and then kill himself.  Physical condition good.
Sep 22, 1904.  Discharged.
N.B.  Had only been a resident of Wilmington for a few days; was taken back to New Haven, Conn., by his brother.


History and clinical notes:
History:  A year ago patient had first attack, became incoherent, irresponsible, and at times violent.  Parent states that just before this condition appeared, patient had been “thrown over” by young man who was paying her some attention, and this made her very unhappy.  She grew better after a while, so was not committed to any institution.  Three days ago, another attack came on and she refused to eat, showed violence to her brother, and was not able to sleep at night.  Screamed all night before being brought to Hospital.  Since admission, patient has been untidy, noisy, and incoherent.  No bruises on body, no tumors or other pathological condition externally perceptible.  External strabismus right eye.  Eats well, but is restless and noisy at night.
Nov 14, 1904.  Patient sits immovable in one position, eyes fixed on the floor, muscles rigid, can arouse her with difficulty except to eat.  Has good appetite.
Feb 20, 1905.  Mental condition steadily improving, is cheerful, rational, and industrious.
May 8.  Mental condition worse.  Is moody and stupid, and very untidy.
Jun 5.  Is a little brighter just now, and not untidy.  Eats and sleeps well.  
Jul 15.  Is now sullen and violent.  Kept in restraint.  Eats well.
Sep 18.  Is quiet and amiable just now.  Appetite good and is quiet at night.
Nov 13.  In good condition.  Works on ward.  Eats and sleeps well.
Jan 4, 1906.  Patient paroled on Nov 29, 1905.
May 7, 1906.  Discharged improved.

Additional notes:
Readmitted several times; died 4/18/1955.


On certificate of:
Drs. John Palmer, Jr., and Joseph A. Draper, Jr.

History and clinical notes:
History:  Patient admitted in very feeble condition physically.  Mentally he has delusions concerning his health.  Thinks someone has driven a wooden wedge into his side, and was induced to come to the hospital by being told that Dr. Hancker would remove it.  He tries to get out of window when not watched, and has threatened to kill himself.  Is restless at night but eats well.  Has bad asthma for some time.  He is occasionally violent, made an attack on his daughter with a carving knife, but was immediately restrained.  Is a member of the G.A.R. and receives a pension of $12.00 per month.
Nov 12, 1904.  Much improved but suffers from cardiac asthma (sic).
Nov 14, 1904.  Paroled.
May 9, 1905.  Discharged recovered.


History and clinical notes:
History:  Patient brought from Homeopathic Hospital in Wilmington by nurse, who states that she had been in bed since last Saturday.  Was very noisy at times, and could remember nothing.  Gynaecological examination made by Dr. Flinn.  Report negative.  Brother states that she had been supporting her father and brother by dress making and had worked very hard; also that recently an engagement of two years standing to a young man in Wilmington had been broken off this summer, which might have something to do with her condition.  Patient looks very pale, is not emaciated but seems weak.  Talks a great deal about Dr. Frank Cooper, of Philadelphia, a cousin, and if left alone moans and shrieks.  Has refused to eat since admitted.
Oct 30, 1904.  During past week, patient has been quiet and has at times talked quite rationally.  Eats well and sleeps better than formerly.  Today she was visited by brother and sister.  As soon as they got in to her room, she began to scream at the top of her voice, and then declaimed loudly that she would rather be in an insane asylum than in this place.  Her relatives were sent away and requested not to visit her again for at least a month.
Nov 14.  Somewhat improved.  Eats and sleeps fairly well.  Refuses to talk, but seems interested in what goes on about her.
Dec 21, 1904.  Paroled.
May 9, 1905.  Discharged recovered.  Note attached on standard form dated October 21, 1904: “I hereby remove my sister-in-law 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 by [name redacted].”

Additional notes:
Married William Sharpless Holt.  He died in 1944.  She died 3/1/1966.  Both buried in Gracelawn.


History and clinical notes:
History:  Sheriff states that he had been arrested for larceny and at his trial they found him insane and court committed him to this institution.
Nov 7, 1904.  Has been quiet and respectful since admission, but has grave fears of his religious rights being taken from him.  
Nov 12.  Claims we should hold religious services more frequently.  Shows a weakness on religious matters.
Feb 20, 1905.  Persists in praying “when and where” he pleases, was removed to Ward 6, a few days ago and has since been transferred to Ward 4.  
Mar 6.  Has been attempting to fast for past few days saying he was called upon to do so by God.  Has been fed through nasal tube.
Apr 2.  Has decided to eat, is working in Ward 2 dining room, and is a well behaved patient.
Sep 10.  Is a very good patient, but insists on praying about ward, and says he considers it his Christian duty.
Oct 11.  Condition remains unchanged.
Jun 14, 1907.  Tears his shirts and says he would not tear a Salvation Army jersey if we get one for him.
Apr 6, 1908.  Condition about the same as when last reported.
May 12, 1910.  Removed to T.B., is losing flesh rapidly.
Nov 5.  Shows some physical improvement but attempted to elope and was transferred to Ward D.
Feb 2, 1911.  Rapidly failing mentally and physically.
Mar 6, 1911.  Very stupid and refuses to eat.
May 8, 1911.  Died.  Tuberculosis (Gen).


History and clinical notes:
History:  Person who brings patient knows absolutely nothing about patient.  Says her head is wrong, but never saw anything about her actions or her conversation that would dictate that she was insane.  
Oct 30, 1904.  Patient quiet, and sometimes helps on ward, although somewhat feeble.  Eyesight poor. 
Nov 14.  Patient in good condition, very amiable and quiet.
Feb 20, 1905.  Sore throat and feeble physical condition.  Put patient to bed, and ordered predigested beef and strychnine.
May 3.  Feeble but otherwise well.  Eats moderately well.
Jun 5.  Is in bed most of the times.  Seems weak and stupid.
Jul 15.  Some better; sits up good part of day, and eats well.
Sep 18.  Is rather feeble.  Eats fairly well, but scarcely moves in chair all day.
Nov 13.  Weak and very lame.  Eats and sleeps well.
Dec 19, 1905.  Patient has repeated attacks of asthma.  Suffers very much.
Jan 2, 1906.  Died, 3 am.


History and clinical notes:
History:  Brought to institution on Oct 13, 1904, but certificate did not arrive until Oct 14, 1904.  A brother states that patient has been drinking to excess for several months, a few days ago she jumped out of second story window but was not injured, other than a slight wound on forehead.
Oct 22, 1904.  Discharged.


On certificate of:
Drs. Daniel I. McColley and James A. Draper, Jr.

History and clinical notes:
History:  Patient brought by Dr. McColley, who could give very little history of case, although a native of Del. he has been away from the state for the past 30 years.  The patient is very timid and asks to have someone sleep in same room.  He is conscious of his nervous condition and says he cannot sleep without receiving some hypnotic; for several years he has been taking “Bromidia.”
Dec 19, 1904.  Physical condition improved, bowel condition improved, and sleeps better.
Jan 6, 1905.  Has improved very much, bowels are regular and appetite good.
Feb 18, 1905.  Paroled.
Feb 23.  Returned today; his friends stated that he began using “Bromidia” as soon as he was released from institution.  During his absence he had a recurrence of his enteric trouble and has been having from 10 to 15 bowel movements per day.
Mar 1.  Somewhat improved.
Oct 11.  Very much improved and is anxious to go home.
Jan 24, 1906.  Has been complaining for past day or two of severe pain in cardiac region.  Was placed in infirmary today.
Jan 25.  Considerable rales over both lungs and more marked on left side.  Has been quite cyanotic since last night.
Jan 26, 1906.  During night patient complained of more severe pain and at 5:25 am died quite suddenly.  Valvular disease of the heart.


History and clinical notes:
History:  Brought by officers who could give no history of patient.  He is violent at times, and once attempted to kill his mother, talks incoherently.  Physical condition is fair.
Dec 19, 1904.  Has numerous epileptic attacks.
Apr 2, 1905.  Physical condition improved, works about ward, and is cheerful.
Sep 10.  Condition remains unchanged since last report.
Jun 14, 1907.  No change since last report, has occasional epileptic seizures.
Jan 6, 1915.  Condition unchanged, except attacks are more frequent and severe.
Feb 18, 1915.  Went into status epilepticus at 3 pm and did not regain consciousness.  Died.


History and clinical notes:
History:  Patient brought by cab driver – has been a patient in institution before, previous admission August 3, 1892 and was discharged unimproved June 18, 1896, removed by son.  She is quiet, eats and sleeps, but seems much depressed.  She is a cripple, having lost one foot.
Nov 14, 1904.  Is not very amiable or contented.  Sometimes hits other patients with her crutches.  Eats well.
Feb 20, 1905.  Condition the same.  
May 3.  Very contrary and fretful.  Physical condition good.  Gets up and tears up her bed at night and removes covers from other patients.
Jun 5.  Somewhat weaker physically.  In bed today, very stupid.  
Jul 15.  No change.  Very disagreeable nature.  Physical condition good.
Sep 18.  Constantly trying to make other patients dissatisfied.  Physical condition good.
Jan 4, 1906.  No particular change.
Apr 6.  In good physical condition.  Quiet.
Jun 16, 1906.  10:30 am.  Died in status epilepticus.


History and clinical notes:
History:  Brought by son who states that his father has had cause to worry for past few months, it has made him very despondent and he has threatened to kill himself and also his wife.  He has a good appetite but does not sleep well.
Nov 12, 1904.  Eats and sleeps better and is not quite as morose.
Nov 23, 1904.  Paroled.
May 9, 1905.  Discharged recovered.


History and clinical notes:
History:  Patient seemed much depressed, moans and weeps all the time, asks if she is going to recover.  Was discharged in Dec. 1902, and remained well for a year.  Seems to worry about religion a great deal.  Says she must drown herself to save her soul.  Thinks it is a sin to eat, and has to be forced to take food.  Begs to go home to her brother.
Nov 14, 1904.  Vaginal examination shows retroverted virgin uterus, hymen perforate, probably through introduction of speculum [ill.] previous examinations.  Mental condition unchanged.
Feb 20, 1905.  Patient much improved.  Very cheerful and in good physical condition.
Mar 10.  Very much better.
Apr 18, 1905.  Paroled improved.
July 13, 1905.  Discharged recovered.


History and clinical notes:
History:  Patient has delusions of persecution – thinks she will be robbed of her children.  Made attack on husband, is sometimes violent.
Nov 14, 1904.  Has been quiet and pleasant since admission.  Physical condition good.
Nov 23, 1904.  Paroled.
Dec 5, 1904.  Patient returned, very melancholy.  Taken to Ward III.
Jan 23, 1905.  Pleading to go home, is very annoyingly persistent.
Jan 30.  Violent and put in restraint.  Attacked attendant.
Feb 20.  Patient has grown worse from day to day.  Kicks and bites both attendants and patients.  Is kept in restraint night and day.  Tore out the greater part of her hair before muffs were applied.  Screams and cries all the time to be taken to her husband.  Gynecological examination: uterus anteverted, congested.  Old unilateral laceration considerable extent.  Healed perineal lacerations.  Thick white discharge from vagina.  Ovaries not palpable.  Cervix scarified, and tannate glycerine tampon applied.  Erosion of urethral orifice.
Mar 8.  Salpingo-oopho-hysterectomy by Dr. Stubbs.  Patient took ether very well and had no signs of shock following operation.  Strapped to bed – very restless and crying for water continually.
Mar 10.  Patient’s temperature very low.  Respirations 6, due to morphine administered. 
Mar 17.  Dressings removed.  Surface sloughing.  H2O2 and boric acid dressing.  Mental condition of patient not improved.
May 3.  Patient improved somewhat mentally.  Physical condition good.
Jun 5.  Very much improved, both mentally and physically.
Jun 15.  Has occasional fit of temper, otherwise very good.  Eats and sleeps well.
Jul 26, 1905.  Paroled.
Nov 7, 1905.  Discharged recovered.

Two forms and a handwritten note on lined paper attached.  First, standard form dated November 23, 1904: “I hereby remove [name redacted] 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 by [husband].”  Second, note: “Wil Del July 26th 1905.  Doctor Hancker, Dear Sir, If you think it advisable for her to go to Philadelphia I am perfectly satisfied.  Yours Truly, [husband’s name, redacted].”  Third, standard form dated July 26, 1905: “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, J.G. Baughman, signed by [sister’s name redacted].”

Additional notes:
Per ancestry.com seemed to be alive and living by herself in Wilmington in 1942.  Died 3/4/1943.  Buried in Cathedral Cemetery along with her husband Peter, who died in 1911.  In findagrave.com her first name is listed as Pamelia.


On certificate of:
Drs. Edward S. Dwight and Thomas C. Moore

History and clinical notes:
History:  Patient brought by Dr. Dwight who states that patient has suffering from epilepsy for past 22 years and prior to that time had good health.  Has been failing mentally for past 5 years and usually has about five attacks daily.  Physical condition – poor.  
Dec 19, 1904.  No improvement, is still confined to bed and untidy.
Jan 2, 1905.  Is having frequent epileptic attacks and is growing weaker.
Jan 26.  Developed an Erysipelatous condition of face, resulting from abscess of scalp, the right hand became infected.
Feb 1, 1905.  Grew very weak this morning.  Died at 9:50 am.  Septicemia and exhaustion.


History and clinical notes:
History:  Patient commits himself, has been a periodical drinker for years.
Nov 12, 1904.  Slept well during night and was able to retain food.
Nov 21.  Paroled.
May 4, 1905.  Discharged recovered.


History and clinical notes:
History:  Patient brought by officers, began disrobing himself in hall.  Is very nervous, sometimes violent, and seems to be partly unconscious of his surroundings.  Has taken cocaine for a long time, and also drinks.  Seems to be in very bad physical condition.
Jan 2, 1905.  Extremely nervous and is confined to bed.
May 29.  Is well behaved, but opposed to work, has given no trouble since admission.
Jun 1, 1905.  Paroled.
July 13, 1905.  Discharged.  Not insane.

Additional notes:
Died 5/19/1957; died and buried in Wyoming.


History and clinical notes:
History:  Patient has been a former inmate and “eloped”.
Nov 27, 1903 (means 1904).  Very excitable when admitted, for previous history see Book IV, page 430.
Dec 19, 1904.  Is quiet and works about ward.
Feb 28, 1905.  Condition remains same as when last reported.
Apr 2.  Is very quiet and anxious to go home.
Sep 10.  Somewhat improved since last report.  Eats and sleeps well.
Oct 11.  Some improvement since last report, works in laundry.
Oct 26, 1905.  Paroled.
Feb 6, 1906.  Discharged recovered.

Additional notes:
Died in a car accident while he was walking along road.  Died 12/23/1930.


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

History and clinical notes:
History:  Patient seems very stupid; has had epilepsy since fourteen years of age.  Attacks last for a few hours to two days.  There is a history of head injury, but no details concerning the same.
Dec 6, 1904.  Physical examination: Dullness right apex.  Heart murmur, vitral stenosis.  Intermission every third beat, displaced to right, left ventricle hypertrophied.  Chest narrow, barrel shaped.  Extreme pallor of face, lips blue; mouth always open; breathing labored.  Gynecological examination shows cystocoele, rectocele, slight urethritis, vaginitis, old perineal tear.  Cervix swollen, congested, superior lip eroded.  Old laceration, bilateral.  Right ovary enlarged and very sensitive, left not palpable.  Uterus anteverted.
Jan 30, 1905.  Sometimes violent.  Generally amiable and work about dining room.
Mar 18.  Has had convulsions (epileptic) since occasionally.  Today went into a status.  30 gms of chloral was administered per rectum; controlled convulsions but patient is very weak.
Mar 19.  More feeble today; perspiring profusely.
Apr 2.  Patient unconscious most of the time.
Apr 7.  Pupils unequal, breathing stertorus, will not rouse.
Apr 9, 1905.  Died at 7 a.m.


History and clinical notes:
History:  Has been using chloral and alcohol to excess, has been an inmate of this institution on several occasions.
Dec 19, 1904.  Marked improvement since admission.
Jan 2, 1905.  Quiet and respectful, eats and sleeps well.
Jan 12, 1905.  Discharged recovered.

Additional notes:
Died 8/12/1907 of accidental poisoning.  Buried at Riverview.  Originally from Germany.


On certificate of:
Drs. Henry R. Spruance and G.W.K. Forrest

History and clinical notes:
History:  Patient came unaccompanied bringing his own commitment papers.  Has been an inmate of this institution before.
Jan 12, 1905.  Has frequent epileptic attacks.
Jan 19.  Eloped.
Jul 13, 1905.  Discharged.  Not insane.

Additional notes:
Died at DSH 3/16/1909 in status epilepticus.  Buried in Coatesville, Pa.


History and clinical notes:
History:  Brought from Kirkbride’s on Wed, Nov 30, 1904 by attendant but papers did not arrived until today, Dec 2, 1904.  Was admitted to Kirkbride’s October 15, 1891, suffering from acute mania and remained at same institution until Nov 30, 1904.  For about one year after admission to Kirkbride’s, patient was exhilarated and industrious, he spent much time reading the bible and was desirous of conforming to hospital rules.  Then he became very destructive and untidy and his mind weakened rapidly, his destructive and untidy tendencies continued until 1902.  For past two years he has been a quiet, docile, dement.  He can do simple work under direction.  Since admission to DSH he has been quiet, sleeps fairly well, physical condition good, appetite ravenous.
Dec 19, 1904.  Quiet and respectful.
Sep 10, 1905.  Condition remains unchanged.
Jun 14, 1907.  Is untidy sometimes and shows some inclination to be violent.
Dec 13, 1943.  Died.

Additional notes:
Spent almost entire life in institutions, along with brother (next patient)


History and clinical notes:
History:  Brought from Kirkbride’s by an attendant on Wed, Nov 30, 1904, papers did not arrive until today, Dec 2, 1904.  Patient was admitted to Kirkbride’s May 24, 1889 and was discharged Aug 21, 1895.  Was in Friends Asylum, Frankford, from August 21, 1895 to Nov 6, 1896, and was again admitted to Kirkbride’s.  He was melancholy on admission to Pa. Hosp. for insane and began to degenerate, by 1890; he was mischievous, exalted, and at times destructive and untidy.  He has been noisy occasionally but for past five years has been quiet, demented, and undemonstrative but at times tears his clothing and fills his pockets with rubbish.  His father was insane and died at Penna. Hosp. for Insane, he has a brother in this institution.
Dec 19, 1904.  Some improvement in habits, since admission.
Sep 10, 1905.  Condition remains unchanged.
Jun 14, 1907.  Is untidy and somewhat destructive.
Nov 11, 1940.  Died.


History and clinical notes:
History:  Patient brought by officer who states that he (patient) has been using cocaine for past few weeks, he has also been hugging women on the streets of Wilmington; yesterday he attempted to assault a little girl and was captured.  When admitted he was extremely nervous and acknowledged that he used cocaine.
Dec 19, 1904.  Surly and disagreeable.
Jan 21, 1905.  Struck patient [name redacted] and was removed to Ward 6.
Feb 28.  Surly and opposed to work; Ward 6.
Apr 5.  Is more agreeable, transferred to Ward 4.
Sep 10.  Seems more stupid since last report.
Dec 2, 1906.  Is very abusive, threatened to kill Dr. Davies if he ever had an opportunity, uses profane language and is quarrelsome with his fellow patients – removed to Ward 6.
Dec 27.  Kicked patient [name redacted] as he passed and used profane language.
Jun 4, 1907.  Is a very mean patient, uses abusive language to officers and attendants and has threatened to kill Dr. Hancker and Davies.
Jul 9, 1957.  Still in hospital.

Additional notes:
Died at DSH on 2/10/1960.  Buried at Silverbrook.  At DSH for 56 years.


History and clinical notes:
History:  Patient brought to institution on Dec 4, 1904 but papers did not arrive until today, 12-6-1904.  When admitted he was extremely nervous and inclined to be violent; cardiac muscle weak showing effects of hyper-stimulation.
Dec 16, 1904.  Is very quiet and respectful, eats and sleeps well, marked improvement physically.
Dec 19, 1904.  Paroled.
May 9, 1905.  Discharged recovered.


History and clinical notes:
History:  Patient brought from N.C.Co. Hospital by Supt. Blackburn on Dec 3, 04 but papers did not arrive until today (12-6-04).  Patient was very excitable and claimed that certain persons were pouring some drug on his clothes; he was greatly emaciated and aenemic.  [Illegible, looks like “Arcus”] senilis – pronounced.  
Dec 19, 1904.  Is noisy at times, tears his clothes and requires restraint, appetite poor and does not sleep well.
Jan 2, 1905.  Not so noisy, eats and sleeps better.
Jan 12.  Very noisy today, refused to eat and had to be fed through tube.
Jan 29.  Very noisy, appetite poor, very much emaciated.
Feb 28, 1905.  Confined to bed, losing flesh rapidly.
Mar 5, 1905.  Died.  Asthenia and exhaustion from mania.


On certificate of:
Drs. Julian Adair and George R. Carmichael

History and clinical notes:
History:  Brought by sister and friends, who state that patient has been taking Bromidia for the relief of neuralgia, about two weeks ago he took Ʒ iii of Bromidia in one dose and since that time has been violent, has various delusions, imagines he is going to be killed.
Dec 19, 1904.  Is quiet, eats and sleeps well.
Dec 28, 1904.  Paroled.
May 9, 1905.  Discharged recovered.


Complications:
uterus, retroflexion of, and carcinoma of same

History and clinical notes:
History:  Brought by husband who states that patient has been acting peculiarly for past two months, imagines she is going to be arrested for some imaginary offense, and says she is pregnant.  Physical condition on admission – very poor.
Dec 13, 1904.  Physical examination: Lungs normal; face pale, sordes on teeth, temperature subnormal, marked cachexia.  Heart rapid and weak, uterus retroflexed, cervix slightly congested, fundus soft, pulpy, hemorrhagic; sanguineous discharge from vagina; urethra inflamed, bleb on vestibule, old perineal tear.
Jan 1, 1905.  Patient continues to grow weaker, pelvis pain, and loss of appetite.
Jan 10.  Copious greenish yellow discharge from vagina, odor very foul.
Jan 15.  Calls for water and oranges constantly, complains of pain in pelvic region.  Vomits food nearly always.
Jan 18, 1905.  Growing weaker daily.
Jan 26.  Died at 11:30 pm.  Carcinoma Uteri.


On certificate of:
Drs. Theo. Becker and George N.K. Forrest

History and clinical notes:
History:  Patient has been on a debauch, is extremely nervous and is seeing object (imaginary).  Has been an inmate of this institution before.  Has been drinking to excess for past 8 or 9 months.
Jan 2, 1905.  Rapidly growing worse.
Jan 5, 1905.  Died.  Delirium Tremens.


On certificate of:
Drs. Thomas E. Clements and William D. Burton

History and clinical notes:
History:  Patient brought by son who states that his father is noisy and violent at times.  Has a brother [who is] a patient in this institution.
Jan 2, 1905.  Is violent, removed to Ward 6.
Jan 12.  Is more quiet, eats and sleeps better.
Feb 20.  Has been noisy for past few days.
Sep 10.  Is a very difficult patient to manage, strikes his head against wall, chews his clothing, at present is suffering from a Carbuncle and he persists in removing dressing.
Oct 11.  Is very troublesome case, very untidy, irritates his body and when dressings are applied he removes them with the aid of his teeth.
Apr 8, 1906.  Suffering from Ascites, abdomen aspirated, two gallons of fluid removed.
Apr 14.  Abdomen filling up rapidly and patient emaciating rapidly.
Apr 21.  Aspirated and 2 ½ gallons of fluid removed.
Apr 30.  Aspirated and over gallon of fluid removed.
May 2, 1906.  Failing rapidly and takes very little nourishment.
May 10, 1906.  Died.  Diabetes Mellitus.


History and clinical notes:
History:  About two months ago glands of his neck became enlarged – was opened and has been attended to by Drs. G and E.  About 3 weeks ago first symptoms of insanity was noticed.  Wanted to wander constantly, friends could not watch him.  Would not stay in bed.  Talks a great deal about going to work.  Has lost some flesh and strength.  Eats well, but very restless at night.  
Jan 6, 1905.  Removed to tuberculosis building.
Jan 25.  Cervical glands very much enlarged and suppurating.
Feb 28.  Confined to bed for past week, glands very much enlarged.
Apr 27, 1905.  Died.  General tuberculosis.


History and clinical notes:
History:  Patient was brought to Hospital by Asst. Supervisor Collins at request of Trustee H.W. Baker.  Patient has been insane for a number of years.
Jan 2, 1905.  Is very noisy and requires restraint, tears his clothing and refuses to eat.  Removed to Ward 6.  
Jan 3.  Still very violent, will not eat solid food but takes predigested beef and milk.  Shows marked signed of exhaustion; placed in bed and restraint removed.
Jan 5, 1905.  6 pm.  Died.  Cause exhaustion from Epileptic Mania.

Jan 5, 1905.  While Board of Trustees were in session, a communication was received from Woodburn [last name redacted] Esq. (a brother of deceased) in which he stated that his brother came to his death from abuse and rough treatment received while a patient at this institution.  The matter was discussed before the board and that body ordered an investigation.  The testimony of the Physicians and attendants was taken by the board.  Verdict – no one found guilty of abuse.  Coroner Purks was then notified he came to institution and took sworn statements of physicians and attendants.  A post mortem examination was then held by Dr. Bastian (Coroner’s Physician); no marks of violence were found and he issued a certificate stating that death was due to Exhaustion from Epileptic Mania.

Additional notes:
Only case found so far of hospital being accused of contributing to a patient's death.


History and clinical notes:
History:  Patient has a history of being sunstruck about 6 years ago with a gradual loss of mind since that time.  For past 3 years has been extremely destructive and violent.  Daughter could hardly control her, tears her clothing and everything she can lay her hands on.  On admission was quite exhausted.  Is very much emaciated.  Has taken very little nourishment lately.
Jan 30, 1905.  Condition the same.  Eats well.  Noisy at night.  Untidy and destroys clothing.
May 3.  Is untidy and noisy at night.  Eats well.  Sings nearly all day.
Jun 5.  No change in patient’s condition.  Seems very comfortable.
Jul 15.  Is weaker and very thin.  Affected by hot weather.
Sep 18.  Physical condition somewhat improved.  Sings most of the time.
Nov 13.  Cheerful and fairly strong.  Is in bed most of afternoon.
Jun 4.  About the same, possibly somewhat weaker.
Feb 20, 1906.  Keeps fairly well.  Sings most of the time.  Untidy.
Apr 6.  Cries more than usual.  Eats well and sleeps all night.
Jul 30.  In crib.  Growing weaker.  Appetite still good.
Aug 10.  Growing much weaker.  Very restless.
Sep 30.  Very weak.  Just alive.  Much emaciated.
Oct 14, 1906.  Died, 5:45 am.  Exhaustion.


History and clinical notes:
History:  Patient brought by Sheriff Melvin who states that she has been insane for many years but seemed to attend to her household duties.  The house she lived in was unfit to afford proper shelter and she was exposed to the elements.  She has not been violent but it was deemed advisable to commit her to Farnhurst.  Patient arrived on Jan 11, 1905, but papers did not arrive until Jan 12, 1905.
May 3, 1905.  Lies about on sofa.  Eats fairly well.  Asks constantly for her son.  Tried to commit suicide by eating glass, which she obtained by breaking up a glass which held flowers on center table.  
Jun 5.  Talks constantly about son, pleading for her release.  Eats and sleeps well.  Uses a great deal of snuff.  
Sep 18.  No change mentally or physically.
Nov 13.  Condition the same; eats and sleeps well.
Jan 4, 1906.  Rather run down physically, quiet, sleeps well.
Feb 20.  Sometimes unruly.  Eats little but sleeps well.
Apr 6.  No change in any way.
Jul 30.  No change in any way.
Apr 2, 1907.  Condition unchanging.
Nov 12.  No mental or physical change.
Jul 11, 1908.  No change.
Dec 1.  Very quiet.  Works in kitchen.  Physical condition fair.
Jul 12, 1909.  Unchanged in condition.  Very quiet.
Jan, 1919.  Patient put to bed, cannot walk.  Mentally and physically getting worse.
Jan 10, 1920.  Patient getting worse.
Oct 10, 1920.  Patient died this morning at 5:40 am.  Chronic myocarditis, 5 years.

Additional notes:
Admitted on same day as her son who is MR.  Buried at DSH, Grave #318.


On certificate of:
Drs. Jefferson M. Luff and Samual G. Cubbage

History and clinical notes:
History:  Patient brought by Ex-Sheriff Melvin who states that he has been mentally unbalanced since birth and has become a menace to community.  When he has money he drinks and becomes violent and has been incarcerated on several occasions.  He had gonorrhea 3 years ago.  He is always complaining about having fever and wants medicine for same.  Patient arrived on Jan 11, 1905, but papers did not arrive until Jan 12, 1905.
Feb 1, 1905.  Complains of “fever in his back.”
Apr 5.  Anxious to go home, is quiet, eats and sleeps well.
Apr 30.  Escaped from institution in company with [name redacted], was captured and returned to institution.
Sep 10.  Is very quiet since last report.
Oct 11.  Very anxious to go home for a few weeks and promises to return to remain during the winter.
Jun 14, 1907.  While being transferred from Wd. C to Wd. 6 he attempted to assault Supervisor Nickle and fought desperately until finally subdued.
Jan, 1910.  No change.  Very violent at times.  Has to be restrained constantly.
Nov, 1912.  No improvement.  Has a severe cough and is losing flesh.
Aug 1, 1913.  Has been in bed for past 2 months.  With lungs tubercular.  Is steadily failing.
Aug 6, 1913.  Patient died at 3:15 pm.  Phthisis Pul.

Additional notes:
Brought on same day as mother.  Died before her.  Buried at DSH, Grave #229.


History and clinical notes:
History:  Brought from N.C.Co. Workhouse where he was committed about ten days ago.  He has been a former patient in this institution.  
Feb 8, 1904 [mean 1905].  Taken to court this morning by officers of N.C.Co. Workhouse and placed on trial for Larceny, but was found not guilty by reason of insanity and was committed to Del State Hosp by order of Court.
Apr 12, 1905.  Quiet and works about dining room.
Sep 10.  Is very indolent, physical condition is good.
Oct 11.  Gives us no special trouble but bears watching.
Dec 2, 1906.  Condition remains unchanged.
Dec 16.  Has been very troublesome and requires restraint.
Jun 14, 1907.  No improvement, always bears watching.

Note: From ancestry.com and related sources, he died in March of 1909 while still a patient at Farnhurst, of pulmonary tuberculosis.


On order of:
Court of General Sessions, N.C. County, Del.

History and clinical notes:
History:  Patient is committed by Court of General Sessions of N.C. County.  He was charged with “Breaking into dwelling house” but was found not guilty by reason of insanity.  Has been an inmate of this institution before, see Book IV, Page 383.
Feb 28, 1905.  Quiet and cheerful, eats and sleeps well.
Sep 10.  Is cheerful, in good health and gives us no trouble.
Oct 11.  Condition the same as when last reported.
May 14, 1906.  Discharged as not insane by order of court this day.


On certificate of:
Drs. Dorsey W. Lewis and Charles A. Ritchie

History and clinical notes:
History:  Patient comes to hospital voluntarily; last summer she suffered from neurasthenia and was quite melancholy.  She has alternating periods of depression and excitement and is gradually growing worse.  She also suffers from dysmenorrhea.  Appetite very good and sleeps well at night.  
Feb 20, 1905.  Very lively and talkative.  Gynaecological examination – vestibule somewhat inflamed, hymen not intact.  Impossible to introduce vaginal speculum.  Uterus small, good position.  Cervix rather long and very rigid.  Left ovary palpable, right not so.  No vaginal discharge.  History of dysmenorrhea.
Mar 30.  Patient not near as talkative as last note indicated.  Is cheerful and has improved materially.  As her mother has moved to Phila she was removed today by friends at her mother’s request and taken to P.  
Mar 30, 1905.  Discharged improved.

Additional notes:
Died age 51 of stomach cancer; 7/11/1936.  First name Eva.


History and clinical notes:
History:  Brought by friends who state that first symptoms became manifest in March 1904, when she claimed people were after her, that men climbed in her window at night and would attempt to assault her.  Has been destructive in regard to her clothing.  She does not sleep well at night, appetite ravenous.  Masturbates a great deal.
May 3, 1905.  Is very silly in her talk.  Behavior indecent.  Eats well.
May 13.  Gynaecological examination – uterus in good position, cervix swollen and os congested and slightly eroded.  White catarrhal discharge, not [illegible].  Heart rapid, some roughness of first sound.
Jun 5.  Condition unchanged.  Patient quiet, but very silly.
Jul 15.  No change in any way.
Nov 13.  Worse.  Impertinent, violent, and noisy.  Transferred from B to III.
Jan 4, 1906.  Simple and foolish in conversation.  Fair physical condition.  Sometimes noisy.
Feb 20.  No change.  Gives very little trouble.
Apr 6.  Foolish in conversation.  Eats and sleeps well.
May 1.  Patient threw teeth on floor and tramped on them in fit of anger.  Is more foolish than ever and irritable.
Jul 30.  Disgusting in language and behavior.  Eats well.
Apr 2.  [date out of order, or else 1907] No change in any way.
Nov 12, 1907.  Very insane.  Fair physical condition.
Jul 11, 1908.  Very disturbed.  Physical cond not good.
Dec 1.  Mental condition unchanged.  Physical condition good.
Jun 8, 1909.  Condition same; in good physical condition.
Jul 12.  Failing verbally; very childish; physically well.
Feb 15, 1910.  Has been failing for some time past.  Both lungs tubercular.  Friends were notified of her condition and her son and husband visited her.
Mar 10.  Continues to fail and has lost flesh – bowels very loose.  Coughs incessantly.
Mar 28, 1911.  Is very low tonight; semi-conscious.  Cannot last very long.
Mar 29, 1911.  Died.  Phthisis pulm.


On certificate of:
Drs. James G. Stanton and George W. Pleasanton

History and clinical notes:
History:  Brought by Dr. Pleasanton, who states that he has only had patient under observation for a few days.  Patient is quiet, appetite poor, and she does not sleep well, imagines her husband is dead and fears she is to be hanged.  Physical condition – aenemic and emaciated.
May 3, 1905.  Has delusions, is incoherent in conversation and eats very little, requiring constant urging.  Grows thinner all the time.
Jun 5.  No change in patient’s condition.  Eats when sufficiently urged.
Jul 15.  Is growing stout.  Eats a little better.  Quiet and tractable.  
Sep 18.  Exposes herself indecently at windows.  Physical condition good.
Nov 13.  No change – very simple and silly; untidy about person.
Jan 4, 1906.  Untidy, noisy, and indecent.  Kept on Ward III.  Physical condition fair.
Feb 20.  Little change.  Tears clothing and very disorderly.
Apr 6.  Very vicious and stubborn at times.  Works on ward.  Eats and sleeps well.
Jul 30.  Condition unchanged.
Apr 2, 1907.  Very quarrelsome.  Emaciated, but eats heartily.
Aug 1.  Patient was put to bed yesterday.  Has been slightly ailing for some time.  Temperature 103° F at 4 pm.  Rose spots on abdomen, typical typhoid tongue.  Widal reaction positive in hospital laboratory.  Specimen sent to Newark.  Brandy baths (sic) and regular typhoid treatment instituted.
Aug 2.  Positive report from Newark Laboratory.  Patient temp remains about the same, 101° F am, 103° F pm.  
Aug 3.  No change.  Highest temp yesterday at 2 pm, 103.4.
Aug 10.  Patient failing rapidly has been delirious for past 3 days.
Aug 11, 1907.  Died, 3:45 pm.  Typhoid fever.


History and clinical notes:
History:  About three years ago patient and his father were out on a debauch and as a result the father died, since that time patient has been greatly depressed.  Physical condition fair, appetite fair, sleeps poorly.
Mar 25, 1905.  Is very stupid; sleeps well but has a poor appetite.
May 3.  Appetite improved, no mental improvement.
May 17.  Very slothful and it is difficult to get him to do any work about ward.
Oct 11.  Habits are very bad, masturbates when not in restraint, expectorates on floor, constantly picking at his face and keeping same in an irritated condition.
Dec 2, 1906.  No mental improvement; physical condition fair.
Jun 14, 1907.  Is very indolent and shirks work.
Jul 1, 1908.  Transferred to T.B.; is failing rapidly.
Aug 16, 1908.  Died.  Phthisis pulmonalis.


On certificate of:
Drs. Samuel T. Cubbage and Jefferson M. Luff

History and clinical notes:
History:  Brought by ex-sheriff Melvin, who states that patient has been weak minded since he was six (6) years old, supposed to have been due to an attack of scarlet fever.  He was always quiet until a few days ago, when he became suddenly violent and threatened to kill his family.  This sudden fit of violence was probably caused by grief; his mother having died yesterday.
Mar 25, 1905.  A marked improvement since admission; eats and sleeps well, works about grounds and is cheerful.
Mar 31, 1905.  Paroled.
Oct 11, 1905.  Discharged recovered.

Additional notes:
He was upset over the death of his mother and went to DSH for a couple of weeks only.  Seems to have lived until 1921 (findagrave.com).


History and clinical notes:
History:  Patient had an injury to head when two years old and has been weak minded since that time.  Eats and sleeps well and is quiet.
May 8, 1905.  Habits bad.  Very quiet, but occasionally tears clothing.  Eats and sleeps very well.
Jun 5.  Patient the same mentally and physically.  Is quiet and orderly about her person.
Jul 15.  Just the same.  Is helpful about ward.
Sep 18.  Quiet and amiable.  Helps in dining room.  Eats rather sparingly.
Sep 28, 1905.  Paroled.
May 7, 1906.  Discharged unimproved.

Partial note on line paper attached – right side of note mostly missing.  “Wilmington, Sept 28, [1905] Dr. Hancker, Please allow [name redacted] to pay a visit to Mrs. [illegible name] and oblige her sister.  Signed, Mrs. [name illegible].

Additional notes:
Weak-minded since head injury at age 2.  In 1910 census, she is back in DSH.  Could not find death info.


History and clinical notes:
History:  Brought by husband who states that patient first showed signs of mental trouble during Dec., 1903, when she became very irritable and at time despondent, she imagined her husband was going to fail in business.  For past 3 weeks she has not slept well.  Last Sunday (Mar 5, 1905) she visited her sister in Phila and attempted suicide by taking [illegible – looks like the name of a patent medicine perhaps – “Quick Opii.”]  Physical condition, on admission, was fair.
May 3, 1905.  Patient has dropsical swelling of feet and some fluid in abdomen, appetite fair.  Urine contains 5% albumin.  Basham’s mixture and special diet ordered.  Seems weak.  Mind a trifle clearer.
Jun 5.  Urine negative.  Medicine discontinued.  Has refused to eat for some time, and has been fed by tube.  No mental improvement.
Jul 15.  Has had several attacks of irritability in which she shows violence; attacked night watch.  Swears occasionally.  Eats heartily.  Sometimes noisy at night.
Sep 18.  Grows worse.  Makes frequent attempts to do violence to nurses and patients.
Nov 13.  Growing worse.  Urinates all over floor and is otherwise untidy, violent at times.
Feb 20, 1906.  No change.  Untidy and very insane.
Apr 6.  Very untidy.  Quiet.  Eats and sleeps well.
Jul 30.  No change in any way.
Apr 2, 1907.  Patient untidy, very insane.  Eats voraciously.
Jul 11, 1908.  No change in any way.
Dec 1, 1908.  Mental and physical condition unchanged.
Jun 8, 1909.  Condition unimproved.  Very untidy.  Kept in restraints all the time.
Jul 12, 1909.  Failing mentally, very untidy.
Aug 23.  Large abscess on left leg opened and drained.
May 12, 1914.  No improvement; is noisy at times and untidy.
Jul 24, 1915.  Removed today against advice of Supt.
Jul 24, 1915.  Paroled.
Dec 13, 1915.  Discharged unimproved.

Standard form attached.  Dated July 24, 1915.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness, T.W. Davis.  Signed by patient’s husband [name redacted].

Additional notes:
Died 8/19/1916, just over a year after she was taken out of DSH AMA.


History and clinical notes:
History:  Brought from Trenton, NJ Asylum, where she had been an inmate for 2 years.
May 3, 1905.  Eats moderately well.  Usually sleeps well.  Will not talk at all, dozes during the day, and is not strong physically.  Cough has somewhat improved.
Jun 5.  Condition unchanged.  Eats moderately well.  No improvement mentally.
Jul 15.  Growing more emaciated daily.  Profuse night sweats.  Breath foul.  Coughs dry hacking cough continually.  Appetite failing.
Sep 28.  Grows weaker.  Begs of chocolate continually.  Could not find T.B. in sputum.  
Oct 4.  Worse this week.  Seems weaker and rather stupid.
Oct 22, 1905.  Has grown rapidly weaker and more emaciated, unconscious today.  Died at 5:30 pm, asthenia.

Additional notes:
Had been in NJ asylum for two years prior to being brought home to Delaware.


History and clinical notes:
History:  Patient brought by officers who state that he has been drinking to excess, and he also suffered from occasional epileptic seizures.
Apr 2, 1905.  More quiet, not so talkative.
May 3.  Has occasional epileptic seizures, very severe in character.
Oct 11.  No improvement mentally, very disagreeable previous to and following epileptic seizures.
Oct 18.  Condition remains unchanged, was removed today against advice of Supt.
Oct 18, 1905.  Paroled.
May 7, 1906.  Discharged unimproved.

Standard form attached.  Dated October 18, 1905.  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.N. Davies.  Signed by patient’s father [name redacted].

Additional notes:
He died in 1912, and was buried in Wilmington in a family plot.


History and clinical notes:
History:  For previous history see Case Book 3, pages 294 and 397.  Was removed from this institution by her mother against advice of Superintendent Sept 21, 1899.  About two weeks ago wrote an incoherent letter to the Trustees of this institution demanding money, and later wrote to State Treasurer demanding $4,000.  Supt requested Chief of Police of Wilmington to have her placed under arrest and examined as to her insanity.  The letters are hereby [illegible].  
May 3, 1905.  Very vile and obscene in her language, otherwise gives no trouble.  Eats and sleeps.  Delusions continue.
Jun 5.  Quiet, but still very shameless in conduct and conversation.  Eats and sleeps well, gives no trouble.
Jul 15.  No change.  Conversation not so obscene.  Eats and sleeps well.
Sep 18.  Is now in restraint for attacking Miss Melvin.  Begs constantly to be freed.  Eats and sleeps well.  
Oct 13.  While in dining room today struck attendant Fel (?) over head with China cup, cutting a deep incised wound.  Patient said that she intended to kill her and she would then kill Dr. Hancker.
Nov 13.  Indecent language; constant restraint.  Threatening to kill doctors.
Jan 4, 1906.  No change, except somewhat quieter.
Feb 20.  No change.
Apr 6.  No change.
Jul 30.  No change in any way.
Apr 2, 1907.  No change in any way.  Obscene language.
Nov 12.  Very pale and thin.  No mental change.
Jul 11, 1908.  In fair condition physically.  No mental change.
Dec 1.  Sometimes attacks other patients.  Physical cond good.
Jun 8, 1909.  Condition same.  Very obscene at times; thin and pale but says she feels well.  Patient has large uterine fibroid, suffers from extreme neuralgia.
Dec 16, 1946.  Died.

Letter attached, on small piece of lined paper, folded in half, written on front and both sides inside, plus another small piece of paper glued inside.  “Wilmington, Del., March 23, 1904.  To the State Treasurer of Delaware.  I have sent my bill in to the trustees of the State Insane Asylum and have not heard from them yet.  I am very much in need of the money you owe me for my work that I have been compelled to do while my husband was in the West, also while held here.  I am continually annoyed by some truly drunken paupers or beggars and I can hardly earn enough to get bread and desert (sic) [illegible words] for myself my husband’s name is Harry H. [last name redacted] the are that west – and the cause of being continually in the debt of a German or German government [ill.] lose of stock and furniture that Harry H. [last name redacted] sold was about 4,000 dollars as well as my 20 hard year work know if you can.  Settle this bill and the man is any good to you after the long years of [ill.] and work he as gotten out of me you can have him but send me my money at once.  Mrs. Annie D. [last name redacted] if you half to sell even on that employs him or keep him one night until he comes to me with any money this is my command.  What he sold was my [ill.] earnings [ill.] club rooms bar rooms or cigar stores or private homes.  I do not own a dress to my back or coat or a pair of shoes today.”  Separate small piece of unlined paper glued inside larger lined paper says:  “St. insane asylum.  1 time to prison arrested for car fare in Philia should have [ill.] earning a salary or getting 25 a week damages for the rongs (sic) all for the want of a week or two.  Just please give this attention and pay at once.  [On reverse]: 4,000 stock and fixtures, furniture; 1 husband [ill. words], 52 week work, 25 dollars with hair dressing and shampooing.  10 years work and sickness since while waiting for my money and husband.  Sent twice to Greenbank Workhouse.  Signed [patient’s name redacted], address.


History and clinical notes:
History:  Brought by officers, who state that patient has been mentally unbalanced for several years but has never been violent.  
Apr 1, 1905.  Patient much improved mentally and physically.
Apr 8, 1905.  Paroled.
Jul 13, 1905.  Discharged recovered.

Standard form attached, dated April 8, 1905.  “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: G. Baughmann.  Signed [patient’s husband’s name redacted].

Additional notes:
She was back in DSH in 1910 census; no further info.


History and clinical notes:
History:  Brought by officer who could give no history of patient since her discharge from hospital.  A former patient in this institution and was discharged recovered April 2, 1902.  For previous history see Book IV page 239.
May 3, 1905.  Patient talks very incoherently.  Eats and sleeps well and is very helpful in dining room.  Keeps herself very neat and clean and is neat about her work.  Is amiable and cheerful.
Jun 5.  Language villainously vile.  Transferred to III because of indecent behavior and foul language.  Physical condition fair.  
Jul 15.  Has had bad sore throat.  Recovered and returned to Ward III.  Foul language continues.  Eats and sleeps well.  
Sep 18.  Indecent language.  Is somewhat better physically.  
Nov 13.  Very unmanageable.  Violent and sly – in constant restraint.
Jan 4, 1906.  Not much change.  Has periods of quiet and docility.
Feb 20.  Very insane.  Language most indecent.  Physical condition fair.
Apr 6.  Very disturbed.  Uses bad language.  Physical condition good.
Jul 30.  Foul in language and behavior.  Physical condition fair.
Nov 12, 1907.  No mental or physical change.
Jul 11, 1908.  Rather run down physically.  No mental improvement.
Dec 1.  Very foul language.  Physical condition fair.
Jun 8, 1909.  Physical condition fair.  Past ten days her conduct has been indecent and language foul, ordinarily very tidy and a good worker.
Jun 12, 1946.  Died.

Additional notes:
Buried at DSH, Grave #576.  First name is Louisa.  Actually died 6/13 according to death certificate.


History and clinical notes:
History:  Brought by officers who could give no history of patient except that he has been drinking to excess.
Apr 2, 1905.  Sleeps and eats well and is rational.
Apr 7, 1905.  Discharged recovered.

Additional notes:
Died 4/16/1913 of alcoholism; was a saloonkeeper.


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

History and clinical notes:
History:  Brought from Alms House where he has been a patient for past year; lately he has not been eating or sleeping well and is noisy but not violent.  Patient is not able to walk without assistance and was placed in bed.
Apr 20, 1905.  Rapidly growing weaker and does not take sufficient nourishment.
Apr 22.  Very weak and cannot take nourishment.
Apr 30, 1905.  Died.  Senile dementia.


History and clinical notes:
History:  Brought by officers who state that patient imagines he possesses great wealth and has been writing checks for large sums of money.  His father was an inmate of this institution in May, 1901 and was discharged August 5, 1901.  
Apr 2, 1905.  Very restless, wants to communicate with the Physicians at frequent intervals, complains about the diet he is receiving, sent a note to office this evening, saying he would attempt suicide if he is not released.  Placed in restraint.
Apr 12.  Using vile language; sent to Ward 6.  
May 3.  Transferred to Ward C better behaved.
May 20.  Removed from institution to day by his mother, against advice of Supt.
May 20, 1905.  Paroled.  Standard memo form attached.  Dated May 20, 1905.  “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 [patient’s mother, name redacted].
Jul 13, 1905.  Discharged improved.

Additional notes:
Died in Selbyville, Delaware 4/15/1954 according to ancestry tree.


History and clinical notes:
History:  Patient has been mentally unbalanced for past ten years, but Saturday he attempted suicide but rope broke; as a result he is suffering from a sprained ankle and subconjunctival hemorrhage.  He is gradually getting worse and a few days ago, threatened to kill his housekeeper.
Apr 14, 1905.  Patient placed his foot under hot water spigot and was burned.
Apr 20.  Foot is much improved.
Apr 27.  Able to be about ward again, is not so depressed.
May 17.  Quiet and not very communicative, eats and sleeps well.
Sep 7, 1905.  Paroled.
Feb 8, 1906.  Discharged recovered.

Standard memo form attached.  Dated Sept 7th, 1905.  “I hereby remove my brother-in-law from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness: Wm. H. Hancker.  Signed [patient’s brother-in-law, name redacted].


History and clinical notes:
History:  Patient has been an inmate of this institution (#1583, see Page 3) under date of March 8, 1904 and was discharged apparently recovered Jan 12, 1905.  Since that time he has gradually growing (sic) worse, says he has “Liver Trouble.”  Physical condition – fair.
Oct 11, 1905.  Much improved, does not complain of so “many” physical ailments, as he formerly did.
Dec 2, 1906.  No change since last report, works in Tailor Shop.
Jun 14, 1907.  Has been in T.B. for past few months, suffering from a Tubercular abscess of back.
Jun 6, 1908.  Gradually growing worse, has a poor appetite and does not sleep well.
Aug 26, 1909.  Died.  General tuberculosis.


History and clinical notes:
History:  Patient brought by officers who could give no history except that patient was employed by Ryan Kelly (contractors).  Patient was very violent and officers state that he knocked down several men before being arrested.
Apr 20, 1905.  Has been quiet for past week.
May 12.  Paroled.
Jul 13, 1905.  Discharged recovered.

Newspaper clipping attached:  “Crazy Man Creates Havoc Along the Coast.  With the impression that someone was after him, [name redacted], colored, aged 45 years, walked into the police station this morning shortly after ten o’clock and asked Captain Evans to […] every man, woman and child in the city of Wilmington locked up and he would appear against them.  Captain Evans replied, “All right, we will do that for you,” and then [the man] left the station house.  Immediately he went to Front and Market Streets and began to clear the coast by punching everyone he met in the face.  The first man [he] came in contact with was Isaac Anderson, colored, known as “King Isaac.”  He received a stiff punch in the jaw and this almost caused a riot, for Anderson is well thought of by all the colored people and others who visit the coast.  [Patient] continued on his rampage and at Front and French Streets he punched Michael Maloney the […] closing his optic.  By this time a crowd was following [the patient] but when he saw police making their way through the crowd he started to run.  The chase was a lively one and it […] only by the assistance of some men who were standing at Third and P[…] Streets that [the patient] was caught.  They held him until the arrival of Patrolman Dutton who immediately placed him under arrest.  This did not meet with the approval of [patient] and he became very angry and unmanageable.  The nippers were placed upon his waist and by a twist they were broken like a piece of string.  Officer Dutton then used another method to subdue his prisoner and by the aid of several men [patient] was held until the arrival of the patrol wagon.  The prisoner was taken to the police station and by the aid of several officers he was placed in a cell.  [……] Surgeon Joseph P. Wales was […] and after making an exam- […] to [patient] a mental condi-[…] found him to be a violent pa- […] the Delaware State Hospital […] at Farnhurst.  [Patient] was […] institution this afternoon.”  [Ellipses indicate where left edge of ancient newspaper article was eroded]

Additional notes:
Newspaper article references King Isaac of Wilmington.


History and clinical notes:
History:  Brought by officers who could give no history of patient.
Apr 26, 1905.  Quiet and shows slight improvement mentally.
Jul 8.  Has suffered several attacks during past 24 hours, has severe muscular contractions on left side.
Sep 25.  Very much improved and has always been well behaved.
Sep 29, 1905.  Paroled.
Oct 5, 1905.  Discharged recovered.


On certificate of:
Drs. Joseph P. Wales and Irvine M. Flinn

History and clinical notes:
History:  Was a former patient in this institution, was paroled in August 1904 and discharged in Jan, 1905.  Officer states that he was arrested for following people and threatening violence.  For previous history, see Book V, page 18.  
May 5, 1905.  Quiet since admission, eats and sleeps well.
Aug 7, 1905.  Paroled in care of brother.
Oct 11, 1905.  Discharged recovered.


History and clinical notes:
History:  Brought by officers who can give no history.  Patient is delusional, says he has large contracts of work, wants to build hospitals for the poor, has numerous Socialist ideas.
Apr 22, 1905.  Very noisy and violent, requires restraint.
Apr 27.  More quiet, suffering from Laryngitis due to excessive use of voice.
May 1.  Very noisy, made an attempt to strike Dr. Davies and attendant H. Hudson, was placed in restraint.
Oct 11.  Marked improvement since last report, is very kind to his fellow patients on ward.
Jan 3, 1906.  Condition remains about the same as well last reported.
Jan 6, 1906.  Paroled.
May 7, 1906.  Discharged improved.

Newspaper clipping attached:  “Socialist Leader Insane.  [name redacted] demanded $25,000 from Chief Justice Lore.  Twice Candidate for Governor.  Brooded Over Case Tried Before the Chief Justice Twelve Years Ago, Which He Lost – Mind Has Been Failing For Some Time.  [name redacted] was committed to the Delaware State Hospital for the Insane at Farnhurst on Friday.  For the past three weeks he had been writing letters to newspapers demanding $25,000 from Chief Justice Lore, and he declared that when he got the money he proposed spending $5,000 for the State Socialist organization, $5,000 for the national organization and the balance to further the interests of organized labor.  [His] reason for demanding $25,000 from Judge Lore was because of a case tried before the Chief Justice twelve years ago, in which [he] figured.  [He] demanded a transcript of the vend in this case or else demanded that the Chief Justice be sent to jail.  Twelve years ago, [he] had another German arrested on the charge of alienating his wife affections, and the man was committed to New Castle jail.  Finally proceedings were instituted for his release and the case came before Judge Lore.  At that time [he] did not believe in God or the Bible and the man’s unbelief was reported to Chief Justice Lore.  When about to take the oath on the witness stand he was asked concerning his belief and for over five minutes he stood thinking.  Finally he announced he believed in God and in the Bible, and he was sworn.  The case was dismissed and [he] has brooded over it ever since.  Three weeks ago he left his employment to get the daily papers which contained reports of the case.  He also wanted a transcript of the record and threatened to do damage should he be denied his request.  He wrote several letters to newspapers in a legal form demanding $25,000 for Socialist work.  [He] had been the candidate for Governor on the Socialist ticket in 1900 and 1904.  He was the leader of that party in Delaware.  People in the neighborhood of his home, No. 119 North Jackson street, having noted that his mind was failing, and fearing that while under the spell of some of his hallucinations he might do damage to himself or others, requested the police to take him in charge.  Dr. A.E. Frantz and Dr. Irvine M. Flinn examined him Friday morning and he was pronounced insane and afterwards taken to the Delaware State Hospital at Farnhurst.  [He] has been a resident of Wilmington for eighteen years, having come here from Germany after being married.  He was considered one of the best machinists in Wilmington and always could find employment.  He had a strong hold on the labor organizations in Wilmington.”


On certificate of:
Drs. P.W. Tomlinson and J. Harvey Spruance

History and clinical notes:
History:  Sister states she was insane in Ireland, has lived in U.S. one year.  Brought by sister and friends who state that patient has been worrying over death of a sister, which occurred in Dec, 1904.  Patient is very noisy but not violent, sings, and is quite boisterous.
May 3, 1905.  Very noisy and untidy, masturbates.  Kept in restraint.  Appetite good.  Noisy at night unless given chloral mixture.
Jun 5.  Is filthy in her habits.  Kept constantly in restraint.  Screams and sings and twists her body into all sorts of contortions.
Jul 15.  Growing thin.  Constantly excited, laughing, singing.  Eats ravenously.
Sep 18.  Very little change.  Possibly a little less excitable.
Nov 13.  No change.  Untidy and noisy, often vicious.
Jan 4, 1906.  About the same.  Very vulgar and indecent in language and deportment.
Feb 20.  Some improvement.  [Ill.] noisy, and more manageable.
Apr 6.  Mischievous and dirty, but habits not untidy.  Eats and sleeps well.
Jul 30.  Patient has steadily improved both mentally and physically.  Is now on Ward A.  Eats and sleeps well.  Has indigestion.
Aug 1.  Has steadily improved for past month and was removed by her sisters today.
Aug 1, 1906.  Paroled.
Sep 27, 1906.  Discharged recovered.

Note:  Could find no more info via ancestry.com.


History and clinical notes:
History:  Brought from Kent Co. Almshouse by Supt. Caulk, patient had a severe contusion of face when admitted.
May 3, 1905.  Very feeble and falls frequently when she tries to stand or walk.  Has been put to bed.  Mind very active, no delusions whatever.  Is perfectly aware where she is and tells how they decoyed her here.  Hearing and sight good, appetite fair.  Bruises on face and neck, severe, from falls previous to her coming to this hospital.  Is very much disturbed by noise about her both during the day and at night.
Jun 5.  Patient kept in bed most of the time, is weak, half blind and very fretful.  Appetite very good, sleeps well.
Jul 15.  Stronger physically, more amiable, appetite fairly good.
Sep 18.  In very good condition physically.  Is somewhat irritable.
Nov 13.  Condition same.  Is somewhat feeble, but eats and sleeps.
Jan 4, 1906.  Very patient and amiable.  Has frequent attacks of diarrhea.  Eats well.
Feb 20.  Condition remains the same.
Apr 6.  Physical condition good.
Jul 30.  No change in any way.
Oct 15.  In fairly good condition.
Jan 1, 1907.  No change, up and about the ward at times very cross and irritable.
Mar 11, 1907.  Had several well marked epileptic seizures almost a status.
Mar 12.  Has had convulsions nearly all night.
Mar 13, 1907.  Has had convulsions all morning; no intermission of consciousness.  P.M. patient very much weaker, gradually fails, convulsions extremely severe.  Died at 3:45 p.m..  Status epilepticus.


History and clinical notes:
History:  Brought from Kent Co. Almshouse by Supt. Caulk.
May 3, 1905.  Patient quiet, contented, and well behaved.  Eats and sleeps moderately well.  Is rather simple in her talk, but has no delusions.  Is not very strong physically.
Jun 5.  Very quiet and affable.  Eats and sleeps well.  Near and careful personally.
Jul 15.  Weakened physically by hot weather.  Affable and quiet.
Sep 18.  Eyes very weak.  Physical and mental condition good.
Nov 13.  Quiet and cleanly.  Eats and sleeps well.  Eyes still weak.
Jan 4, 1906.  In fairly good physical condition.
Feb 20.  No change.
Apr 6.  Quiet and in good physical condition.
Jul 30.  In good condition.
Oct 15.  More feeble and childish.
Apr 2, 1907.  Very feeble.  Cheerful and eats and sleeps well.
Nov 12.  Very weak.  Eats well.  Mind almost a blank.
Dec 25.  In bed.  Unconscious most of the time.  Growing very emaciated, very feeble.
Jan 31, 1908.  Died.  Senile Asthenia.

Additional notes:
Brought with previous patient from Kent County Alms House.  Old and senile.  Not insane.


History and clinical notes:
History:  Brought from Kent Co. Almshouse by Supt. Caulk.
May 3, 1905.  Patient quiet and well behaved.  Talks quite rationally and complains of noise about her and is afraid of other patients.  Transferred to Ward B this morning.  Eats fairly well.  Has chronic conjunctivitis left eye.
Jun 5.  Condition about the same.  Eye much improved.
Jul 15.  No change.  Hypochondriacal, constantly complaining.  Eats well.
Sep 18.  Less troublesome.  Physical condition good.
Nov 13.  No change in any way, stupid and silly.  Eats and sleeps well.
Jan 4, 1906.  No change.
Feb 20.  No change in any way.
Apr 6.  No change.  Quiet and inoffensive.
Jul 30.  Just the same.  Eats and sleeps well.
Oct 15.  No change.
Apr 2, 1907.  Condition unchanged.
Nov 12.  In good physical condition.  No mental change.
Dec 1, 1908.  No change in any way.  Works in kitchen.
Jun 8, 1909.  Condition same.  Works well.
Sep 15, 1920.  No change in any respect.  Her daughter [name redacted], a former patient here, visited her today and said she would take care of her – was allowed to go.
Sep 15, 1920.  Paroled improved.

Note:  Could not find any more information from ancestry.com

Additional notes:
Was in DHS for 15 years, beginning at age 55, then her daughter came and got her and took her home.


History and clinical notes:
History:  Brought to hospital by officer who states that attack began 3 weeks ago; for past two weeks patient has been confined to bed and on admission to hospital she was very weak and depressed; talks about killing herself and is somewhat violent.
Apr 30, 1905.  First attack began about 15 years ago, when she was placed in Norristown Asylum where she remained for two years; she was discharged as cured and remained so until 3 weeks ago.  No insanity traceable in family, but she has had a vast amount of domestic trouble.  
May 3.  Patient is restless and sometimes noisy at night.  Has to be tied in bed.  Has profuse leucorrheal discharge.  Says her stomach is full of nuts and eats very little.  
Jun 5.  Patient attempted to strangle herself with cord a few days ago.  Has since been kept in restraint.  Is melancholy but eats fairly well.  
Jul 15.  Has made nine attempts to (sic) suicide.  Is kept in close restraint.  Eats and sleeps well.
Aug 3.  Made an attempt to commit suicide by swallowing a hair pin.  Same was extracted.
Sep 18.  Has made two attempts at suicide since last report; refuses to eat today, and was tubed this morning.  Declares God has cursed and she is a murderess.  Wails constantly.
Nov 13.  Remains about same.  Attempts suicide repeatedly.  Eats well.
Jan 4, 1906.  Very despondent.  Has not attempted suicide lately, and is allowed to be out of restraint occasionally, under strict surveillance.
Feb 20.  Very troublesome patient.  Swallowed two twisted hairpins, one of which was removed.  The other, according to patient, is in stomach.
Apr 6.  Has made two more attempts to kill herself by strangling.  Is very disturbed and begs for medicine to put her to sleep.  Gets out of all restraint – has to be constantly watched.  Says next time she shall hang herself to screen transom.
Jul 30.  Very troublesome.  Has made several new attempts to kill herself.
Oct 15.  No change.  Frequent attempts at suicide in past month.
Mar 13, 1907.  Patient has been failing very rapidly for past 2 weeks.  For past three days has been more or less unconscious and failing rapidly.  Died this 8 am.  
Mar 13, 1907.  Died at 8 am.  Exhaustion from mania.

Additional notes:
Multiple attempts at suicide; domestic trouble.


History and clinical notes:
History:  Brought by officers.  She has been a patient in this institution before under date of Aug 19, 1902 and was discharged unimproved Apr 13, 1903.  For previous history see Book IV, page 304.  
May 3, 1905.  Refuses to eat and is fed by tube twice a day.  Seems very melancholy and will not talk.  Is very mean today from want of food.  Vomited up feeding, which was repeated, but only half of it retained.
May 9.  Paroled unimproved.
Jun 8, 1905.  Was paroled May 9, 1905.  Discharged unimproved.
Note:  See 51351715 – she was returned several months later.


History and clinical notes:
History:  Patient has been peculiar for past two years, particulars cannot be given by the daughter.  Daughter states that her father began to talk about religion about 2 weeks ago; said he was an infidel, etc. etc.  Patient has gradually grown worse; for past few days has been quite maniacal.  Has threatened to kill his entire family.  Imagines that people are after him.  Lately has not ate much.  Does not sleep at night.  Very restless and irritable.
May 3, 1905.  More quiet today, restraint removed.
Jun 1.  Very much improved, eats and sleeps well.
Jun 16, 1905.  Paroled.
Oct 11, 1905.  Discharged recovered.


History and clinical notes:
History:  Brought by father who states that patient has used alcoholic liquors to excess and for past few weeks he has been growing stupid, answers questions after some deliberation, asked to be brought to this institution for treatment.  Sleeps and eats poorly but general health is fair.
May 17, 1905.  Quiet, sleeps and eats well, shows evidences of slight vaso-motor paralysis but is improving under treatment.
May 24, 1905.  Paroled.
Jul 13, 1905.  Discharged recovered.

Additional notes:
Readmitted to DSH on 1/27/1941, died 4/2/1942.


History and clinical notes:
History:  Brought by officers who could give no history of case but certificate states that his fellow workmen observed him acting strangely prior to his starting on debauch.
May 17, 1905.  Has been quiet since admission, appetite poor, and does not sleep well.  Has been confined to bed since admission due to the fact that he complained of vertigo when sitting in erect posture and face would present a cyanosed appearance.
May 27, 1905.  Paroled.
Jul 13, 1905.  Discharged recovered.

Additional notes:
Died of drowning, 9/4/1910.  Buried at Silverbrook.


On order of:
[Ill. -- looks like "Heraince"] R. Burton

On certificate of:
Drs. John W. Hammond and Rowland T. Paynter

History and clinical notes:
History:  Brought to institution (without papers 5-12-05) by father who states that patient is a Marine Engineer and, during August 1904, fell overboard and as a result swallowed a large amount of salt water and remained ill until Feb, 1905.  Since that date, his mind has been failing and a few evenings ago he beat his wife and baby unmercifully.  He was held without papers as it was considered dangerous for his family that he be at large.
May 16, 1905.  Papers arrived today.
Sep 6.  Has given us but little trouble since he came here.  Has worked on the wards.  Has a peculiar hesitancy in his speech that is somewhat suspicious.  Father who visited him today noticed it and stated that it was not normal.  Father removed him to his home in Phil.
Sep 6, 1905.  Paroled 11:30 am.
Feb 8, 1906.  Discharged recovered.

Standard form attached, dated September 6th, 1905.  “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: blank.  Signed [patient’s father, name redacted].

Handwritten letter on unlined paper glued into crease of page.  Dated June 1st, 1905.  Georgetown, Del.  [patient’s name].  “Dr. Hancker, Dear Sir, Your letter received today I will try to explain how my husband was before taken to Farnhurst.  On the 22 of last August he fell overboard he was assistant engineer on a tug at New York he fell in the narrows where the tide runs very strong and was in the water about or near two hours and he never seemed to be well until February.  I never noticed anything strange that he done til since Feb he thought he was cured and could work day and night and he had strange ideas about things and he wearied me terribly but I never thought his mind was affected.  I thought what he had suffered and not being able to work for so long had caused him to change.  He went to Phila on the 12th of April and as soon as he arrived to his Father’s they said his mind was not right, and they sent his brother down home with him to look after him.  His notions mostly were about money he was very extravagant with money and thought he could soon get a position and make plenty of money he seems to blame me for being where he is and it hurts me terrible he has never wrote to me.  I always tried to do my duty by him he always was a very good man at home.  For the last two months he berated his horse very mean and he thought lots of the horse at the same time.  He has been treated by four different doctors and they all told him it was his nerves.  I would like to know what you think of him if you think it is his nerves or his mind.  I think if it is his nerves it is enough to make him discontented to be where he is.  My heart aches for him, he was always such a good man at home.  His father thought there was no place suited him but the Farnhurst he thought he would soon get all right there.  Please tell me if he is allowed to write and I will write to him.  Hoping to hear from you soon.  I remain, Mrs. [patient’s name], Georgetown, Del.  RFD5.”

Additional notes:
Died 11/10/1907.  Buried in Roxana Cemetery, Sussex County.  Middle name Frank.


History and clinical notes:
History:  Brought by officers, who could give no history.  Patient is deaf and dumb, also has a partial paralysis, is noisy at times.
Oct 11, 1905.  Very well behaved patient.
Dec 2, 1906.  No change.  Physical health good.
Mar 16, 1907.  Condition remains unchanged.
May 12, 1909.  Physical condition not so good, vision greatly impaired.
Dec 8, 1910.  Almost blind and has to be led about ward.
Mar 12, 1910 (Dec. 8 entry, above, must have been in 1909).  Emaciating rapidly, and coughs a great deal.
Nov 19, 1910  Rapidly growing worse, had a hemorrhage (pulmonary) today.
Nov 26, 1910.  Died – Phthisis pulmonalis.


History and clinical notes:
History:  Friend states that he knows but little about patient’s history, altho he states that she was always very weak-minded.  At present she is inclined to be somewhat destructive.  Two years ago was much worse after child birth.  Husband of patient was insane at one time.  Patient is extremely ignorant.  Cannot read or write and is very low morally and otherwise.
Jun 5, 1905.  Patient has had bilious attack, otherwise physical condition good.  Has dermoid cyst on conjunctiva of right eye.
Jul 15.  Very quiet, and in somewhat better physical condition.
Jul 20.  Removed from institution today by husband, against advice of Supt.
Jul 22, 1905.  Paroled.
Nov 7, 1905.  Discharged recovered.

Standard form attached, dates July 22, 1905.  “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 he may commit.  Witness: Wm. H. Hancker and T.H. Davies.  Signed [patient’s X mark, name redacted].

Note: Not able to find any more info in the census that I could establish as being definitely this family.


History and clinical notes:
History:  Brought by father who states that patient has been mentally dull since childhood, her health has always been good, she eats well but sleeps poorly.  Has one sister and four brothers, all in good health.  Mother died ten years ago – cause tuberculosis.  Patient is noisy at times and attempts to bite herself and tear her clothes.
Jun 5, 1905.  Is generally quiet, but occasionally has outbreaks of temper, when she is kept in restraint.  Appetite good, and is quiet at night.
Jul 15.  Is sullen and at times violent.  Kept in restraint.  Eats and sleeps well.
Sep 18.  Has been quiet and well behaved since last report.  Physical condition good.
Nov 13.  In restraint.  Obstinate and impertinent.  Physically well.
Jan 4, 1906.  Growing weaker and stupid.  Has had very frequent convulsions.  Appetite poor.
Feb 20.  Has had serious attack of typhoid.  Recovery good.
Apr 6.  Growing stronger physically.  Has had several hard fits lately.
Jul 30.  Weak and not in good physical condition.
Oct 15.  Physical condition poor.
Apr 2, 1907.  Is sick most of the time.  In bed with bilious attack.
Nov 12.  Has frequent convulsions.  Otherwise physical condition better.
Jul 1, 1908.  Irritable and violent.  Kept in restraint.  Eats well.
Dec 1.  Has many convulsions.  Eats well.
Jun 9, 1909.  Condition unchanged.  Has convulsions very frequently.  Appetite good.
Feb 10, 1911.  Patient has been in bed for some days.  Severe cough.
Mar 20.  Still in bed.  Breath extremely offensive characteristic of pul. Gangrene.
Apr 20.  Failing very rapidly.  Odor so offensive that it permeates the whole ward.
May 8.  Failing rapidly.
May 10, 1911.  Died.  Pulmonary gangrene and phthisis pulm.


History and clinical notes:
History:  Patient brought by husband who state that five weeks ago she was delivered of a full term child, delivery uncomplicated.  About 10 days after delivery she became somewhat depressed, would eat only small amount and does not sleep well.
Jun 5, 1905.  Patient suffering from severe case of mastitis.  Abscess already formed and pointing (?).  Confined to bed.  Refuses to eat and is fed by tube.  Pulse averages 120-130, Temp. 101-102.
Jul 15.  Is irritable and noisy much of the time.  Eats well, noisy at night.  Breast is now well.
Sep 18.  Very sullen, occasionally noisy.  Eats well.
Oct 18, 1905.  Paroled, improved.
Feb 8, 1906.  Discharged improved.

Note:  From census records, it appears that she and baby both survived and she went on to have two more children, a daughter born in 1908 and a son born in 1913.  No further info.


History and clinical notes:
History:  Patient was removed from this institution to the School for Feeble Minded at Elwyn, Pa on Jan 12, 1895.  Was returned to this institution on order of Gov. Lea May 31st (1905).  Patient is a low grade imbecile – is addicted to masturbation.
Jun 5, 1905.  Patient’s physical condition good.  Eats and sleeps well.  Works in dining room, and is quiet and orderly.
Jul 15.  No change in any way.
Sep 18.  Physical condition good.
Nov 13.  Condition the same.  Eats and sleeps well.  Quiet and works on ward.
Jan 4, 1906.  Physical condition very good.  Works, and is docile and obedient.
Feb 20.  No change in any way.
Apr 6.  No change.  Is well behaved, but rather lazy.
Jul 30.  No change in any way.
Oct 15.  Good physical condition.
Apr 2, 1907.  Good physical condition.  Very pleasant disposition.
Nov 12.  Is somewhat run down.  Bad disposition.  Strikes patients.
Jul 11, 1908.  Physical cond. Good.  No mental or moral change.
Dec 1.  In good physical condition.  No mental improvement.
Jul 9, 1909.  Condition same.
Mar 2, 1927.  Died.

Note: Could find no further info from census records.


History and clinical notes:
History:  Patient was brought to this institution by Dr. Dennes (sp?) and Mipwelch (sp?) May 31st on order of Gov. Lea.  Patient has been in School for Feeble Minded children at Elwyn, Pa for some years.  She is a very low grade imbecile.  Does not seem to understand what is said to her.  
Jun 5, 1905.  Patient knows absolutely nothing.  Eats and sleeps well.  Very untidy.  Never talks, or notices what is said to her.  Physical condition, poor.  Very anaemic, sunken cheeks, offensive breath, cavity in right lung.  Placed in tuberculosis ward.
Jul 15.  Some physical improvement.  Is not untidy.  Eats well and is quiet.
Sep 18.  Patient keeps well.  Appetite good.
Nov 13.  In good physical condition, gained eight pounds since admission.
Jan 9, 1906.  Condition the same; very healthy.
Feb 20.  Greatly improved.  Tidy and physical condition good.
Apr 6.  Growing stouter, plays hide & seek, says “Mamma.”
Jul 30.  Gaining in weight.  Quiet and clean.
Apr 2, 1907.  Very good physical condition.
Sep 2.  No change.
Nov 12.  In fair physical condition.
Jul 16, 1908.  No change in any way.
Dec 1.  No mental change.  Physical cond. improved.
Jun 9, 1909.  Death expected at any moment – phthisis pulmonalis.
Jun 22.  Condition same.
Jul 1, 1909.  Died.  Tuberculosis.

Additional notes:
Her and previous patient brought from Elwyn, PA.  Buried at DSH, Grave #171.


History and clinical notes:
History:  Patient was removed from hospital on May 9, 1905 by husband, who stated that he wanted to take her to Germany and place her in an Asylum – he failed to carry out promise and she was returned to institution today by Dela. Hosp. Ambulance, she is unable to walk and is very weak.  For previous history, see page 123, Book V.  
Jul 15, 1905.  Fed by tube daily.  Keeps eye closed all the time.  Never speaks.  Sleeps well.
Sep 18.  Has been eating sparingly for about two weeks.  Is very melancholy.
Nov 13.  Still much depressed.  Has to be fed occasionally.  Emaciated.
Jan 4, 1906.  Refuses to eat, and is fed twice daily by tube.  Sits all day with head bowed.  Is growing more emaciated.  Seldom speaks.
Feb 20.  Very melancholy.  Eats at present fairly well.  Has fits of weeping.
Apr 6.  Somewhat improved.  Eats better and sleeps well.
Jul 30.  Depressed.  Growing extremely emaciated.  Eats well.
Oct 15.  Never speaks.  Stands all day in dark corner.
Apr 2, 1907.  Condition unchanged.
Sep 2, 1907.  Very weak.  Heart bad.  Has to be fed through tube.
Sep 11, 1907.  Died.  Inanition.


History and clinical notes:
History:  Brought by officer, who could give no history of case.  Patient when interrogated was very slow and answer and seemed very much bewildered.
Jul 13, 1905.  Some improvement, works about farm, but is melancholy.
Aug 2, 1908.  Removed to TB, losing flesh rapidly, bowels very loose and does not respond to treatment.
Sep 8.  Refuses food and is unconscious most of the time.
Sep 10, 1908.  Died.  Enteritis, tubercular.


History and clinical notes:
History:  Brought by father, who states that patient has been at Elwyn “Feeble Minded School” for past 13 years.  When patient was four years old, he fell from a wagon and sustained a fracture of skull, four years later an operation was performed by Dr. N.N. Keene (sp?) of “Jeff” – but patient was not benefited.
Oct 11, 1905.  Very disrespectful, transferred to Wd. 6.
1910  Patient had epileptic convulsions for past month.
Jun 11, 1918.  Patient choked with a large piece of meat, found him cyanotic.  Extracted the meat, cleaned the throat and after giving him Artif. Resp. Sylvester (sic) for ½ hour patient started to breath normally.  10 minutes after that patient had a few contin. Convulsions.
Jun 12.  Patient’s condition very bad.  Resp. hard.
Jun 13.  After clearing the throat from mucous and blood, pat. started to breath much easier – condition a little better.
Jun 14.  Patient’s condition better.
Jul 21.  Patient had chill, fever, pain in side, painful cough.
Jul 25.  Temperature 104, pulse very feeble, patient getting very weak.
Jul 31.  Patient getting very weak.
Aug 1, 1918.  Patient died at 4:15 pm.  Lobar pneumonia.

Additional notes:
Aged out of Elwyn school, had TB; choked on meat.


On certificate of:
Drs. John Palmer, Jr., and P.W. Tomlinson

History and clinical notes:
History:  Patient is melancholy and refuses to eat and says food contains poison.  For past 3 weeks she has only taken a few ounces of milk per day.
Jul 15, 1905.  Refuses to eat and is fed daily by tube.  Has large wen on right side of head.  Says very little and is quiet except when fed.
Sep 18.  Much improvement.  Eats heartily, and talks a little.  Wants to go home with “Maggie” her niece.  Is quiet and sleeps well.
Nov 12, 1905.  Much improved.  Paroled.
May 7, 1906.  Discharged recovered.


History and clinical notes:
History:  Patient brought by officers who state that he is a periodical? Drinker.
Jun 24, 1905.  Very much improved, eats and sleeps well.
Jun 26, 1905.  Discharged.


History and clinical notes:
History:  Brought by officers who could give very little history of case.  Several years ago she was inmate of N.C.Co. Almshouse.
Jul 15, 1905.  Thinks she is Mrs. Delaware.  Eats fairly well.  Sleeps well.  General condition fairly good.
Sep 18.  No change in condition since last report.
Nov 13.  Continues about the same.  Works on ward.
Jan 4, 1906.  No change in any way.
Feb 20.  Condition remains unchanged.
Apr 6.  Quiet and good humored.  Eats and sleeps well.
Jul 30.  No change in any way.
Oct 15.  No change.
Apr 2, 1907.  Very surly at times.  In good physical condition.
Sep 2.  No change.
Sep 26.  Has fever.  103 ° F.  Considerable prostration.  Blood sent to laboratory.
Nov 12.  Still weak, but sits up all day.
Jul 11, 1908.  In good physical condition.  No mental improve.
Dec 1.  Very contrary and noisy.  Physical condition fair.
Jun 9, 1909.  Condition same.
Feb 5, 1922.  Died.


History and clinical notes:
History:  Brought by officers from Wilmington Jail, they state that patient has been suffering from pleurisy and was taking toxic doses of Quinine and complains of “noise in head”, yesterday he attempted suicide by stabbing himself with a pen knife (in region of diaphragm) and also butting his head against prison bars, inflicting an ugly scalp wound.  
Aug 8, 1905.  Very much improved mentally and physically and is a good patient.
Aug 13, 1905.  Paroled.
Oct 11, 1905.  Discharged recovered.


Form:
imbecility (marked out); Psychosis with const. psychopathic infirmity

History and clinical notes:
History:  Patient brought by brother who states that he was a former patient under date of Feb 27, 1895 and was discharged improved Oct 4, 1896.  For previous history see Book III, page 56.
[No other information about this patient.]

Additional notes:
Per ancestry.com, he was a patient at DSH in the 1910, 1920, 1930, and 1940 censuses.  Died at DSH on 2/4/1944.


On certificate of:
Drs. John B. Derrickson and Bennett Downes

History and clinical notes:
History:  Brought by officer who could give no history of patient.
Sep 25, 1905.  Has been quiet since submission, is very dull mentally.
Oct 11.  Condition about the same as when last reported.
Nov 9, 1909.  Stupid and refuses to eat, does not complain of pain or discomfort but has diarrhea.
Nov 10.  Specimen of blood sent to state laboratory which shows Widal Reaction.
Nov 14.  Continues to grow worse, temp 104° and is delirious.
Nov 18, 1909.  Died.  Typhoid fever.


On certificate of:
Drs. William T. Skinner and Walter E. Cann

History and clinical notes:
History:  Brought by father who states that patient is becoming troublesome and cannot be cared for at home and is untidy.  Also suffers from paralysis (infantile).
Jun 26, 1905.  Condition remains unchanged.
Dec 19, 1907.  Growing very weak and does not take sufficient nourishment, is probably tubercular.
Jan 17, 1908.  Very much worse.  Died 11:10 am.  Phthisis pulmonalis.

Additional notes:
Typical case of child with MR, all grown up and family can't or won't care for him.


History and clinical notes:
History:  Patient brought by brother who states that patient has been drinking to excess for past year, is very much depressed, appetite poor.  Has been an inmate of this institution before, under date of Aug 8, 1898.  On July 1, 1905, he attempted suicide by cutting his throat.  For previous history, see Book III, page 387.  
Aug 8, 1905.  More cheerful and eats better.
Sep 25.  Is very much depressed and has to be fed with tube.
Oct 11.  Very noisy, asks to be killed, still refuses to eat.
Nov 8.  No improvement since last report, is very troublesome, has again attempted suicide by tying sheet around neck, strikes head against cage.
Nov 12.  No improvement, still refuses to take nourishment and is fed through tube.
Nov 18, 1905.  Was visited by his brother today, is emaciating rapidly and very much weaker.
Nov 19, 1905.  Died.  Asthenia and exhaustion from acute mania.


History and clinical notes:
History:  Brought by father, who states that patient has always had an irritable temper.  When a child he would strike his head against floor if his wishes were not complied with; father also states that his fiancée jilted him and he attempted suicide.  Dr. Tomlinson state that he attended mother when Patrick was born and also states that he was a 6 ½ month child [premature?].  
Jul 26, 1905.  Well behaved, but manner is very sullen, plays mandolin and guitar and is very fond of music.
Aug 2, 1905.  Removed today by his mother against advice of Supt.  
Oct 11, 1905.  Discharged improved.

Standard memo form attached.  Dated August 2, 1905.  “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 [patient’s mother, name redacted].

Note:  From ancestry.com and related sources.  He died in April of 1909.  He was found dead of drowning in Christiana Creek in Brandywine Hundred.  Suicide not specifically mentioned.  He was buried in New Jersey.

Final disposition:
Discharged improved (but later found dead in Christiana Creek)


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

History and clinical notes:
History:  Patient brought by D.S. Collins, who states that he (patient) has become a nuisance in neighborhood.  Eats and sleeps well, is not violent.
Aug 8, 1905.  Is gradually failing physically, pounds his feet on the floor and beats his face with his hands.
Sep 25.  Seems to be failing physically.
Oct 11.  Condition the same as when last reported.
Nov 22.  Is very weak and confined to bed, will not eat solid food.
Dec 19.  Rapidly growing weaker, very much emaciated and takes very little nourishment.
Dec 31, 1905.  Died of pulmonary gangrene.


History and clinical notes:
History:  Brought by son, was paroled Apr 2, 1904 and discharged recovered June 4, 1904.  [1st admission Vol. IV Page 402].  Son states that his mother was well until one week ago, when she attended a revival and became very excitable; since that time she has been noisy and will not eat.
Sep 18, 1905.  Patient has been quiet until yesterday, when she became very impudent to attendant and was put in restraint.  Physical condition not very good.  Eats fairly well, but is emaciated.
Nov 13.  Grown somewhat weaker.  Eats well.  Very thin.  Quiet usually.
Dec 16.  Grown weaker and very emaciated.  Eats very well.  Tongue coated.
Dec 25, 1905.  8 am.  Died of Asthenia.


History and clinical notes:
History:  Brought by officers who could give no history of patient.  Patient states that he does not sleep and has a “misery in his head.”  Physical condition – good.  
Aug 5, 1905.  Acting in a peculiar manner and says he cannot help but rejoice when he “feels the spirit within him.”  
Sep 5.  Attacked Attendant Kelly today and was placed in restraint.
Oct 11.  Has been quiet since last report.
Jan 3, 1906.  Extremely troublesome and threatens to do bodily harm to attendants.
Jun 26.  No improvement since last report.
Jul 8, 1907.  Marked improvement, works about grounds.
Aug 23, 1907.  Eloped.
Dec 10, 1907.  Discharged recovered.
Note:  From ancestry.com and linked sources.  Turns out he wasn’t “coloured” exactly, but is listed in some places as a “mulatto” and in others as a “Moor ” and in still others as a Linni Lappi Native American (Leni Lenape).  After his discharge from the hospital in 1907 following meningitis/trauma, he died in 1910 of erysipelas.  He and his wife had 9 children, including a set of twins born the year he died.  He still has descendants living in Dover.

Additional notes:
Died a few years later.  Was part of community of people in Delaware who trace their ancestry to the Native Americans.  "Seeney" is one of the known family names for the "Moors" or "Naticokes" of Delaware.


History and clinical notes:
History:  Was a former inmate of this institution and was discharged Jan 21, 1904.  Is a very immoral youth and a nuisance in the neighborhood where he lives.  For previous history see Book IV, page 426.  Patient came yesterday but papers did not arrive until today.  
Aug 8, 1905.  Is very much improved and is a well behaved patient.
Sep 25.  Condition about the same as when last reported.
Oct 7, 1905.  Paroled.
Feb 8, 1906.  Discharged.  Not insane.


History and clinical notes:
History:  Patient brought to institution on Monday 7/10/05 but papers did not arrive until today 7/13/1905.  About 8 months ago, first symptoms were manifested; she talked constantly, acts weak mindedly about house.  Physical condition – Good.
Jul 15, 1905.  Patient not very well.  Appetite poor.  Has many delusions.
Sep 18.  Incoherent and destructive of clothing.  Eats and sleeps fairly well.
Nov 10.  Not improved.  Physical condition good.
Jan 4, 1906.  Very sill, and at times noisy.  Eats fairly well and sleeps excellently.
Feb 20.  Very irrational.  Talks to herself constantly.  Eats and sleeps well.
Apr 6.  No change in any way.
Apr 21.  Patient refused to eat.  Seems debilitated.
Apr 23.  Patient has taken very little nourishment; very pale and seems feeble.  Ordered put to bed.  Special diet ordered.  Coughs a good deal and expectorates thick yellowish sputum.
Apr 24.  Patient worse, refuses to eat, complains of pain in chest.  About 3 pm had strangling attack.  Throat filled with mucous.  Breathes with difficulty and moans a great deal.
Apr 25.  At 4 am nurse called Dr. saying Mrs. [redacted] was dying.  She breathed with great difficulty, and long intervals between breaths.  Pulse good, heart beat strong and regular.  Eyes upturned and pupils dilated.  Nose pinched.  Seems to be dying.  This condition lasted until 4:20 pm when she stopped breathing.
Apr 25, 1906 at 4:20 pm.  Died of oedema (pulmonary).


History and clinical notes:
History:  Patient brought by his employer who states that patient was drinking to excess on July 4th and since that date mind has been unbalanced; imagines men are after him with a gun.
Aug 8, 1905.  Is very much improved, works about farm and is a very good patient.
Sep 2.  Patient has improved sufficiently to be paroled; was sent to his home this 7:30 am (Dover, Del).
Sep 2, 1905.  Paroled.
Oct 11, 1905.  Discharged recovered.
Newspaper article attached, dated July 13, 1905:  “Thinks He Is Pursued.  Special Correspondence of Every Evening.  Dover, July 13 – [Name redacted], one of Dover’s oldest negroes and also an old soldier, has become suddenly demented and imagines that he is being pursued by a big negro with a gun.  He is confined in jail here, awaiting further developments, before he is declared insane.”
Note: he has a later admission in 1907, and another after that as well.  See 531718997 for second admission.

Additional notes:
This is the first time Arnold Morris was brought to DSH for drinking too much.  He was a Civil War Veteran and I was able to get him recognized and added to online database for Delaware Veterans of the Civil War as well as the "Sons of Union Veterans of the Civil War."  Buried at DSH Cemetery, #199.


History and clinical notes:
History:  Has been an inmate of N.C.Co. Almshouse for several years, yesterday he wandered away from institution and was arrested in Wilmington, declared insane and committed to D.S.H.  Is an epileptic. 
Aug 8, 1905.  Is very quiet, eats and sleeps well, but very dull mentally.
Sep 25.  Has occasional epileptic seizures.
Oct 11.  A well behaved patient.
Nov 24.  Condition remains unchanged, has occasional attacks of epilepsy.
Jun 26, 1906.  Is a well behaved patient and seldom has any epileptic seizures.
Sep 26, 1907.  Developed status epilepticus today.
Sep 28.  Is still unconscious.
Oct 1.  Condition remains unchanged.
Oct 3, 1907.  Died.  Status epilepticus.


On certificate of:
Drs. Mitchell Greenwood and Irvine M. Flinn

History and clinical notes:
History:  Brought by husband who states that first symptoms of trouble began 2 weeks ago.  Sometimes imagines a mob is after her, that she has committed some crime for which she must die, sometimes refuses food, saying it contains poison.  Has worried constantly since her son died, 2 years ago.
Jul 1905.  Breath strongly urinous.  Heart feeble; urine scanty and concentrated; patient weak and delirious.
Jul 20.  Urinalysis shows casts, hyaline and granular, small amount of albumin, large amount of indican (??)
Aug 12.  Patient has had several attacks of paroxysmal dyspnoea, and one of coma.  Restored by hot wet packs and stimulants.  Mind seems clearer.  
Aug 28.  Bad attack of dyspnea; wet pack to hips hot water and whiskey – recovered.  Very weak.
Sep 1.  Patient complains of great discomfort and precordial pain.  Says she does not feel as bad as previous night.  Heart action weak.
Sep 2.  Patient fell into coma at 5:55 am.  Could not be aroused.  Heart stopped beating at 6 am.  
Sep 2, 1905 at 6 am.  Died.  Chronic interstitial nephritis and uraemic coma.


History and clinical notes:
History:  Brought by officer from N.C.Co. Workhouse where he has been an inmate for past month.  Is excitable and violent at times, does not answer questions intelligently.
Aug 8, 1905.  Condition remains unchanged, works about ward but bears watching.
Sep 25.  Quiet since last report.
Oct 11.  More quiet and has been transferred to Wd. C.
Dec 2, 1906.  No mental improvement, physical health – good.
Mar 16, 1908.  Failing in health and eating poorly.
Jun 6.  Transferred to TB.
Jul 18.  Rapidly growing weaker.
Jul 23, 1908.  Died phthisis pulmonalis.


On certificate of:
Drs. G. Burton Pearson and Dorsey W. Lewis

History and clinical notes:
History:  Brought by officer who states that patient was brought to Middletown, Del. by her husband and departed.  Patient has been a former inmate of this institution, for previous history and etc. see Book III, page 312.
Jan 4, 1906.  Good condition physically.  Mental condition weak minded and silly.
Feb 20.  Condition about the same.  Works in dining room.  Well behaved.
Apr 6.  Very good natured and quiet.  Physical condition good.
Jul 30.  Works in attendants’ dining room, quiet and amiable.
Oct 15.  No change in any way.
Apr 2, 1907.  In good physical condition.  Mentally somewhat improved.
Sep 2.  Very quiet.  Eats and sleeps well.  Works on Ward A.
Nov 12.  Patient has mitral lesion.  Is in run down condition.
Jul 11, 1908.  Very depressed.  Went to theatre one day, got away, got away from nurse, ran up on stage.  Was brought home in very excitable state and has been much worse ever since.
Dec 1.  Patient in fair physical condition; has occasional fainting spells.  Eats well.  Is very morose.
Jun 9, 1909.  Condition same.
Jul 7, 1911.  Transferred to TB.  Involvement of right apex of lung; coughs frequently and chronic diarrhea.
Feb 2, 1923.  Died.

Additional notes:
Death certificate says she died of general paresis of the insane (syphilis).


On certificate of:
Drs. Edward L. Dwight and Thomas C. Moore

History and clinical notes:
History: Patient has always enjoyed excellent health until an attack of apoplexy 4 years ago; was very peculiar after this.  About two years ago had another attack of apoplexy.  When she got a little stronger was quite disturbed at times, especially at night.  Wandered from home.  Very restless.  Imagines that some young man is going to shoot her.
Sep 18, 1905.  Patient quiet and industrious.  Talks rationally and has as yet shown no signs of insanity.  Eats and sleeps very well.  
Nov 18.  Has improved very much.  Is quiet and industrious.
Nov 22.  Paroled.
May 7, 1906.  Discharged improved.


History and clinical notes:
History: Brought by son on July 29, 1905, but papers did not arrived until today July 31, 1905.  First symptoms began about two years ago; at first case was very mild, he would wander away from home and sometimes get lost, has been failing physically, has an abnormally large appetite.  Became violent on July 29, 1905 and his family could not control him, is very restless during day and night.  Has always been a hard worker but seemed to worry and wonder how he would support his family on the salary he was receiving and would frequently cry, always very susceptible to adversity.
Aug 8, 1905.  Still confined to bed, is very restless and noisy.
Aug 11.  Suffering from a severe enteritis, is noisy and untidy.
Aug 12.  Failing rapidly.
Aug 12, 1905.  Died.  Exhaustion from general paresis.


History and clinical notes:
History:  Brought by nurse on Sunday, July 30, 1905 from Home for Aged Women, Wilmington, Del. but papers did not arrive until today, Aug 1st, 1905.  Has been an inmate of home for past two years, she has always acted peculiarly but did not become unmanageable until Sat., July 29, 1905; she would scream and jump (?), also threatened to injure her nurse.
Sep 18, 1905.  Is very incoherent.  Tears clothing.  Has to be fed with spoon.
Oct 10.  Patient very weak.  In bed and has sunken into a stupor, breathing labored, temperature high.  
Oct 14.  Improved.  Still in bed.  Talks quite rationally.
Oct 23.  Is worse today.  Mucus in throat, breathing painful and labored, gasping for breath.
Oct 24, 1905.  Died at 2:10 a.m.  Pulmonary oedema.


History and clinical notes:
History:  Patient was brought here by his son on the 1st of Aug.  Papers were not received until this evening.  For a number of years patient has been peculiar.  Kept by himself a great deal; was at one time quite intemperate.  Has a number of time threatened to kill himself.  For past six weeks much more restless.  Neglected to light his lamps (light house).  Became so restless and irritable at times that he was taken to a private sanitarium and removed from there here as above stated.  
Aug 8, 1905.  Eats and sleeps well but is extremely nervous during the day, consult the M.D.s on their visits to wards, says he fears his pulse is not good, that he has taken cold and thinks it is probably due to his “Tonic.”
Sep 1.  Has been very troublesome and untidy.
Sep 8.  A special attendant has been assigned to care for him.
Oct 11.  Very difficult to manage, contrary and irritable, complains of “catching cold.”
Nov 20, 1905.  Extremely troublesome, wants to walk continually, when taken out for a walk he will lie down in roadway and refuses to walk and on several occasions attendants were compelled to carry him home.  Imagines his son is in financial straits and is giving promissory notes to help him out of his trouble.
Note:  According to US Census, he was still at DSH in 1910, died there of uremia June 7, 1912.

Additional notes:
Still in DSH in 1910 census, died there of uremia on June 7, 1912.


History and clinical notes:
History:  Brought by son who states that patient is becoming troublesome, wanders from home, and etc.  Is quite feeble and emaciated and walks with some difficulty.
Aug 8, 1905.  Has been confined to bed since admission and is very restless.
Aug 17, 1905.  Died.  Senile asthenia.


History and clinical notes:
History:  Brought by Mr. John Vaughn, who states that patient has acted peculiarly for past 5 or 6 years and is growing worse, wanders from home.  Sleeps well, but appetite is poor.  Has worried very much over loss of some property.
Sep 18, 1905.  Mind seems entirely lost.  Curses and uses indecent language.  Is very incoherent.  Eats when food is placed before her.  Sleeps well.  
Nov 13.  Talks to herself all the time, incoherent jumble, falls and gets bruised frequently.  Very feeble.
Jan 4, 1906.  In bed and growing rapidly weaker.  Fell and injured hand two weeks ago.
Jan 8.  Very low.  Eyes glazed, breathing stertorus, pulse weak.  
Jan 12, 1906.  Died 6:45 p.m.  Senile asthenia.


History and clinical notes:
History:  Brought by officers who could give no history of case.  Suffered from sun stroke about 3 years ago and last fall had an attack of Typhoid Fever and his mind has been failing since the attack.  When admitted, lower extremities were markedly oedematous; he was placed in bed and given liquid diet.
Aug 26, 1905.  Has been in bed for some time; very stupid.  Swelling in lower limbs not so marked.  At times refuses to eat.
Sep 2.  Abdomen tense and pain on pressure; was given an enema – large passage.
Sep 3.  Is some better.  Was placed in crib today, because he would not remain in bed.  Left arm from shoulder to wrist on inner aspect very much inflamed; skin denuded and a great many blebs full of serum around elbow.
Sep 5.  Considerable difficulty in getting him to take nourishment.  Fights and resists attempts to feed him – drank his milk this evening when persuaded by the Doctor.  Has considerable difficulty in passing urine.
Sep 25.  Seems brighter and converses more freely.
Oct 5.  Is confined to bed again and is very stupid.
Nov 20.  Condition remains unchanged.
Jan 6, 1906.  Died.  Cerebral apoplexy.


History and clinical notes:
History: Brought by brother and officer, who states that patient has been a former inmate of this hospital.  For past month she has been very stubborn and depressed, has not been violent and does not eat or sleep well.  For previous history, see Book III, page 304.
Sep 18, 1905.  Eats and sleeps well.  Melancholy.
Nov 13.  Constantly asks what she shall do, states that she ought to die; eats and sleeps well.
Jan 4, 1906.  No mental improvement.  Physical condition fairly good.
Feb 20.  Very melancholy.  Eats and sleeps fairly well.  Very orderly.
Apr 6.  No change in any way.
Jul 30.  Very depressed, groans constantly.  Eats well.
Oct 15.  Melancholy, but quieter.  Physical condition fair.
Apr 2, 1907.  No change in any way.
Sep 2.  No change.  Quiet and pleasant.  Eats well.
Nov 12, 1907.  Sometimes obstinate.  In good physical condition.
Apr 6, 1908.  Paroled.
Sep 7, 1908.  Discharged improved.

Additional notes:
1920 census, age 51, still living with her brother in Wilmington; never married.  Died 4/6/1922.


History and clinical notes:
History:  Brought by son and Dr. Henry on August 20, 1905 but Trustees Certificate did not arrive until 8-23-1905.  Has been an inmate of county asylum in Maryland.  Patient claims he is the “Father, son, & Holy Ghost” and says he can prove it by the marks ? on his hands.
Aug 23, 1905.  Eats and sleeps well and thus far has been a good patient.  
Sep 25.  Continues to improve.
Oct 5.  Very much improved, mentally and physically.
Oct 8.  Paroled.
Feb 6, 1906.  Discharged recovered.


On certificate of:
Drs. Willard L. Corkran and P.W. Tomlinson

History and clinical notes:
History:  None
Sep 18, 1905.  Patient fought on being placed in ward, but has since been quiet.  At menstrual period had hysterical seizure simulating an epileptic convulsion.  Is now quiet and cheerful.
Nov 11.  Paroled improved.
Feb 8, 1906.  Discharged recovered.


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

Form:
idiocy (struck out); psych.with mental deficiency

History and clinical notes:
History:  Patient brought by his father, who states that he cannot be cared for at home having sustained a fracture of femur about two weeks ago.  He is untidy; physical condition poor.  On admission, marked deformity of limb, absolutely no union.
Sep 12, 1905.  Limb placed in splint but we have been unable to keep parts in apposition of account of patient being unmanageable.  On account of low vitality of patient, “Bucks” extension was not applied.
Nov 8.  Fracture has united with a marked deformity, physical condition poor, is tubercular and has developed a tubercular ostitis of lower maxilla.
Nov 20.  No physical improvement, very much emaciated.
Jan 18, 1906.  Able to walk about his room, discharge continues from wound in lower maxilla.
Jan 15, 1919.  Patient getting very weak; has to be kept in bed.  At times very hard to manage.  
Nov 12, 1919.  Patient died 3:30 p.m.  Phthisis pulmonalis (14+ years).
Note:  A “Buck’s” extension is an apparatus for applying traction to a broken limb using adhesive tape on the skin.

Additional notes:
Family could not care for him once he broke his leg.


On certificate of:
Drs. Jesse Williamson and Irvine M. Flinn

History and clinical notes:
History:  Patient drank intoxicants previous to two years ago, at times to excess.  Has been abstinence (sic) since.  Has been a hard student since he was 16 years of age.  Composed music and studied several languages.  Excessive study is supposed to have caused his present trouble.  First symptoms noticed later part of July.  Imagined that people were trying to poison him, especially the father and mother of the girl he was going to see, and that others were trying to injure him.  Gradually grew worse, became very much depressed, prayed a great deal.  About 3 weeks ago jumped to window sill, turned, and told his mother that he was going to heaven and then leaped out.  Was taken to Del. Hospital compound fracture of left ankle joint.  Was very noisy at night and at times authorities of Hospital were compelled to tie him to his bed.
Sep 22, 1905.  Has given us no trouble since admission, fracture and wound doing well.
Sep 25.  Has been untying fracture box and examining his injury.
Oct 7.  Would not remain in bed, placed in restraint.
Oct 11.  [No entry]
Nov 8.  Is walking about with aid of a cane, good union of fracture, no mental improvement.
Nov 20.  Some improvement mentally.
Feb 12, 1906.  Paroled.
Jul 13, 1906.  Discharged recovered.


History and clinical notes:
History:  Has been an inmate of this institution on several occasions.  For previous history see Book V, page 78.  On admission he had numerous abrasions on face, angles of jaw also greatly swollen.
Oct 11, 1905.  Has had no epileptic attacks since admission.
Nov 20.  Condition remains the same, works about the ward, but always bears watching.
Mar 10, 1909.  Developed status [status epilepticus].
Mar 14.  Gradually growing weaker and only takes small amount of nourishment.
Mar 16, 1909.  Died status epilepticus.


History and clinical notes:
History:  Patient was an inmate of this institution under date of July 19th, 1897 and was discharged improved March 5th, 1899.  For past few weeks patient has been wandering about streets, will not remain at home.  For previous history see Book III page 283.  
Oct 5, 1905.  Extremely nervous and incoherent.
Nov 20.  Is noisy and untidy and sometimes destroys his clothes.
Jun 26, 1906.  Some improvement since last report, transferred from 6 to Ward IV.
May 15, 1907.  Very much improved since last report.
Jul 13, 1907.  Discharged improved.


History and clinical notes:
History:  Patient was arrested for carrying a concealed weapon and was found not guilty on the ground of insanity.  Warden Meserve states that patient is quite troublesome and very violent at times; was in hand cuffs when he arrived.
Oct 5, 1905.  Is disagreeable and it is difficult to get him to do any work.
Oct 11.  Is more agreeable and works about ward.
Jun 26, 1906.  Has attempted to assault attendants on more than one occasion and is constantly in restraint.
Dec 7, 1946.  Died.
Note: Patient was at DSH during 1940 US Census.  No cause of death listed.  Buried at DSH, #580.


On certificate of:
Drs. P.W. Tomlinson and Harvey W. Spruance

History and clinical notes:
History:  Patient was brought by two officers who stated that when they arrested him he had a shotgun and threatened to shoot any one who came in to the house.  The officers knew nothing addition about him.
Oct 7, 1905.  Talks incessantly, is not violent.
Nov 8.  No improvement since last report.
Nov 2*.  Is more quiet than when last reported.
Nov 24.  Conditions remains about the same as when last reported.
Jun 26, 1906.  No improvement since last report.
Nov 1.  Rapidly failing and is confined to bed, tongue very tremulous and it is difficult to understand him.
Nov 4.  Was removed to his home today by Wilmington Patrol.
Nov 4, 1906.  Discharged unimproved.
Note: Died at DSH on October 7, 1907, at age 45 years, of exhaustion from “dementia paralytica” (tertiary syphilis).

Additional notes:
Died at DSH on October 7, 1907, at age 45 years, of exhaustion from “dementia paralytica” (tertiary syphilis).


On certificate of:
Drs. James L. Crossmore and Erik W. Cooper

History and clinical notes:
History:  Patient brought by Dr. Crossmore, who states that patient has suffered from Chronic Indigestion for several years and has been failing mentally and physically.  Complains about his bowels and says they have not moved for a month.  Patient arrived on Sep 29, 1905, but papers did not arrive until Oct 4, 1905.
Oct 11, 1905.  Improved physically since admission but says he is afraid “he will not live over night.”
Nov 20.  Condition remains unchanged, complains of “pains in abdomen and a choking sensation.”
Feb 15.  While in a fit of frenzy, he sat down on floor and by the sudden contact produced an intra-capsular fracture of left hip.
Apr 8.  Has been confined to bed since above date, fracture has done well, about 3” shortening of limb.
Jun 26.  Walks about ward but has an “exaggerated limp.”
Aug 16, 1911.  Confined to bed, marked oedema of feet and ankles, some fluid in abdomen.
Aug 20.  Refuses all nourishment and medicine.
Aug 24, 1911.  Died.  Acute nephritis.


On certificate of:
Drs. Joseph G. Stanton and John L. Pratt

History and clinical notes:
History:  Patient has been an inmate of Frankford Asylum (Phila.) on several occasions and has [odd symbol] suffered recurrences for past ten years.  Is not violent and has never attempted suicide.  
Nov 13, 1905.  Patient has been in bed for some time.  Eats very little and will not complain.  Bowels constipated at present, but for a time had diarrhea and relaxed sphincter.  She has internal hemorrhoids.  Breath very offensive, sordes on teeth, lips cracked.  Talks rationally.  Sleeps fairly well.  Urine negative.
Jan 4, 1906.  Still in bed and refusing to eat.  Has grown quite emaciated.  Sleeps well.
Feb 20.  Eats well.  Says she is wretched mentally.  Sits up a little daily.  
Apr 6.  Not much change – perhaps a little more cheerful.
Jul 30.  Condition unchanged.  Eats very little.
Oct 15.  Somewhat improved physically.  Very melancholy.
Apr 2, 1907.  Very despondent.  Has sores on ankles.  Confined to bed.
Sep 2.  Has grown very weak.  Heart decidedly bad.  Much emaciated.  Is eating now, but condition serious.
Sep 10, 1907.  Failing very rapidly.  Cannot be roused from stupor.
Sep 13, 1907.  Died at 4 p.m.
Sordes: encrustations on teeth of food, epithelial matter, and bacteria that collect on teeth and lips during a prolonged fever, especially typhoid fever or exhaustion.


History and clinical notes:
History:  Patient was found on P.B. & W.R.R. attempting to derail a box car; he was arrested and declared insane.
Oct 11, 1905.  Has been quiet since admission.
Oct 19.  Is confined to bed suffering from an idiopathic peritonitis.
Oct 23.  Slight improvement.
Nov 2.  Very much improved, is able to retain nourishment, temperature normal.
Nov 20.  Condition remains about the same, works about ward and is a good patient.
[No date].  Has been failing rapidly and has developed Phthisis Florida and has been removed to T.B.
Mar 31, 1906.  Died phthisis pulmonalis.

Newspaper article attached: “Insane Man Was Starting Competition with Locomotive.”  Patrolman King found Robert Briggs, colored, yesterday afternoon along the track of the Pennsylvania Railroad Company trying to move a freight car.  He had his shoulder to the car and was exerting his strength trying to push it along.  He was unsuccessful as a human locomotive and when the policeman approached began to talk incoherently.  He was taken to the police station and this morning was examined as to his sanity and sent to the Delaware State Hospital for insane.”  Handwritten date: October 8th, 1905.
Note:  “Phthisis Florida” was also known as “Galloping Consumption.”  It was an acute pneumonic form of tuberculosis that had a rapid course leading to death in a few days.  It was often difficult to distinguish from pneumonia.


History and clinical notes:
History:  Brought from New Castle County Hospital (Alms House) by inmates of same institution.  No history obtainable other than that he had been a patient at N.C.Co.Hosp. for past three months and during that time had an attack of Typhoid Fever.  Very noisy and untidy.  
Nov 20, 1905.  Very much improved physically, somewhat improved mentally.  
Nov 24.  Somewhat irritable at times and requires restraint.
Jun 26, 1906.  Confined to bed most of the time, cannot eat solid food on account of a Chronic Enteritis.
Jul 25.  Continues to get worse.
Jul 30, 1906.  Died of Chronic Enteritis.


History and clinical notes:
History: Brought by officers and son-in-law.  Patient has showed an unbalanced mind for past 8 months.  Is not violent but requires watching.  Has old burn on leg, which occurred when he was 15 years of age, at present time, wound is discharging.
[No date].  Has been confined to bed since admission and is suffering from cerebral apoplexy.
Nov 16, 1905.  Died of cerebral apoplexy.


History and clinical notes:
History:  Brought to hospital on Oct 30, 1905 but trustees’ certificate did not arrive until Nov 2, 1905.  About four months ago patient began to talk in a peculiar manner and said she did not care to live with her husband; she would wander from home and walk 6 or 8 miles at a time.  Threatened to kill herself and others.  Has been living with her mother for past few months, appetite good, but only sleeps part of each night, tears her clothing.
Nov 12, 1905.  Patient in fairly good condition.  Is amicable and quiet.  Eats and sleeps well.
Jan 4, 1906.  No change in patient’s condition.
Feb 20.  In restraint, untractable.  Physical condition fair.
Apr 6.  Somewhat improved.  Out of restraint.  Appetite improving.  Sleeps well.
Jul 30.  Works in dining room Ward I.  Eats-sleeps well.  Quiet.
Oct 15.  No change in any way.
Apr 2, 1907.  No change in any way.
Nov 12.  Eats and sleeps well.  Works in dining room Ward I.
Jul 11, 1908.  In fair physical condition.  Has occasional disturbed periods, in which she declaims loudly, but does not offer violence.
Jun 9, 1909.  In poor condition.  Transferred to tubercular ward.  Very much emaciated.
Jun 20.  Failing rapidly.
Jun 22, 1909.  Died 4:30 p.m.  Pulmonary tuberculosis.


On certificate of:
Drs. Irvine M. Flinn and Mitchell Greenwood

History and clinical notes:
History:  Brought by Dr. Greenwood, who states that patient has suffered from epilepsy for past 27 years, is stupid and has an irritable temper.  One year ago she fell down stairs and received a fracture of skull; since that time her condition has become worse.
Nov 13, 1905.  Patient very irritable and strikes people about her; is now in restraint.  Eats well.
Jan 4, 1906.  Quiet and well behaved.  Very clean about her person.  Eats & sleeps well.
Feb 20.  No change in any way.
Apr 6.  No change.  Eats & sleeps well.  Quite industrious.
Jul 30.  Knits constantly.  Rather impudent.  Eats & sleeps well.
Oct 15.  In good physical condition.
Apr 2, 1907.  Condition about the same.
Sep 2.  In fairly good physical condition.
Nov 12.  No change in any way.
Jul 11, 1908.  Condition unchanged.  Transferred to Ward B.
Dec 1.  No change in any way.
Jun 9, 1909.  Condition same; very clean and quiet; had a convulsion last week.
Jun 22.  Slight epileptic convulsion.  Otherwise condition same.
Sep 22, 1912.  No change in any respect since last note.  Occasionally has epileptic seizures.  After dinner today, dropped on floor, very cyanotic.  Dr. Davies was called and when he arrived she was still breathing, but dead in a few moments.
Sep 22, 1912.  Died of aortic insufficiency.


History and clinical notes:
History:  Patient was engaged cleaning windows, about two weeks ago, she suddenly fell backwards and screamed; since that time she has talked irrationally.  She has not been violent, eats well, but sleeps poorly, bowels are constipated.  No insanity on either side of family.
Nov 12, 1905.  Patient on admittance in bad physical condition.  Autointoxication suspected.  Breath foul, tongue badly coated, lips furred, sordes on teeth.  Bladder full, removed by catheter twenty ounces urine eight hours after admission.  Specimen analyzed, shows presence of albumin, casts, and large amount of indican.  Enema and magnesium sulphate given to open intestinal tract.  Artificial feeding of milk.  Patient menstruating.  
Nov 14.  Patient somewhat improved; bowels open.  Temperature rather high.  
Jan 4, 1905 [actually 1906].  Patient on Ward III.  Physical condition good.  No sequelae from Typhoid.  Quiet.
Feb 20.  Much improved.  Quiet, more rational, and physically better.
Apr 6.  Continues to improve.  Eats and sleeps well.  Transferred to Ward A.
Apr 28, 1906.  Paroled.
Sep 27, 1906.  Discharged recovered.

Autointoxication: belief that putrefaction of stools causes disease; being poisoned by toxic substances from within the body.  Sordes are encrustations on teeth of food, epithelial matter and bacteria that collect on teeth during a prolonged fever, especially typhoid fever or exhaustion.


History and clinical notes:
History:  Has been an inmate of this institution and was discharged July 13, 1905.  Was arrested today, has been acting strangely and is violent.  For previous history, see Book V, page 114.
Nov 20, 1905.  Very much improved.  Works about the ward, is quiet and respectful.
Jan 25, 1906.  Much improved, works about ward and grounds.
May 12.  Continues to improve.
May 31, 1906.  Paroled.
Sep 27, 1906.  Discharged improved.


On certificate of:
Drs. L. Heisler Ball and Willard Crossan

History and clinical notes:
History:  Trouble began about four years ago, when patient’s father noticed she was very emotional, would attend church and would suddenly burst out crying.  Complains of severe headache, wanders away from home; has an irritable temper but has never attempted to injure anyone.  Patient brought to hospital on Nov 9, 1905 but papers did not arrive until Nov 14, 1905.
Dec 19, 1905.  Patient home on parole.
Dec 22.  Brought back by father.  Would not stay home.  Ran away at night, in nightgown, several miles.  Very nervous.
Jan 4, 1906.  Patient bright and cheerful.  Physical condition improved.
Mar 22.  Paroled.
Apr 17.  Was returned this a.m. by her father who stated that she was much worse – that she had again run away from home and that yesterday she was in a closet with matches and that he was afraid she would set fire to the building.
Oct 15.  Very quiet.  Physical condition fair.
Apr 2, 1907.  Some improvement mentally.  Physical condition good.
Apr.  Paroled.
Apr 1, 1909.  Discharged improved.
Note: From US Census data, in 1910 was at home with parents; in 1920 was back at DSH; in 1940 was at DSH, died May 14, 1946.


History and clinical notes:
History:  Patient brought by neighbor who say man has no home and during attacks wanders away and remains without food or care for days at a time.  His mother states that his epilepsy began when he was six years old.  About 15 years ago was injured by blow on head by axe.  Was taken to Phila Hospital, and has been trephined.  Is quiet and good tempered between attacks.  Wife deserted him some years ago taking children with her.  
Nov 20, 1905.  Is quiet and very stupid, sleeps and eats well.
Nov 21.  Attempted to strike Dr. Haucker while passing through the ward; was transferred to Ward 6 and placed in restraint.
June 26, 1906.  Condition remains unchanged.
May 20, 1911.  Slipped and fell on floor producing an intra-capsular fracture of right hip.
Jul 3.  Confined to bed; is very cross and irritable and will not allow anyone to touch injured limb.
Jan 1912.  Is up and hobbles about, always places his hand over knee while walking.
Feb 12, 1914.  Has frequent epileptic attacks, has a valvular lesion and during attacks remains in a cyanotic condition for some time.
Nov 20.  No change since last report.
Mar 28, 1915.  Expired this a.m. while sitting at breakfast table.  Died of valvular disease of the heart.


History and clinical notes:
History:  Complains of pain in stomach.  Cannot understand English, but speaks German intelligently.  Very weak and emaciated, has not been violent.  Lives in Hoboken.  Does not know how he got to Wilmington or how long he has been there.
Nov 25, 1906.  No marked improvement since admission, seldom talks but eats and sleeps well.
Nov 19, 1907.  Condition remains unchanged.
Sep 20, 1916.  His mental condition is unchanged.  Has been losing in weight and his appetite is very poor.  Is in bed and seems to be growing weaker.
Jan 10, 1917.  Is still in a critical condition, and perhaps will only live a few days.
Jan 26, 1917.  Died.  Pulmonary tuberculosis.
Buried at DSH, #269.


History and clinical notes:
History:  Brought by father, who states that patient has acted in a peculiar manner for past three years; trouble seemed to have followed an accident, in which patient’s sister was nearly drowned; since that time he has been very nervous and does not sleep well.
Dec 23, 1905.  Paroled.
May 7, 1906.  Discharged recovered.
Note from US Census data: In 1910, age 24, was living at home with parents and sisters (aged 18, 15, 12, 11, and 7).  In 1930 was still living with father; no wife; no kids.  At age 56 was living in Townsend, unemployed, but completed a World War II registration card.


History and clinical notes:
History:  Brought by son who states that patient has been in her present condition for past five years.  Eats well, sleeps poorly, and prefers to remain in bed at all times, continually fretting.
Jan 4, 1906.  Patient suffers from incontinence of feces.  Stools were very offensive, but that is now in a measure controlled by administration of Salol.  Remains in bed nearly all the time.  Has never shown any signs of insanity.  Eats fairly well.  Diet chiefly milk and eggs.  
Feb 10, 1906.  Much improved, less untidy.  Eats and sleeps well.
Feb 10, 1906.  Paroled improved.
May 7, 1906.  Discharged recovered.

Additional notes:
According to Delaware death records, she died in 1908 of apoplexy.


History and clinical notes:
History:  Brought by daughter-in-law who states that patient suffered from apoplexy four years ago and since that time his mind has been feeble; he eats and sleeps well but is rather weak, tears his clothes occasionally.
Dec 4, 1905.  Patient was very weak when admitted and was immediately placed in bed.
Jan 1, 1906.  Has been in bed since admission, takes liquid nourishment, occasionally tears his bed clothes and his hands have to be restrained.  Is very feeble.
Jan 27.  Is much weaker this morning, pulse very intermittent.
Jan 28.  Friends were notified this morning by telegraph that he was failing rapidly.
Jan 28.  Died at 11:55 pm.  Senile asthenia.


History and clinical notes:
History:  Has been cook in Boston.  Visited sister in Wilmington for past six weeks.  Two weeks ago became insane.  Recent pregnancy and abortion given as cause of mental condition.  Will not eat and does not sleep.  Patient has been in this country for seven years, during that time has not been ill save for the above-cited instance.  Resisted violently when taken to ward.
Dec 5, 1905.  Patient tells nurse that she has been pregnant and was given five black pills by man who was cause of her condition, and after flowing (?) for several days, fetus was expelled, four months old.  She recovered from this.  About a month later began to have weak spells, could not work, and came to Wilmington to visit her sister.  Fancied no one would speak to her, everyone knew her shame (?) and as he (?) expressed it, went wrong in her head.  
Dec 8.  Vaginal examination: uterus high and oedematous.  [Ill.] congested, ante-version, sound passed three inches.  Intra-uterine douche, shreds of membrane and small clots.  No pain on pressure over ovaries.  Occasional blood stains on clothing.
Dec 10.  Patient’s temp subnormal.  Sordes on teeth.  Abdomen tympanitic.  No pain on palpation.
Dec 11.  Temp 101.  No bowel movement for three days, doses of calomel given.  
Dec 12.  Temp subnormal.  Discharge foul.
Dec 13.  Patient etherized and curettage performed by Dr. Stubbs; patient took ether well.  Pulse on recovery of consciousness 120, respirations 28.
Dec 14.  Removed packing from uterus.  Several organized clots adherent.
Dec 15.  No discharge.  Temp 101.5, pulse 120; body covered with perspiration, bad odour from skin, seems to be in deep stupor.
Dec 16.  No change in condition, temp normal.  
Dec 17.  No change.
Dec 18.  Some delirium, muttering.  Much sordes on teeth.  No B.M.
Dec 19.  Discharge from vagina sanguineous and foul.  Morning and evening irrigation being given and iron administered by mouth few drops T.I. in douche water and 1-2000 Hg2Cl2.  
Dec 20.  Patient in deep stupor.  Respiration stertorus, 48 per minute, temperature 100.4 in axilla.  Body covered with perspiration beads.  Takes small amt. milk.
Dec 20, 1905.  Died at 11:40 a.m.
Diagnosis of coroner’s physician – septicemia.

Note from US Census data: Her cause of death was listed as “endometritis.”  In 1920, her sister Bridget was residing in the Camden County Asylum in New Jersey.  In the 1900 census she (original patient) was living as a servant in Boston in the house of a family with both parents, 9 children (ranging in age from 7 to 23) and a number of other unrelated people – probably also servants.

Additional notes:
This is the woman who was made pregnant by some man in New York.  He gave her pills to cause an abortion.


History and clinical notes:
History:  Brought by officers who could give no history of case.  Patient is delusional and says people are following him and want to take him to Pennsylvania; he also states that his wife attempted to poison him about two years ago; he then left home and has never seen her since.
Mar 21, 1906.  Is quiet and works about ward but is delusional.
Jun 26.  Is depressed and always complains of feeling “might bad today.”
Jul 10.  Very much improved since last report, eats and sleeps well and is cheerful, very anxious to go home.
Nov 25.  Always complaining that he feels “mighty bad today” and continually begs tobacco.
Jan 25, 1915.  Slipped on floor and produced a fracture of radius and ulna of left arm, near wrist.
Mar 15.  Good result and is using arm.
May 12.  Confined to bed, has a mitral lesion and is quite weak.
Jan 1916.  Losing flesh, is very weak and totally blind.
Apr 18, 1916.  Died.  Valvular disease of the heart.  General paralysis of the insane.


History and clinical notes:
History:  Patient brought by brother who states that he (patient) has been mentally (sic) for past five years, he has suffered from catarrh and has a muco-purulent discharge from nostrils, two years ago he had necrosis of nasal bone and was operated upon at Cooper Hospital, Camden, NJ.  He insists on snuffing salt water and also eats large quantities of salt.  He wanders away from home, walks about the streets in all kinds of weather.
Jun 26, 1906.  Very untidy in his habits.
Nov 25.  No improvement since last report.
Nov 27.  Eloped.
Apr 19, 1907.  Discharged unimproved.

Additional notes:
Died in 1914, buried in Sussex County.  Because he was married and had 3 kids, I suspect the pencilled in information that he was a congenital imbecile is incorrect.


On certificate of:
Drs. Wilbur D. Burton and [ill.] D. Steele

History and clinical notes:
History:  Patient’s attacks began about three months ago at the time of death of a sister when he began to neglect his work and wander from home and said that other people were after him and had other delusions of persecutory nature.  Uncle who brought him does not know if he has taken his meals or sleeping regularly as he had not lived with him.
Aug 1, 1906.  While at work at lake, he attempted to escape, ran as far as R.R. but was caught by Attendant Smith.
Nov 25.  Very much improved since last report.
Aug 8, 1907.  Failing physically and transferred to T.B.
Dec 6.  Condition remains unchanged.
Jun 12, 1908.  Sits about ward, is very stupid, losing flesh rapidly.
Aug 27.  Says he does not care to eat and takes only liquid foods.
Aug 29, 1908.  Died.  Phthisis pulmonalis.


History and clinical notes:
History:  Patient had first attack about two years ago which lasted two months and quit work; very excited at times, delusions of persecution.  Says the workmen are working against him.  Sleeps fairly good and eats fairly well.  Last night asked for a gun and said he wanted to protect himself against some one who was after him.  Has been steadily losing flesh and strength, always high strung and quick tempered.
Feb 1, 1906.  Very much improved, eats and sleeps well, is more cheerful.
Feb 3, 1906.  Paroled.
May 7, 1906.  Discharged recovered.


On certificate of:
Drs. Edward P. Dwight and Thomas C. Moore

History and clinical notes:
History:  Patient and her husband both had typhoid fever, husband died four years ago when the patient at that time first showed signs of dementia caused in conjunction with fever and grief.  Talked irrational, imagined people were talking about her, has steadily growing worse (sic) and imagines she is not able to do anything, remained in bed and talks to herself a great deal.  Has lost flesh but has never been violent.
Feb 20, 1906.  Very quarrelsome.  Has delusions of persecution.  Eats and sleeps well.  
Apr 6.  Stubborn and irritable.  Eats and sleeps well.
Jul 30.  Transferred to III.  Impudent, noisy, and stubborn.  Eats well.
Oct 15.  Has been in bed for several weeks.  Lame and says she cannot walk.  No fracture or dislocation can be discovered.
Apr 2, 1907.  Confined to bed.  Very insane.  Eats well.
Sep 2.  Still in bed.  Very impudent.  Still unable to use legs.
Nov 12.  Bedfast.  Evidently has suffered from a fracture in sacral or coccygeal region.  Eats and sleeps well.  Very delusional.
Jul 11, 1908.  No change in any way.
Dec 1.  Patient confined to bed.  Is cheerful and in fair general health, aside from crippled condition.
Jun 8, 1909.  Condition same, still in bed, very impudent at times.
Jul 12.  No change in any way.
Jun 8, 1945.  Died.

Additional notes:
Was in hospital from 1906 until her death in 1945.


On certificate of:
Drs. Conwell, Banton, and P.W. Tomlinson

History and clinical notes:
History:  Patient has been suffering more or less for the past five years with Bright’s disease of kidneys and valvular disease of heart.  Mental disturbance manifested itself about two weeks ago when he threatened to injure his daughter.  Obtained a knife and slashed up some bed furniture and bed clothing.  Has been steadily getting worse, talks irrational.  Sleeps but little at night and imagines people are after him and that boys are chasing him.  Is steadily losing flesh and strength.  On admission patient was in a filthy condition.  General anarsaca and both feet and lower limbs extremely distended.  Skin eruption in several places.
Feb 2, 1906.  Patient has been in bed constantly since admission, very feeble.  Since yesterday morning has been in a semi-comatose condition.  Friends were notified yesterday and they visited him in the afternoon.  Failed rapidly and died at 2:55 a.m.
Feb 2, 1906.  Died of nephritis.
General anasarca is severe, generalized, extreme edema.


History and clinical notes:
History:  Brought by father, who states that trouble began four weeks ago, he became excitable and talked incessantly about Tolstoi, Bernhardt, and others, imagines “the world is after him.”  Has used tobacco to excess.
Mar 21, 1906.  Is very noisy at times and requires restraint, appetite good but does not sleep well.
Jun 26.  Has been quiet for past two weeks but became very noisy today and attacked Attendant Gerald.
Oct 5.  Is very much improved and eager to go home.  Sleeps and eats well, has been on Ward C for several weeks and is cheerful.
Oct 16, 1906.  Paroled.
Apr 19, 1907.  Discharged recovered.

Additional notes:
Seems to have recovered, gone on to get married and have at least one child, a son.  Died at DSH 8/19/1961.


History and clinical notes:
History:  Brought from New Castle County Workhouse, where he has been serving a five year sentence for attempted homicide; he has already served two years of sentence imposed.  Seven years ago while in a fight he received a depressed fracture of skull and since that time has been a menace to the community in which he lives, at time is very quarrelsome.
Mar 21, 1906.  Has been well behaved since admission.
Jun 26.  Is not trustworthy and requires restraint.
Nov 25.  Is treacherous and bears watching.
Jun 1908.  No mental change and has good physical health.
Dec 12, 1911.  No change since last report.
Mar 1, 1912.  Penis and scrotum greatly enlarged, paracentesis of scrotum performed and about one quart of sero-purulent fluid removed.
Mar 2.  The parts have become gangrenous and patient has developed peritonitis.
Mar 2nd, 1912.  Died of peritonitis.
Tiny newspaper clipping attached: “James Lester, colored, who was serving a term of four years for murderous assault has been adjudged insane and was removed from the workhouse to the state hospital.”
Paracentesis refers to using a needle or catheter to withdraw fluid.


History and clinical notes:
History:  Patient has had no home for a number of years; but has worked out and has been abused with no one to care for her.  Patient on admission states that her father died some time ago and that her brother Rob disappeared.  When taken to ward, recognized in patient Mary Spear (No. 2) her mother and the recognition was mutual.
Apr 6, 1906.  Patient eating and sleeping well, has grown stout, very amiable and work in attendants’ dining room.  Has been transferred to Ward A.  
Jul 30.  Has been working in attendants’ dining room, does work well.  Is faithful and pleasant when spoken to.  Eats well.  Has grown much stouter, but is still very anemic.
Oct 15.  Works all the time – is good and quiet.
Apr 2, 1907.  Very stout, pleasant disposition, work all the time.
Sep 2.  No change in any way.
Nov 12.  Good physical condition.
Jul 11, 1908.  Mentally much improved, in good physical condition.
Dec 1.  Good physical condition.
Jun 9, 1909.  Is very good condition, has grown very stout.
Jul 18, 1914.  Removed today by her brother, contrary to advice of Supt.
Jul 18, 1914.  Paroled.
Mar 9, 1915.  Discharged unimproved.

Standard form attached.  Dated July 18, 1914.  “I hereby removed my sister from the Delaware State Hospital at Farnhurst again 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 [name redacted].  Signed [brother’s name redacted.]


History and clinical notes:
History:  Fifteen years ago fell from Trinity Church window and injured his head and after that he suffered a great deal from his head especially during hot weather.  About 8 years ago began to suffer from lead paralysis and it has gradually worsened until he has no control over his sphincters.  Cannot talk to be understood and has to be cared for as a child.  About five years ago his mind became affected.  His wife makes this statement altho the indications are that his enfeebled mental state is due entirely to the leady palsy.  Is in about the same condition physically as he was three years ago.
Mar 5, 1906.  Is very weak, eats poorly, but sleeps well.
Mar 18.  Took a sudden change today and failed rapidly, died at 6:50 p.m.
Mar 18, 1906.  Died of asthenia and lead paralysis.
See glossary for explanation of “lead paralysis.”


History and clinical notes:
History:  Mr. Blackburn of the Almshouse brought patient from train (6:42 p.m.).  He stated that he had been telephoned to visit a patient and he supposed that the patient was for him.  He stated that there were two young men accompanied patient but that they return on the 7 o’clock train.
Mar 5, 1906.  Had La Grippe two years ago and since that time his mind has been rapidly failing.
Mar 12.  No improvement since last report.
May 12, 1906.  Died.  Uremia and cardiac asthenia/asthma.


History and clinical notes:
History:  [Name redacted] adopted this child when she was three years old.  First noted that she was peculiar about ten or twelve years ago – would forget what was said to her and since then her mind had gradually grown more weak.  About 3 months ago turned against her mother and has several times threatened suicide.  Picked up a knife and said she was going to cut her throat.  Has not lost flesh or strength.  A few nights ago.  At times has attacks resembling petit mal.  Child’s mother was a very bad woman – intemperate and immoral.
Mar 24, 1906.  Paroled.
Jul 13, 1906.  Discharged.

From ancestry.com: In 1910 census she was back at DSH, where she died March 26, 1911 of status epilepticus.

Additional notes:
She was back in DSH at 1910 census and died there in 1911 of status epilepticus.


History and clinical notes:
History:  Brought by officers who could give no history.  When admitted he had $52.29 in his possession; which was given to officers, to be delivered to his sister.  
Mar 5, 1906.  Desires to consult his attorney in order to gain his release.  Has only worked two months in the past three years, is delusional and imagines his sister was trying to poison him.  
Mar 21.  Is very impudent and used insulting language to Dr., was placed in restraint.  Melancholy ever since death of mother three years ago.  Sits around all day.  Has delusion of great wealth, talks of large sums of money.  Smoked pipe constantly but did not drink.  Very suspicious of sister, due to the placing of medicine ordered by Dr. Wales in his coffee, because he refused to take it.  Never violent, not suicidal.  Sleepless, talks a great deal at night.
Jun 26.  No improvement since last report; is very surly and seldom speaks to officers of the hospital.
Nov 25, 1906.  No improvement since last report.
May 14, 1937.  Died.


History and clinical notes:
History:  Brought from N.C.Co. Almshouse where he had been a patient for past week suffering from alcoholic gastritis.  He seems bewildered and cannot answer questions intelligently.
Mar 5, 1906.  Has been quiet since admission.
Mar 21.  Very much improved mentally and physically, eats and sleeps well.
Mar 24.  Paroled.
Jul 13, 1906.  Discharged recovered.


History and clinical notes:
History:  Patient brought from Almshouse by Mr. Blackburn who knows nothing of her history except that she has always been an intemperate woman.  Says that at times she is very noisy and troublesome.
Apr 6, 1906.  Patient quiet and tractable.  Eats and sleeps well.
Jul 30.  Eats and sleeps well.  Has delusions about money.
Oct 15.  Not very good physical condition.
Apr 2, 1907.  Very fretful.  No change in either mental or physical condition.
Sep 2.  Physical condition fairly good.
Nov 12.  Eyesight failing.  Rather feeble.  Eats and sleeps well.
Jul 11, 1908.  Feeble and half blind.  No mental change.
Dec 1.  Somewhat stronger physically.
Feb 4th, 1909.  Not quite so strong; past day or two; went to bed today; appetite very poor, put her on extra diet.
Feb 8th.  Has been failing somewhat altho able to take nourishment.  While night attendants were with her at 2:30 this morning, gave a gasp and died suddenly.
Feb 8, 1909.  Died at 2:30 a.m.  Cerebral embolism.


History and clinical notes:
History:  Brought by officers who state that he has been on a debauch for past month.  Patient is extremely nervous, has not been eating, sleeps poorly.  Was a patient in this institution during March 1900, suffering from [ill.] trouble.
Mar 13, 1906.  Gastro-intestinal tract badly deranged; has some difficulty in retaining foods.
Mar 15.  Very much worse today, is delirious and it is with difficulty he takes nourishment.
Mar 16, 1906.  Rapidly failing and is unconscious.  Died.  Pneumonia (lobar).


On certificate of:
Drs. P.W. Tomlinson and W.G. [ill. -- Grimes, perhaps]

History and clinical notes:
History:  Family have all been well educated and was a teacher for a time.  Was always of an eccentric disposition and was very nervous.  The family are all poor now and last Feb the family had to break up and since that time her mental state has become more enfeebled.  Imagines that God has forsaken her.  Suffers a great deal from constipation and has some form of uterine trouble.  Two brothers were taken to the Minquadale Home this morning.  Frequently would not eat, because she was afraid she was depriving others of her family.  Has lost flesh and strength.
Mar 26, 1906.  Paroled.
Jul 13, 1906.  Discharged.  
Standard form attached.  Dates March 24, 1906.  I hereby remove my sister from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness, T.H. Davies.  Signed by sister [name redacted].


History and clinical notes:
History:  Brought by nephew who states that present trouble began five years ago but at intervals of a few months.  She seems apparently well, when she suffers these attacks she does not eat or sleep well and talks incoherently.
Jul 13, 1906.  Has improved steadily since admission.
Jul 14, 1906.  Paroled.
Sep 27, 1906.  Discharged recovered.


History and clinical notes:
History:  Patient left here June 16, 1905, recovered.  For precise history see page 124 this book.  About 2 months ago had a slight attack for a few days, but was like himself after until about 10 days ago when he became very restless – wandered from home is restrained would become very noisy.  Had to be strapped so that he could not leave the house.  Has been steadily growing worse.
Jun 1, 1906.  Very violent and placed in restraint; transferred from Wd. C to Wd. 6.
Jun 24.  Some improvement since last report, restraint removed.
Jul 7.  Brought to Ward C, shows signs of improvement since last report.
Nov 25.  Transferred to Ward 6 for striking another patient, is inclined to be surly.
May 1, 1909.  Since last note patient has been at times very noisy lasting from 2 to 3 weeks and during interval very depressed (manic depressive insanity).  
Jun 1.  Has been very noisy and turbulent for some days.
Jun 9.  Supt. saw patient at 5 p.m. last night somewhat stupid, but pulse good, etc.  This morning attendant spoke to patient at 6:30 a.m., on returning to his room about 10 minutes after patient was breathing his last.
Jun 9, 1909.  Died.  Exhaustion from chronic mania.


History and clinical notes:
History:  Brought by Capt. Evans who states that patient attempted suicide by drinking laudanum “Girl in the case” (sic).  For previous history see Book V page [blank].
May 5, 1906.  Is well behaved and gives no trouble, plays mandolin on the ward and is cheerful.
Jun 4, 1906.  Paroled.
Sep 27, 1906.  Discharged improved.
From ancestry.com: Patient died April 10, 1909 at age 23.  He was discovered drowned in the Christiana Creek in Brandywine Hundred.


History and clinical notes:
History:  Has been suffering from kidney trouble for some time (since Jan 1906) and confined to bed most of the time.  On admission, pulse very rapid but weak, urinous odor of breath and very weak; is delirious but not violent.  Treatment instituted promptly on admission.  9 p.m.  rapidly growing weaker.
Apr 10, 1906.  Died – uraemia.


On certificate of:
Drs. Wilbur D. Burton and J.L. Crossmore

History and clinical notes:
History:  Brought from Kent Co. Almshouse by Mr. & Mrs. Caulk, who state that patient has been troublesome.
Apr 20, 1906.  Patient fell while dressing and broke leg, about surgical neck – on water bed – does not suffer much pain.
May 6, 1906.  Steadily sinking.  Head cold.  Brain anaemic.  Repeated chills.
May 7.  Patient in coma, pupils dilated, eyes upturned, body cold, pulse feeble.
May 8, 1906.  Died at 12:25 p.m.


History and clinical notes:
History:  Brought by Mr. & Mrs. Caulk from Kent Co. Almshouse who state that patient is troublesome and wanders away from institution and is very noisy.
Jul 30, 1906.  Quiet.  Eats and sleeps well.  Very feeble.  Sometimes untidy.
Oct 15.  Very feeble.
Apr 2, 1907.  No change in any way.
Sep 2.  Very feeble.  Quiet usually.  Eats and sleeps well.
Nov 12.  Very feeble.  No mental change.
Jul 11, 1908.  No change in any way.
Dec 1.  Very feeble.  Confined to bed.  Eats fairly well.
Jun 7, 1909.  Very feeble.  At time compelled to stay in bed.  Menstrual flow established.  [!!!!]
Jun 20, 1911.  For past 3 weeks patient has been growing weaker, refusing diet and liquids and confined to bed.  She is emaciated.  For past week has had epitalis at intervals and has been vomiting continuously.  Vomitus was coffee ground in appearance and diagnostic of carcinoma.  Also had a bloody vaginal discharge of long duration and incontinence of both bladder and rectum.  Patient died at 3 a.m. June 20, 1911.  Cause of death – carcinoma of stomach.
Epitalis is some sort of botanically-based medicine.


History and clinical notes:
History:  Has had attacks of insanity nearly all his life, but they have kept him at home.  This attack has been much worse than usual – imagines people owe him money and he has threatened them.  Talks to himself a great deal of the time.  Certificate states that the probable cause is self-abuse.
Nov 25, 1906.  Is a good patient but is very talkative and says he does not care to associate with the “common niggers” on the ward.
Jan, 1918.  No change in patient’s mental condition, works around the ward and outside.  
Feb 19, 1919.  Patient escaped from outside work.
Feb 19.  Paroled, unimproved.
Feb 20, 1919.  Brought back by the supervisor of Middletown.
Dec 22, 1919.  Died.


History and clinical notes:
History:  Brought by I.C. VanDerGriff and nurse.  Patient has always been a man of good habits, trouble began shortly after death of his second wife.  He wanders about streets, stops street cars but not get on, has turned on the gas in his residence, one morning his son found him in the cellar at 5 a.m. with two large knives in his hand and when asked what he intended to do with the knives he states that he had them for protection.  Has delusions of grandeur, sometimes is untidy and will not keep his clothes on.  
Jun 26, 1906.  Is quite feeble but has a fair appetite; legs are oedematous but no albumin found in urine.
Nov 15.  Has been in bed since last report, is gradually growing weaker and can only take liquid nourishment.
Nov 19, 1906.  Is very much weaker today.
Nov 20, 1906.  Died.  Senile asthenia.


History and clinical notes:
History:  Brought by officers who could give no history; patient has been sick for past few weeks, has also been drinking to excess and threatened to drown himself.  On admission, patient was weak and very much depressed.
May 5, 1906.  Is very stubborn and sometimes refuses to eat.
May 28.  Very much improved, eats and sleeps well.
May 31, 1906.  Paroled.
Sep 27, 1906.  Discharged recovered.


History and clinical notes:
History:  Brought by brother and officer.  Patient became afflicted when he was nine years old, for past few years attacks have been increasing in frequency.  Two years ago, during a fit, he fell from second story window and fractured two of his ribs.  During these attacks he is violent and sometimes tears his clothes.
May 5, 1906.  Had three fits during the night.
Jun 26.  Suffered from status epilepticus today.
Jul 7.  Some improvement since last report, but is very untidy.
Aug 10.  No change.  General condition same.
Sep 12.  Condition but little changed, has a severe cough at present.
Nov 30.  Was transferred to TB building, has pulmonary tuberculosis, was put to bed.
Dec 15.  Very much weaker.
Dec 25.  Patient has failed rapidly during last week.
Dec 27, 1912.  Patient died 5:30 p.m.  Pulmonary tuberculosis.


On certificate of:
Drs. P.W. Tomlinson and Cornwell (?) Barton (?)

History and clinical notes:
History:  Brought by son, who states that patient has been unmanageable for past two weeks, does not talk very much but is very excitable, seems bewildered.  Certificate states that patient has had syphilis for past six months.  Does not eat much and sleeps poorly.
May 5, 1906.  Marked improvement since last report, eats and sleeps well, is cheerful and wants to go home.
Jun 25.  Very much improved.
Jun 26, 1906.  Paroled.
February 5, 1907.  Recovered.


On certificate of:
Drs. W.F. Hames (?), J.N. Johnce (?) of Seaford [very difficult to read]

History and clinical notes:
History:  Since discharged June 14, 1904, patient has been working in factory – noise of machines upsets her, so has been doing nothing for the past six weeks.  Menstruation very irregular and talks to herself, seems very silly.  Very anaemic and much emaciated.  Troubled with insomnia.  Talks quite rationally when questioned.  Appetite – very poor.  Much better for past four days.  Patient and father states that the death of her sister’s child which occurred shortly before last Christmas, was partly the cause of return of malady.  Was somewhat depressed for a little while after this time as she was very much attached to child and took most all of the care of it while it was ill.
Jul 10, 1906.  Quiet, clean, polite, and generally well-behaved.  Eats and sleeps.
Jul 27, 1906.  Paroled.
Feb 5, 1907.  Discharged improved.


History and clinical notes:
History:  Wandered away from his home in Middletown, Del on May 8th, 1906 and walked to Farnhurst, came to back door of Ward C and asked Attendant Malour to admit him.  Patient is very much depressed and attempted suicide a few weeks ago.  Lost his position on R.R. and has worried considerably since that time.  Physical condition good.  Has been an inmate of this institution before, for previous history see Book V, page 16.  
Jun 26, 1906.  Confined to bed for past two days suffering from enteritis.
Jul 7.  Very much improved, is up and about ward.
Oct 20.  Has continued to improve and left today for his home in Middletown.
Oct 20, 1906.  Paroled.
Apr 19, 1907.  Discharged recovered.


History and clinical notes:
History:  Patient left this institution Rec [recovered] Apr 18, 1905 and remained well until last January when climacteric appeared.  She lost considerable blood at that time and flowed for several weeks.  Shortly after menopause started she became very melancholy and nervous, biting her nails, walking restlessly about the house and in much the same mood and character as manifested in her other attacks.  Sleeps part of each night.  Has not lost flesh.
Jul 30, 1906.  Very disturbed – cries and moans and bites fingernails all the time.  Transferred to III.  Eats well.
Oct 15.  No change.  Very melancholy.
Apr 2, 1907.  Very despondent.  Has grown stout.  Eats and sleeps well.
Sep 2.  Very melancholy.  Neurasthenic.  Has new complaint every day.  Is quite stout, and eats and sleeps well.
Nov 12.  In fair physical condition.  Mentally less disturbed.
Nov 16, 1907.  Paroled.
Apr 2, 1908.  Discharged improved.


History and clinical notes:
History:  First symptoms two years ago, cause unknown; wandered away from home, but could be cared for.  For past two weeks has been very noisy and troublesome and at times would not eat.  Occasionally sleeps at night, but not sufficiently long at a time.  Gets very violent at times, especially if interfered with.
Jul 30, 1906.  Offered violence to nurses; transferred to III.  Not good tempered.  Refuses to eat for several weeks, then eats heartily.  Sleeps well.
Oct 15.  In fair condition.  Eats regularly.
Nov 28.  Paroled.
Jan 29, 1907.  Returned to hospital.  Has behaved well.
Apr 2.  Somewhat improved.
Sep 12.  Seems very sensible.  Eats and sleeps well.
Nov 12.  She had an attack of shingles.  Has recovered.  No change mentally.
May 11, 1908.  Paroled.
[no date] Returned.
Jul 11, 1908.  Patient still somewhat excited.  Eats well.
Dec 1.  Quiet and in better physical condition.
Jun 8, 1909.  Condition same.
Dec 26, 1934.  Died.


History and clinical notes:
History:  Patient has been suffering from senile dementia for past two years, with the usual symptoms of this disease.  Has been untidy, suffered from a paralytic stroke about 4 years.  All sphincters are relaxed and she is very hard to care for.
Jul 30, 1906.  Rather weak and helpless; quiet and good humored, eats well.
Oct 15.  Feeble, but good tempered.
Apr 2, 1907.  Very feeble, confined to bed.  Has had attack of erysipelas.
Apr 26.  Patient has continued to fail.  Has been constantly in bed.  Died at 9 a.m.
Apr 26, 1907.  Died of senile asthenia.


History and clinical notes:
History:  Patient was brought from Almshouse – nothing is known of history.  Has delusions of grandeur, speech tremulous.
Sep 20, 1906.  Patient more feeble; characteristic symptoms of dementia paralytica.  Was visited by his relatives today who removed him against the wish of the Supt.
Sep 20, 1906.  Paroled.
Nov 5, 1906.  Discharged unimproved.
No form attached.


History and clinical notes:
History:  Patient left this institution improved Nov 12, 1905.  Continued in good health until about 2 months ago when a recurrence of the old mental trouble appeared.  At times refused food and has not taken sufficient food for some time.  Has lost some flesh and is quite melancholy at times.
Jul 30, 1906.  Quiet and amiable; sews every day for Ward.  Eats and sleeps well.
Oct 15.  Does not want to go home.  In good condition.
Apr 2, 1907.  Much improved in every way.
Sep 2.  Physical condition good.  Sews for hospital.
Nov 12, 1907.  Mental and physical conditions much improved.
Apr 13, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.


History and clinical notes:
History:  Mr. Heam who brings patient knows nothing of her history.  Certificate states that she has been insane for two years continually; that she is suffering from some pelvic trouble.
Jul 30, 1906.  Patient quiet, seldom speaks.  Eats and sleeps well.
Oct 15.  No change.  Has not improved.
Apr 2, 1907.  Is a little better.  Works on ward.
Sep 12.  No change in any way.
Nov 12.  Mental and physical condition unchanged.
Jul 11, 1908.  No change in any way.
Dec 1.  In about the same condition.  Quiet and eats well.
Jun 8, 1909.  Patient has had considerable pain at her period the past two days, otherwise well.
Jul 12.  In good health.  Mental condition same.
Apr 10, 1912.  Patient has been failing in health for some time and is now confined to bed.
May 8.  Patient growing steadily weaker and very emaciated.  Eats very little and is still confined to bed.  On physical exam, located a hernia in right femoral ring.  Chest positive for tuberculosis.
May 11.  Conscious but extremely weak.
May 11, 1912.  Died at 11:20 a.m.  Pulmonary tuberculosis.


History and clinical notes:
History:  Husband states that about 2 months after her first child was born (2.5 years ago), she showed signs of derangement with slight lucid intervals until her present child was born 6 weeks ago.  During all of this time she has imagined that people were down on her and has threatened to kill her husband and others.  Since last child was born has been quite vicious, tearing her clothing, breaks up furniture and always carried a butcher knife to bed with her.  Is at times quite noisy at night.
Jul 30, 1906.  Patient quiet and civil.  Eats and sleeps fairly well.  Is pale and weak however.  Is now menstruating – first time since admission.  Uterus soft, involution not complete, ovaries not palpable, slight cystocele.
Jul 28, 1906.  Paroled.
Feb 5, 1907.  Discharged improved.

Additional notes:
1910 census -- back at DSH.  Died at DSH, 3/9/1913.


History and clinical notes:
History:  Brought by officer who could give no history of patient.  Patient in good physical condition but stupid mentally.
Jun 7, 1906.  Attempted to escape, caught by Attendant Copes.
Jun 26.  Attempted to choke [name redacted] (patient) and was placed in restraint.
Nov 25.  Is violent at times and requires restraint.
Jan 1, 1911.  Is not so violent but does not improve mentally.
Jul 1, 1916.  Has been failing physically; no change mentally.
Dec 24.  Has been losing weight gradually, and has taken very little food; died early today.
Dec 24, 1916.  Died of carcinoma of liver.


History and clinical notes:
History:  Has been an inmate of this institution on three different occasions.  Last night he appeared on the streets of Wilmington with two guitars and became very noisy and was arrested, while in lock up he attempted suicide by hanging.  For previous history see Book V, page 21.  
Jun 26, 1906.  No improvement since admission.
Sep 20.  Some improvement.  Is a little more quiet and tractable.
Oct 15.  Has steadily improved and was allowed to go home on parole today.
Oct 15, 1906.  Paroled.
Apr 19, 1907.  Discharged recovered.

Additional notes:
"Pemphigus is a rare group of blistering autoimmune diseases that affect the skin and mucous membranes." (Wikipedia)


History and clinical notes:
History:  Has had fits since she was a year and a half old.  Has them at nights and constantly, but makes little disturbance.  Loses her temper easily and has very irritable disposition, swears, and sometimes becomes violent.  Complains of pain in head and stomach.
Jul 30, 1906.  Quiet and ordinarily tractable, occasionally has fits of temper.  Eats and sleeps well.  Does not have convulsions often.
Oct 15.  Fairly good condition.  Has sore on nose caused by fall, and from which she removed scab.
Apr 2, 1907.  Is a little better.  Has many epileptic convulsions.
Apr 3.  Patient has been ailing for some time.  Temperature today 103.8° F at 4 p.m.  Few rose spots.  Tongue not typical.  Widal test being made.
Sep 2.  Has had an attack of typhoid fever.  Now in sixth week of disease.  Temperature still a little above normal at night.  
Nov 12.  Completely recovered from typhoid.  Bad disposition.
Jul 11, 1908.  No change in any way.
Dec 1.  Physically somewhat run down.
Oct 8, 1910.  No very marked change since last note; occasional epileptic seizures.  Today went into a status – controlled to a certain extent by an enema of sal 30 gms Chloral.
Oct 9.  Still has convulsions and is in a semi-comatose state; attacks will not yield to appropriate treatment.
Oct 12.  Is still in a semi-comatose state.  Left side marked paralysis (sensory), pupils equal, convulsions at regular intervals, pulse very rapid.  Is steadily getting weaker.
Nov 2.  Some improvement since last report but attacks are more frequent.
Dec 22, 1910.  Has gone into “Status” and convulsions are frequent and is rapidly emaciating.
Dec 28, 1910.  Died – Status Epilepticus.


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

History and clinical notes:
History:  Brought by wife who states that patient has acted strangely for past four months; imagines he is going to be arrested and taken away in patrol; is not violent; eats and sleeps poorly.  Suffers from Glaucoma; was operated upon two years ago, but derived no benefit from same.
Nov 25, 1906.  No change since last report; has an irritable temper and although blind, insists upon groping about the ward.
Jan 1, 1911.  Condition about the same as when last reported.
Dec 12, 1917.  Is delusional, has no insight into his condition; uses abusive language; is very weak physically; has been confined to his bed for some time.
Mar 12, 1918.  Patient has been gradually growing weaker for some time.  Taking only liquid diet.  Died today of chronic interstitial nephritis, 9:50 a.m.
May 12, 1918.  Died.


History and clinical notes:
History:  Brought by nephew who states that patient first showed signs of mental depression shortly after the death of his wife, which occurred in February 1906.
Jun 18, 1906.  Refused to eat and had to be fed by tube.
Jun 26.  Very much depressed, but appetite is better.
Jul 7.  Confined to bed, does not talk and it is difficult to get him to take sufficient nourishment.
Oct 26.  Eats fairly well, but will not talk.
Nov 20.  No marked improvement since last report.
Jan 15, 1910.  A very marked change mentally, he is cheerful and answers questions promptly, works in clothes room and is industrious.
Jun 25, 1910.  Continues to improve mentally and physically.
Jul 16, 1910.  Paroled.
Nov 1, 1910.  Discharged recovered.

Additional notes:
He survived until 1932.  Is buried next to his wife.  In 1910, his daughter was living with relatives at age 11.  No further info on her.


History and clinical notes:
History:  Patient has been an idiot since birth.  Parents have been able to care for him until lately when he has threatened to burn down houses, barns, etc.  People became afraid of him and demanded his incarceration.
Oct 26, 1906.  No improvement since admission.
Nov 7.  Was removed from institution today by his sister.
Nov 7, 1906.  Discharged unimproved.

No form attached.

Additional notes:
Neighbors demanded his incarceration.  No further info.


History and clinical notes:
History:  Brought from N.C. Co. Almshouse where he has been a patient for past year; patient is deaf and dumb and in poor physical condition; is very irritable and has delusions of persecution.
Jul 7, 1906.  Has been a good patient thus far.
Oct 26.  Imagines his wife is in the building and that we will not allow her to see him, on such occasions he is very irritable.
Nov 25.  Is very irritable and insists that his wife comes to visit him but we will not permit her to see him.
Jan 1, 1911.  Confined to bed and suffers from rheumatoid arthritis.
Aug 17.  Complains of severe pain in abdomen and is have numerous watery stools.
Aug 21.  Does not respond to treatment and refuses nourishment, rapidly growing weaker.
Aug 23, 1911.  Died of gastro-enteritis.

Letter attached on letterhead of “The Pennsylvania Institution for the Deaf and Dumb.”  Mt. Airy, Philadelphia, PA.  Dated April 2, 1903.

“Mr. Titus Roth, Jr.,
	Newcastle County Hospital,
		Farnhurst, Del.

My dear Sir: -- 
	I am sorry to have delayed so long in answering your first letter which was received in due time.  From our records, I gain the following information in regard to your admission to this Institution: You were admitted Oct 5, 1857.  You were born deaf in Philadelphia March 1, 1842.  You left school in July, 1863.  At the time of your admission to this Institution, your father / Titus Roth, lived in Kensington, Philadelphia.  From there he moved to Egg Harbor, Atlantic County, N.J., and from there to Delaware.  There is nothing further in our record relative to your admission to and discharge from the Institution.
	Hoping that this may prove satisfactory,
						Very truly yours,
							A.L.E. Croutes [somewhat ill.]”

Handwritten in pencil on bottom of letter: “I were born a Dutch in Germany.”

Additional notes:
Great letter about his time at Pennsylvania Institution for the Deaf and Dumb.


History and clinical notes:
History:  Present trouble began two years ago when she began to write letters to her neighbors in which she accused them of persecuting her – but she never sent any of the letters.  About six months ago she ceased talking and would never utter a sound unless she wanted [ill. – perhaps “something”].  Is not violent and does not destroy her clothing.
Jul 27, 1906.  Gynaecological examination – uterus displaced laterally, swollen, and cervix congested, large abrasion, ovaries not palpable.  Patient refuses to talk.  Eats and sleeps well.
Oct 15.  No change.
Apr 2, 1907.  Not much improvement, but talks occasionally and works in kitchen.
Sep 2.  Somewhat improved.  Very industrious about ward.
Nov 12.  No change mentally.  Improving physically.
Jul 11, 1908.  In fair physical condition, sometimes talks a little.
Dec 1.  No change in any way.
Jun 21, 1910.  Fell on left palm and sustained a Colles fracture of left forearm.
Jun 26, 1935.  Died.


History and clinical notes:
History:  Brought by officer who states that patient has been wandering about the streets and claims to be a “Zionist” and various other forms of religion.  Says she is a Director of Delaware Hospital.
Jul 30, 1906.  Patient very quiet and well-behaved; works on ward.  Eats and sleeps well.  Has an external strabismus and exophthalmia.  Has fixed delusions.  Says she is 20 years old and going on 21 and has 10 children.
Oct 15.  No change in any way.
Apr 2, 1907.  Somewhat improved mentally.  Physical condition good.
Sep 2.  No change.  Works in laundry.
Nov 12.  In good physical condition.
Jul 11, 1908.  No change.
Dec 1.  No change.  Works in laundry.
Feb 16, 1922.  Died.


History and clinical notes:
History:  Patient was removed from this institution Dec 15, 1905.  See Case Book 4, Pg. 363.  Was removed against the advice of the Supt. by [ill.] Walther, a supposed nurse, who had informed her mother that she could cure her.  Was returned at the instigation of [ill.] Walther who now claims that she cannot cure her and that she is not a proper person to be at large, nor can her mother care for her.
Jul 30, 1906.  Patient is sullen and impudent, declares she has never been in this institution before.  Lies around on floor a good part of time.  Nurses in charge state that she is more difficult to manage than on her previous admissions.
Oct 15.  Tried to escape this morning.  Troublesome patient.  Eats and sleeps well.  Talks very foolishly.
Apr 2, 1907.  Very insane – eats like an animal.
Sep 2.  Has had an attack of typhoid fever.  Now the fifth week of disease.  Temperature has been normal for a week.  Very feeble, but slowly recovering.
Nov 12.  Is in good physical condition.  Very insane, but quiet.
Jul 11, 1908.  No change in any way.
Dec 1.  Physically improved.  Mental condition unchanged.
Jun 8, 1909.  No change in condition.
Jul 10, 1957.  Still in hospital.

Unusual/atypical pre-printed form attached:  “NOTICE!  To: [Patient’s name].  TAKE NOTICE that I intend to apply to the Orphans’ Court of the State of Delaware, in and for New Castle County, at adjourned September term thereof, which will be held at Wilmington, on Wednesday the seventeenth day of November A.D. 1920 for an order to sell all of the Real Estate of Louise [patient’s last name] deceased, situate in Wilmington, in the State and County aforesaid, as will be necessary to pay the debts due and outstanding against the same.”
Wilmington, Delaware.  November 4, 1920.  Signed by William F. Kurtz/Kuntz, Adm. of Estate of Louise [last name redacted], Dec’d.  2:24 p.m.

Additional notes:
Description of her as eating like an animal; insane relatives, syphilis.  Order for guardianship after her mother Louise died.


History and clinical notes:
History:  Has been addicted to the use of intoxicants for past 25 years and being a man of fair intellect has worried over his family history, having a mother and sister insane.  Several years ago while on a debauch he had trouble with one of his companions and shot him but wound did not prove fatal.
Oct 4, 1906.  Has shown no evidence of insanity.  Mr. Gray called for patient today and he was discharged.
Oct 4, 1906.  Discharged.


On certificate of:
Drs. Jefferson M. Luffff and Samuel T. Cubbage

History and clinical notes:
History:  Brought by Dr. Cubbage and ex-Sheriff Melvin who state that patient has had an attack one year prior to present one; yesterday she became violent and tried to run in front of train.  Cause of trouble has been assigned to hard work and martial (marital) troubles, was abandoned by husband about one year ago.
Jul 27, 1906.  Patient very nervous.  Eats fairly well and sleeps usually without chloral.  Has fixed delusions.  Gynaecological examination shows enlarged and swollen uterus, left ovary palpable.  Copious discharge – yellow and foul odour.  Patient anaemic, has hard dry cough.  Breath at all times foul.
Oct 15.  Much improved physically and somewhat mentally.
Apr 2, 1907.  Much improved, though still melancholy.  Eats well.
Sep 2.  Has had severe attack of neuritis both hands and both legs below knee, completely paralyzed, but she is now slowly regaining use of them.  Eats and sleeps well.  Mental condition unchanged.
Nov 12.  Spends greater part of day outdoors when pleasant.  Is gaining rapidly in physical health, but no change mentally.
Jul 11, 1908.  In fair health.  Very stubborn and irritable.
Dec 1.  Emaciated and anemic.  Eats ravenously.
Jul 12, 1909.  Had an infected foot, proving; no change mentally, masturbates a great deal.
May, 1918.  Patient suffers from tuberculosis of lungs, had a few attacks of bad hemoptysis (?).  Very weak.
Jul, 1918.  Upon examination found patient also suffers from chronic parenchymatous nephritis.  Urinalysis: albumin abundant, numerous large granular casts, few hyaline casts.  Patient very anemic.
Mar 1, 1919.  Condition of the patient very critical.  Marked anemia with dropsy.  Hypertrophy of calf.  Urinalysis: Albumin positive, large granular casts and hyaline casts.
Mar 14.  Patient died at 3:15 p.m.  Chronic parenchymatous nephritis, 1 year, contributing phthisis tuber. and anemia, 13 years, 2 months.

Additional notes:
Died of chronic parenchymatous nephritis, contributory Phthisis Tuber. And Anemia, 13 years, 2 months


On certificate of:
Drs. Dorsey W. Lewis and G. Burton Pearson

History and clinical notes:
History:  Was accidentally shot in leg in 1859; was amputated after.  About 7 years ago had an attack of apoplexy (right hemiplegia).  His mind has been very feeble since that time.  Was able to get around until about 2 years ago when he became worse mentally.  About 2 months ago had another slight stroke of apoplexy affecting same side as previously.  Talks rationally but memory is impaired in regard to past events.  Appetite is good.  Sleeps fairly good at night.  Dr. certificate states that patient is suffering from syphilis.
Nov 25, 1906.  Is very untidy, but shows no evidence of insanity.
Dec 1, 1906.  Discharged.  Not insane.


Insane Relatives:
two sisters and one brother died hemiplegia

Complications:
cancer of face; heart (aortic insufficiency)

History and clinical notes:
History:  Last Oct. had an attack of apoplexy (right hemiplegia).  Gradually recovered from this attack, but mind became very feeble shortly after and has not improved.  Lately has been unable to care for himself, cannot dress or undress himself.  Has suffered from cancer on face and neck for past eight years.  Has been treated for this trouble in both the Presbyterian and Jeff. Hospt. but with but little effect.
Sep 1, 1906.  A good patient, sleeps and eats well.
Oct 26.  No improvement since last report.
Nov 25.  Has occasional epileptiform attacks.
Jun 25, 1907.  Disease (cancer) rapidly spreading, submaxillary glands involved.
Nov 16.  Failing mentally and physically, confined to bed.
Jul, 1908.  Entire left side of face involved, lower eyelid destroyed, and orbital cavity involved.
Sep 12.  Sight destroyed in left eye, occasional profuse hemorrhage from tissues.
Nov 4, 1908.  Died.  Carcinoma.


History and clinical notes:
History:  Patient lost 3 children in 1872 to diphtheria and shortly after this became very melancholy and depressed.  Has also worried a great deal about her youngest son (Act 31)(?) who has been an epileptic since he was about 10 years of age.  Patient has had several attacks of melancholia but has recovered from each.  Present attack has lasted for about one year.  Has gradually grown worse, wanders from house and frequently does not recognize her own children.  Lives in the past and is constantly talking of events that occurred years ago.  Has no memory for recent occurrences.  Sleeps good at night.  Appetite rather poor.  Altho at times she is so child-like that she will eat anything.  Cannot see very well.
Oct 15, 1906.  Very quiet and well behaved.  Eats and sleeps well.  Knows very little.
Apr 2, 1907.  Very amiable.  Eats and sleeps well.  No mental improvement.
Sep 2.  No change in any way.  Physical condition good.
Nov 12.  Quiet and amiable.  Physical condition fair.
Jul 11, 1908.  Very sweet and quiet.  Physical health good.
Dec 1.  In fair physical condition.
Jun 8, 1909.  Condition same, no memory.  Very quiet and tractable.
Jul 12.  Failing physically.  Wants to go home to her [ill.] constantly.
Sep 1.  Fell and injured 2nd finger of right hand.
Jan 27, 1911.  No mental change.  Has been slightly more feeble.  This evening slipped on floor and sustained an intra capsular fracture of right femur.  Owing to her age no extension apparatus was applied, but she was made as comfortable as possible.
Apr 5.  Is not so well; appetite poor and rapidly losing flesh.
Apr 15.  Continues to grow worse, lungs are oedematous.
Apr 20, 1911.  Died.  Pulmonary oedema; extra-capsular fracture of femur.

Final disposition:
Died of pulmonary oedema, extra-capsular fracture of femur


History and clinical notes:
History:  Patient was brought by officers who know nothing of her history.  Patient will not talk herself so nothing of her history could be obtained.  
Oct 15, 1906.  Rather dangerous.  Kept in restraint.  Kept in restraint. (sic)
Apr 2, 1907.  Greatly improved.  Works on centre.
Sep 2.  No change.  Quiet and industrious.
Oct 3.  Patient has had typhoid fever for several weeks.  Positive Widal reaction, delirium, low temperature range and great prostration.  Growing steadily weaker.
Oct 5, 1907.  Died, 11:25 p.m.  Typhoid fever.


History and clinical notes:
History:  Patient came by himself and presented an expired certificate which was returned; proper papers arrived today (8-4-06).  Little history obtainable but he has suffered from epilepsy for past 8 years.
Oct 26, 1906.  Has frequent epileptic seizures of a violent character.
Nov 25.  No improvement since last report.
Jun 22, 1908.  Having frequent attacks during past few days and has been violent; transferred to Ward 6.
Jun 23, 1908.  Died – status epilepticus.


History and clinical notes:
History:  Brought from New Castle Co. Workhouse by Warden Meserve, where he has been serving sentence for disorderly conduct.  Has a varied amount of delusions, “says he is the 7th son of the 7th daughter, is married, and has ten children.  He also says he knows of conspiracies to destroy Mr. Meserve and his daughter, also says his home is in the other world.
Sep 10, 1906.  Suffering from a pleuro-pneumonia.
Sep 25.  Pleural cavity aspirated and about six ounces of fluid (of a muco-purulent character) removed.
Oct 6, 1906.  Died – pneumonia.


History and clinical notes:
History:  Has been drinking to excess, has been an inmate of this institution before, on two occasions.  For previous history see Book IV, page 254.  Brought to hospital on August 9th 1906 but papers did not arrive until today.
Oct 26, 1906.  Eats and sleeps well, gives us no trouble, is cheerful but weak mentally.
Nov 25.  Condition remains unchanged, is orderly and works about ward.
Sep 3, 1907.  Eloped.
Mar 27, 1908.  Returned today.
Sep 24, 1909.  Had a stroke (cerebral apoplexy) today affecting left side.
Sep 26, 1909.  Died – cerebral apoplexy.


History and clinical notes:
History:  Brought from New Castle Co. Almshouse by Supt. Blackburn, who states that patient attempted to escape with her baby.  Her husband was a former patient in this hospital and after his discharge was unable to obtain employment as a result they had to go to the Almshouse.
Oct 15, 1906.  Quiet and well behaved.  Talks in sensible manner.
Apr 2, 1907.  Eats and sleeps well.  Works in dining room.
Sep 2.  Has had an apoplectic stroke.  Paralyzed below waist, sphincters involved.  Heart weak.  General condition very poor.
Oct 15, 1907.  Died at 5:30 p.m. of cerebral hemorrhage.
Buried at DSH, #150.  Of four kids one – Ernest, lived 1890-1943 married to Grace; one – William Arthur, married to Bertha M. lived 1894-1963.  Could not find info on the others.

Additional notes:
Buried at DSH, Grave #150.  Wife of Gustave Reinike.


On certificate of:
Drs. Irvine M. Flinn and William E. Sherwood

History and clinical notes:
History:  Patient is a resident of Delaware but has been an Agent for Sells Bros. Circus; while in Massachusetts he wrote checks and offered same for payment but not in a manner to defraud; his employer immediately recognized that he was mentally deranged and had him confined in Westboro, Mass. Asylum, until brought here today.
Oct 26, 1906.  No improvement mentally, slight improvement physically.
Nov 25.  No change since last report.
Oct 6, 1907.  Developed “Status” at 8:40 a.m. and died at 9:10 a.m.  
Oct 6, 1907.  Died – Status epilepticus.


On certificate of:
Drs. Frank Belleville and William Wertenbaker

History and clinical notes:
History:  Brought by officer who states that patient has been in the woods near Delaware City for past two weeks and has been living on green corn and tomatoes, he had been employed on a boat and “dropped off” at Del. City to look for work.  When admitted he was depressed but in good physical condition.
Sep 6, 1906.  Brother of patient came from Virginia and took him home.
Sep 6, 1906.  Discharged improved.


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

History and clinical notes:
History:  Brought by husband who states that patient first showed signs of mental trouble about four years ago, but for past six months has grown worse, does not eat or sleep well, has peculiar notions, will keep windows and doors closed on warmest days.  Is depressed and sometimes does not recognize her husband and family.  Had typhoid fever 15 years ago.
Oct 15, 1906.  Patient disturbed and almost imbecile.  Eats fairly well and is quiet at night.
Apr 2, 1907.  No mental improvement.  Eats well, but physical condition poor.
Sep 2, 1907.  No mental improvement.  Eats well, but physical condition poor (sic).
Nov 12.  Imbecile mentally.  Physical condition poor.
Dec 20.  Very weak.  Unable to sit up.  Eats well.
Jan, 1908.  Has been in bed for some time; gradually failing.  Eats well.
Feb 14.  Unconscious – refuses food, [ill.] emaciated.
Feb 18.  Patient in deep stupor, cannot swallow, failing rapidly.
Feb 19, 1908.  Died at 1:30 p.m.  Senile asthenia.


History and clinical notes:
History:  Brought by officer who states that patient wanders about the house and sometimes turns on the gas without lighting same, is troublesome and difficult to manage.  Physical condition poor.
Sep 1, 1906.  During the night he imagined some person was going to kill him and he attempted to get out through window; in so doing he injured his head and nose.  Examined and wound dressed by Dr. D. at 3 a.m.
Oct 26.  Is unable to walk and is failing rapidly.
Nov 25.  Suffering from Ischio-rectal abscess and is confined to bed.
Jan 12, 1907.  Still confined to bed, abscess improved but general health failing.
Feb 6.  No improvement since last report.
Feb 12.  Refuses to take nourishment and is failing rapidly.
Feb 15, 1907.  Died of senile dementia.


History and clinical notes:
History:  Brought by brother who states that patient fell about ten years ago injuring his head and spine; for past 4 months he has been unable to walk or feed himself, and is untidy.  Has choreic movements and does not talk, noisy during the night.
Sep 12, 1906.  Removed to his home by his wife.
Sep 12.  Paroled.
Feb 5, 1907.  Discharged recovered.


History and clinical notes:
History:  Attacks began when patient was five months old, then ceased until 13 months, last about four months and then ceased until she was 9 years old, began again at 12 years and have continued ever, usually having four to five convulsions per month, worse during menstruation.  Physical condition good.
Oct 15, 1906.  Patient has very severe convulsions.  Between attacks she works on ward and in dining room and is quiet and tractable.
Apr 2, 1907.  Eats and sleep well.  Has many convulsions.  Disposition at times bad.
Sep 2.  No change in any way.
Nov 12.  Convulsions more frequent and more severe.
Jul 11, 1908.  In very good physical condition.
Dec 1.  In good physical condition.
Jun 8, 1909.  Condition same.
Mar 16, 1910.  Fell in a convulsion and cut her chin, this evening.
[No date]  Patient has continued as formerly with occasional periods of several months status followed by frequent and more severe convulsions.
Jul 23.  Had seizure at 1 a.m., recovered as usual.  This followed by another sharp convulsions at 3:30 in which she died.
July 23, 1910.  Died during epileptic seizure.

Additional notes:
Epilepsy began in infancy, continued off and on.


On certificate of:
Drs. Irvine M. Flinn and Egmond Negendauk

History and clinical notes:
History:  Brought by son on Sept 2, 1906 but papers did not arrive until today Sept 5, 1906.  Patient suffered from a “stroke” several years ago but made a good recovery, suffered another attack one week ago and suddenly became violent on Sat., Sept. 1, ’06.
Sep 15, 1906.  Has grown worse since admission and it is with difficulty that he takes nourishment.
Sep 16, 1906.  Died of cerebral apoplexy.


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

History and clinical notes:
History:  About six months ago began to neglect her household duties and her personal cleanliness, wandered from home and bought vegetables & meats etc. that she had no use for.  Failed physically at first, but lately is stronger.  For past few days has been quite violent.  Poured kerosene on the stove and threatened to injure her daughter and has said that she would take strychnine.  Has steadily grown worse so that her friends could not keep her at home.
Oct 3, 1906.  Paroled.
Oct 6, 1906.  Brought back by two policemen.  Very disturbed mentally.  
Oct 15.  Quiet, but discontented.  Eats and sleeps well.
Apr 2, 1907.  In good physical condition.  No mental improvement.
Sep 2.  Very quiet and pleasant.  Physical condition good.  Mentally unchanged.
Jul 11, 1908.  No change in any way.
Dec 25, 1909.  Very little change since last note.  Very quiet in the ward but at all times governed by her delusions.
Jun 10, 1910.  Discharged improved.

Standard form attached, dated Oct 3, 1906.  “I hereby remove my mother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the offices and the Board of Trustees from any act or depredation that she may commit.”  Witness: Wm. Hancker.  Signed by daughter [name redacted].


History and clinical notes:
History:  Brought by officers who state that patient imagines someone has built a screen around his house; this seems to be his main topic of conversation.  Has had some domestic trouble and has been drinking to excess.
Sep 20, 1906.  Improved very much and was paroled in care of friends.
Sep 20,. 1906.  Paroled.
Feb 5, 1907.  Discharged recovered.


On certificate of:
Drs. Irvine M. Flinn and John W. Miller (Mullur?)

History and clinical notes:
History:  Brought by Mr. Perkins who states that patient imagines he has committed some crime and thought he was to be arrested.  Attempted suicide by inhaling illuminating gas.  When admitted he talked rationally and was in good physical condition.  Has always been regular in his habits, three years ago his wife died and he worried after her death.
Oct 26, 1906.  Some improvement since admission.
Nov 25.  Mind is weaker but physical health remains good.
Jan 12, 1907.  Friends arranged for his removal to Frankford Asylum, he did not want to leave and cried, saying he was afraid he would be injured in some manner.
Feb 2, 1907.  Paroled.
May 4, 1907.  Returned to hospital in care of Mr. Turner.
Mar 27, 1908.  Very much depressed; sits about ward and seldom has anything to say.
Jan 1, 1914.  Has a marked spinal curvature due to sitting in the same position all the time and avoiding exercise.
Jan 8, 1915.  Is getting quite feeble and eats very little, occasionally has weak spells and complains of pain in region of heart and radiating down arm.
Apr 21, 1915.  6:30 a.m. while attempting to dress this a.m. he suddenly collapsed, fell back in bed and expired in a few moments.
Apr 21, 1915.  Died – angina pectoris.

Additional notes:
Attempted suicide by inhaling illuminating gas


History and clinical notes:
History:  Brought by son who states that present trouble began one month ago, patient complained of pain in head, did not sleep well and seemed bewildered; she realizes where she is but insists she is not insane.  Physical condition, fair.
Oct 15, 1906.  At times patient is very unruly.  Physical condition not good.
Apr 2, 1907.  Is a little better.  Eats little and only with coercion.  Very thin.
Jun 8, 1907.  Paroled.
Sep 13, 1907.  Discharged unimproved.

Standard form attached, dated June 8, 1907.  “I hereby remove my mother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the offices and the Board of Trustees from any act or depredation that she may commit.”  Witness: Wm. Hancker.  Signed by son [name redacted].


History and clinical notes:
History:  Brought by brother who states that patient became violent and struck a member of his family with a water pitcher without any provocation.  Has been a patient on two former occasions for previous history see Book V, page 75.
Oct 26, 1906.  Has been very quiet since admission.
Nov 24, 1906.  No improvement since last report.
Jun 16, 1907.  Marked improvement, is well behaved.
Jul 5, 1907.  Paroled.
Dec 10, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought by husband and Dr. R.N. Wilson, but they could give but little history other than patient is noisy and destroys her clothes.  On admission, patient was very aenemic and breath foul, tongue heavily coated.
Oct 4, 1906.  Patient was catheterized & about 3 Quarts of foetid urine was removed.  Tongue very much coated.  Calomel administered.
Oct 5.  Calomel no effect.  Enema of hot water – no avail.  An enema of hot sweet oil produced the necessary effect.  Bowels have not probably been moved for some time.  Temperature before the evacuation 102.  Four hours after [temperature] normal.  Patient undoubtedly suffered from autointoxication.
Oct 15.  Still in bed.  Bowels now move regularly and freely, odour disappearing, also sordes on teeth.  Mind very disturbed.  Call nurse “the Saviour” and tells improbable tales.  Cries a great deal.
Apr 2, 1907.  Talks a little.  Still wants to die, and refuses to eat.  In bed.
Sep 2.  No change.  Still fed by tube, lies in bed all day, [ill.] unchanged.
Jul 11, 1908.  Still fed by tube, and remains in bed, but talks quite freely.
Nov 27.  Has been transferred to Ward B.  Eats everything now, and has good appetite.  Mental condition apparently normal.
Dec 6, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.

From ancestry.com: At 1910 census was living with husband, his siblings, and her mother.  At 1920 census was living with her husband and her mother.  Died October 22, 1927.


History and clinical notes:
History:  Patient had a similar attack two years ago but made a good recovery; three weeks ago he became depressed and very stupid; has been suffering from some gastric disturbance, breath is very foul and tongue furred.
Oct 26, 1906.  Will not eat and has to be fed with tube; is failing physically.
Nov 22.  Removed to infirmary; is weak and greatly emaciated; it is difficult to get him to take nourishment.
May 25, 1907.  No improvement since last report.
Jun 8.  Is confined to bed and will only take liquid nourishment.
Jun 29.  Failing rapidly.
Jul 2, 1907.  Died – asthenia.


History and clinical notes:
History:  Patient was first admitted March 16, 1906 and was removed by her sister against the advice of the Supt. March 24, 1906.  Patient condition overall is much the same as it was when she was removed.  Moans and frets and wringing her hands etc. so much so that she could not be cared for at home.
Oct 15, 1906.  Physical condition very bad.  Much emaciated, has bad cough, complains of pleuritic pains.  Eats well at times, and again refuses to eat at all.  Moans and complains constantly.
Oct 28.  Patient fed through tube; will not eat.  Physical condition very bad.  No T.B. in sputum.  Very distressed at all times.
Oct 28, 1906.  Paroled.
Apr 19, 1907.  Discharged unimproved.


History and clinical notes:
History:  Patient has had several attacks in past two years but was cared for at home until present time when she became unmanageable; is violent at times, breaking furniture and bric-a-brac; she also threatened to do her husband bodily harm.
Oct 15, 1906.  Show temper frequently.  Is sullen and suspicious.  Fairly good physical condition.
Nov 24.  Has not improved.  Was removed against the advice of the Supt. by her husband.
Nov 24, 1906.  Paroled.
Apr 19, 1907.  Discharged improved.

Standard form attached, dated November 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 offices and the Board of Trustees from any act or depredation that she may commit.”  Witness: J.Y.(?) Boughman.  Signed by husband [name redacted].


History and clinical notes:
History:  When patient was 3 years of age had scarlet fever; after this her mother noticed that her mind began to fail and in a short time she was a comparative imbecile.  No epilepsy.  General health is not quite what it ought to be.  Mother died Sept. 30.
Oct 15, 1906.  Patient knows absolutely nothing.  Is untidy and has to be fed.  In fairly good physical health, somewhat aenemic.
Dec 18, 1906.  Died at 6:20 p.m.  Tuberculosis.

Additional notes:
Brought to hospital two weeks after death of her mother.  MR from scarlet fever at age 3.


History and clinical notes:
History:  Patient had a stroke of apoplexy about 10 years ago affecting slightly the left arm and face right side, which disappeared in a short time.  Has had one or two suspicious attacks since then, but only transitory.  Mental symptoms noticed four or five months ago; was melancholy and depressed, neglected household duties.  Lately, has at times refused food & her sleep has been extremely irregular.  Has gained slightly in flesh.
Dec 23, 1906.  Paroled.
Apr 19, 1907.  Discharged improved.


History and clinical notes:
History:  Brought from Almshouse by Supt. Blackburn, where she has been a patient for past week; she imagines she is in Ireland and is very anxious to go to America.  Physical condition good, but she looks much older than her given age.
Dec 29, 1906.  Paroled.
Apr 19, 1907.  Discharged unimproved.


History and clinical notes:
History:  Has been a former patient in this hospital for previous history see Book V, page 226.
Apr 2, 1907.  Patient has steadily improved, both mentally and physically.
Jun 15.  Paroled.
Jul 28.  Returned today; had been visiting in Bridgeton, New Jersey when she became troublesome, disrobed on street and also threatened to burn to (sic) the town.
Sep 2.  Very quiet.  Eats and sleeps well.
Nov 12.  No change in any way.
Jul 11, 1908.  [Name redacted] is more amiable.  Eats and sleeps well.
Dec 1.  Both mentally and physically improved.
Jun 8, 1909.  Condition same.  Very quiet.
Jul 12.  Has been very troublesome the past few days and had to be removed to Ward 3.
Jul 10, 1910.  Patient has lost flesh but is up and about the ward every day.
Dec 1.  Patient is very thin and has been in bed for some time.  Capicturates (?) a great deal; both lungs are affected.
Jan 1, 1911.  Still in bed; no marked change.
Jan 20.  Continues to fail rapidly. 
Jan 24.  This morning signs of dissolution – passed away at 3 p.m.
Jan 24, 1911.  Died of phthisis pul.


History and clinical notes:
History:  Brought by daughter who states that patient’s mind has been failing for past year; sometimes she become very nervous and has destructive tendencies but up to present time has never attempted to injure herself or others.
Apr 2, 1907.  Chronic constipation.  Patient very fretful.  Eats very well.
Jul 20.  Has been ailing for some days; bowels quite loose.
Aug 1.  Been in bed for past 2 or 3 days, suffering from enteritis.
Aug 7.  Still in bed, much weaker.  Daughter is with her.  Bowels still loose.
Aug 8.  Much weaker, temperature suddenly went to 106°.  Put in wet pack.  Temperature reduced to 101.
Aug 9.  Pulse very feeble; much weaker.
Aug 10.  Patient passed quietly away at 2 a.m.  Daughter with her at time of death.
Aug 10, 1907.  Died of enteritis.

Additional notes:
Daughter was with her at hospital, including when she died.


History and clinical notes:
History:  Brought by officers who could give no history other than patient has acted in a peculiar manner for past year, he would stand at 6th and Market St., for hours at a time, would not molest anyone.  Patient says “new laws were passed for his benefit at last session of legislature.”
Nov 24, 1906.  Has been very quiet since admission, but is delusional.
Jan 8, 1907.  Is a good patient but is depressed at times.
Jan 1, 1912.  Condition remains unchanged.
Mar 23.  While in apparently good health he was seized with a “stroke” and is unconscious.
Mar 24, 1912.  Died – cerebral apoplexy.


History and clinical notes:
History:  Patient was dropped on pavement and struck on his head when he was two years old and since that time his brain has never developed and he has been an imbecile ever since.  Has been cared for at New Castle all these years – until a few days age he pushed his caretaker (who was a lady, 70 years of age) over and she fell and broke her hip and his trustee Mr. Hunter of Warren, PA decided to place him in an institution.
Nov 24, 1906.  Has an ataxic gait and sometimes falls on floor; is noisy at times but not violent.
Jan 2, 1907.  Is suffering from bronchitis.
Jan 8, 1907.  Very much improved since last report.
Jan 1, 1911.  Condition unchanged.
Jan 1, 1914.  No change in his mental and physical condition.
Jan 1, 1917.  Unchanged.
Nov 11, 1918.  Patient died at 5 a.m.
Nov 11, 1918.  Died at 5 a.m.  Apoplexy.  

Letter attached, typed on letterhead of Arthur W. Spruance, Attorney-at-Law, Ford Building.  Wilmington, Del.  “October 3,1913.”
Dr. William H. Hancker,
		Farnhurst, Delaware.
Dear Sir: -- 
	I have resigned as Trustee under the will of Sarah E. Merritt, deceased, and the Wilmington Trust Company of this City has been appointed succeeding Trustee so that you should send future bills for board of John Merritt to them and they will be promptly attended to.
	The term of the trust provides that as much of the income as is necessary shall be paid for the maintenance and support of John Merritt; he should be kept provided with all necessary clothing and comforts and if for any reason his nephew, Rev. John Merritt Hunter, or Marietta, Ohio, should overlook this matter I think that you should see that he is suitably provided for and send bills to the new Trustee to whom the matter has been explained.
							Yours truly,
								[Signed] Arthur W. Spruance


History and clinical notes:
History:  Patient was first admitted May 7, 1896 and was discharged Improved Feb 14, 1901.  His son states that he fully recovered after being home a short time and remained well until about 4 weeks ago, when he began to talk a great deal about religion and constantly went to church, which was very unusual for him.  Has been steadily growing worse; very loquacious.  Patient was admitted on Nov 16th, but papers did not arrived until the 17th.
Nov 19, 1906.  Very noisy during the night, threw bed clothing out of windows and was transferred to Ward 6.
Nov 20.  Continues to be noisy, at present suffering from Laryngitis, spat his false teeth on floor and broke them; it became necessary to administer Hyoscine hydrobr. Gr 1/50.
Nov 21.  Very noisy and untidy, spits on attendants and officers, is showing some signs of exhaustion.
Nov 24.  Very noisy and untidy, requires hypnotics to produce sleep.
Jan 8, 1907.  No improvement since last report.
Apr 9.  Seldom on good behavior for more than 24 hours and requires restraint; is very troublesome and on several occasions assaulted attendants and patients.
Feb 1, 1909.  Had a slight hemorrhage (cerebral) today; has affected speech, but at present no motor disturbance.
Feb 5.  Complete paralysis (right side).
Feb 6.  His family decided to remove him to their home at Chadd’s Ford, Penna.  Paroled.
Apr 1, 1909.  Discharged unimproved.

Final disposition:
Discharged unimproved, taken to family home in Chadds Ford, Pa.

Additional notes:
Seems to have had intermittent mental health problems, interspersed with years of normal functioning


History and clinical notes:
History:  Was a former patient in this hospital, was taken home but he became violent and had to be returned.  For previous history, see Book V, page 178.
Jan 8, 1906 (1907).  Has been quiet since he returned to hospital and physical condition has improved.
May 6.  Is gradually failing in health.
Jun 10.  No improvement since last report.
Sep 25.  Is confined to bed and eats very little.
Oct 2.  Rapidly growing weaker.
Oct 7, 1907.  Died – general paresis.


History and clinical notes:
History:  Patient’s mind began to fail about 5 years ago and is steadily growing worse.  Very absent minded, so much so that she wanders about aimlessly and has to be constantly watched.  Appetite is fairly good and she has but little trouble sleeping at night.
Mar 14, 1907.  Patient had bad attack of enteritis.  Pulse very weak.  Discharges copious and frequent.
Mar 15.  No improvement; patient unconscious; respiration labored; pulse weak, discharges continue.
Mar 16, 1907.  Patient diet at 2 p.m.  Acute enteritis.


History and clinical notes:
History:  A former patient in this hospital and has been well until one month ago, when she asked to be brought back to Farnhurst.  For previous history, see Book V, page 171.  
Mar 29, 1907.  Paroled improved.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought from N.C. Co. Workhouse where he has been serving a short sentence for disorderly conduct; has been a patient in this institution; for previous history see Book IV, page 479.  
Jan 8, 1907.  Has been quiet since admission.
Mar 1.  Is working about grounds, very much improved.
Mar 13, 1907.  Paroled.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Has been very nervous and excitable for past three weeks but worked until yesterday; has been an inmate of this institution on four different occasions; for previous history see Book IV page 332.
Jan 8, 1907.  Has improved somewhat since admission.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Last night patient threw a brick at Dr. Fahey’s window, and gave as his excuse “that somebody was trying to commit suicide in his Dr. Fahey’s office.”  For previous history see Book IV, page 445.
Feb 10, 1909.  Condition unchanged.
Jan 1, 1911.  Good physical health but no mental change.
Feb 1, 1939.  Died.


History and clinical notes:
History:  A former patient in this institution, for past week has been wandering about the streets of Wilmington, called at this hospital on Sunday Dec 2nd, 1906 and said he would like to take his wife home, that he had obtained a position paying him $25.00 per week, that he was going to buy a farm near Phila, for $45,000 and numerous other delusions of grandeur.  For previous history see Book V, page 117.
Jan 8, 1907.  Is very irritable at times and quarrelsome with his fellow patients.
Nov 27, 1908.  No mental change since last report.
Dec 4.  Confined to bed, failing physically.
Jan 23, 1909.  Has been unconscious for past three days.
Jan 24, 1909.  Died – general paresis.


History and clinical notes:
History:  Brought from N.C. Co. Workhouse where he has been undergoing sentence for Murder.  Several months ago in a “free for all” patient struck a man on head with a club, later the man died.  Patient has been acting strangely for past few months and was adjudged insane.
Jan 8, 1907.  Imagines “witches” are after him.
May 20, 1907.  Says the “steam jets” in his shower keep his feet too warm and for that reason he does not care to wear his socks.
Jan 1, 1911.  No mental change, is quiet and well behaved.
Jan 6, 1912.  Died of cerebral apoplexy.


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

History and clinical notes:
History:  Brought by son who states that patient became very much excited while attending church services on Wed. evening of this week and has been unable to sleep since that time.
Jan 28, 1907.  Paroled.
Apr 19, 1907.  Discharged recovered.


History and clinical notes:
History:  Husband left her about five years ago.  Worried about this a great deal.  About 8 months ago was awarded a divorce for non-support.  First symptoms of insanity was noticed about 5 weeks ago.  At this time her daughter was very sick, and this further excited her.  Went to bed – was very nervous.  Began to neglect her household duties and has been steadily growing worse since that time.  At times becomes quite noisy, imagining that a woman was upstairs.  At times very melancholy.  Has attempted to drink carbolic acid, but was discovered in the act.  Wants to die and is suicidal at all times.  Appetite has been very poor and is steadily losing flesh and strength.  Has usually slept well at night.
Jan 6, 1907.  Patient very delirious.  Sleeps most of the time.  Temp 101; rapid and small pulse.  Pupils somewhat unequal, always dilated.  Utterance [ill. – perhaps “thick”] and hesitating.  Eats very little liquid diet.
Jan 12.  Patient in stupor; cannot rouse her.  Temp. 104 in axilla, pulse 162, very weak.  Eats nothing.
Jan 13, 1907.  Died at 8:20 a.m.  Pachymeningitis interna hem.


On certificate of:
Drs. Theo. O. Clements and William D. Burton

History and clinical notes:
History:  Was a former patient in this institution; for previous history see Book V, page 154.  Patient occasionally imbibes freely and during a recent debauch he became violent and attempted to kill a friend.  When admitted, he was very calm and realizes he is in D.S.H.
Jan 8, 1907.  Is delusional; a few days since he imagined his brother had been killed and became (he) very violent, attempted to assault an attendant.
Jun 11, 1907.  Paroled.
Jun 12, 1907.  Discharged recovered.
Later adm. [in pencil at bottom].


On certificate of:
Drs. Irvine M. Flinn and J. Paul Lukens (?)

History and clinical notes:
History:  Brought by son-in-law, who states that first signs of mental impairment became noticeable about one year ago, when patient became somewhat depressed, has never been violent but was difficult to care for at home; on admission, patient was rather feeble.
Jan 8, 1907.  Slept well during night.
Jul 29.  Has been confined to bed for past two days.  Refuses nourishment and is failing rapidly.
Aug 1, 1907.  No improvement.
Aug 5, 1907.  Died – senile asthenia.


History and clinical notes:
History:  Brought by officer from New Castle who states that patient has been living the life of a hermit for past 15 or 20 years.  No other history obtainable.
Apr 4, 1907.  Is a good patient, has given no trouble since admission, works about ward.
Jul 14, 1908.  Has been in Status for past 24 hours.
Jul 18, 1908.  Condition remains unchanged.
Jul 19, 1908.  Died.  Status epilepticus.


History and clinical notes:
History:  Officer who brings patient is entirely ignorant of her history.
Apr 2, 1907.  Condition about the same as on admission.
Sep 2.  Not troublesome.  Eats and sleeps well.
Nov 12.  No change in any way.
Jul 11, 1908.  [Patient] is well and hearty.  No mental change.
Dec 1, 1908.  In good physical condition; quiet and amiable.
Jul 12, 1909.  In good health.
Jan, 1917.  Patient has remained the same for the past years; works on the wards and is in very good physical health.
Feb, 1917.  Patient has a very severe cough and was placed in bed today.
Feb 20.  Pneumonia has set in and both lungs are involved.
Feb 21.  Very much weaker this a.m.  Continued to fail and died at 7:40 p.m.
Feb 21, 1917.  Died.  Lobar pneumonia.


History and clinical notes:
History:  Brought to hospital on Thursday, Jan 10th, 1907 but papers did not arrive until Jan 15, 1907.  Had been drinking to excess and was in a highly nervous state.
Jan 16, 1907.  Is very much improved, eats and sleeps well.
Jan 17, 1907.  Paroled.
Apr 19, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought by son, who states that present trouble began 3 months ago, he rapidly grew feeble, would not go to bed at retiring time, imagined a corpse slept with him.  Is untidy at times and is unable to dress and undress himself.  Walks about room at night.  Has persecutory delusions.  Very feeble when admitted.
Jan 29, 1907.  Is very weak and was placed in bed, refuses nourishment and has diarrhea.
Jan 30.  Rapidly growing weaker and has been difficult to arouse.
Jan 30, 1907.  Died 10 p.m.  Senile asthenia.


History and clinical notes:
History:  Has suffered since infancy.  Was brought to hospital on Jan 15, 1907, but papers did not arrive until Jan 21st, 1907.  Has occasional seizures (epileptic), markedly irritable just before and during menstruation.
Apr 2, 1907.  Has bad disposition.  Eats and sleeps well.
Sep 2.  No change in any way.  Has very few convulsions.
Nov 12.  Eats and sleeps well; quiet and obedient.
Jul 11, 1908.  Still an imbecile; physical condition fair.
Dec 1.  In good physical condition.
Jun 8, 1909.  In good condition.
Mar 6, 1911.  No special change in patient’s condition.  Today has a severe cough, both lungs are affected; was placed in bed.
Mar 10.  Suffering from pneumonia, both lungs hepatized to a great extent.
Mar 20.  Still in bed but is quite weak and feeble.
Apr 1.  Has steadily failed, expectorates a great deal.  Cavities (?) in both lungs.
Apr 6.  Continued sinking and died this a.m.
Apr 6, 1911.  Died at 5:15 a.m. of Pulmonary Phthisis.


History and clinical notes:
History:  Has been a patient in this institution before, wanders away from home but is not violent.  For previous history see Book IV, page 213.
Apr 2, 1907.  Patient has greatly improved, both mentally and physically.
Apr 3.  No change in any way.
Apr 7, 1907.  Paroled.
Sep 13, 1907.  Discharged.


History and clinical notes:
History:  Always was peculiar and quite irritable.  First symptoms of insanity noticed about 8 months ago.  Thought that everyone was making fun of her; that people were talking about her, that plays on stage were for the purpose of ridiculing her.  Has steadily grown worse.  Delusions of persecution very pronounced.  Has threatened to kill herself and has at times threatened to kill others whom she imagined were persecuting her.  Lately has lost flesh.  Has not slept well at night.  Has a fair appetite altho she imagines that her food is poisoned.
Apr 2, 1907.  Eats and sleeps well.  Is disagreeable and surly.
Sep 2.  Very quiet and pleasant.  Physical condition good.
Nov 12.  Quiet and industrious.  Eats and sleeps well.
Mar 26, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.


History and clinical notes:
History:  About 8 years ago fell down stairs and fractured head of right femur; has been lame ever since.  First symptoms of insanity was noticed about 3 years ago; mind became very feeble; at times wandered from home.  Mind has constantly grown more weak.  So much so that is unable or pays no attention to the calls of nature.  Appetite is good but at times sleeps but little; gets up and wanders from her room, has to be constantly watched.  
Apr 2, 1907.  No mental improvement.  Eats and sleeps well.  Quite feeble.
Sep 12.  Is very weak.  Had convulsion and blacked both eyes.  Is now in bed.  Eats moderately.
Nov 12.  No change in any way.
Jul 11, 1908.  Patient nearly helpless.  Crippled by fall, but able to sit up in chair.  Eats and sleeps well.
Dec 1, 1908.  Is confined to bed, unable to walk or sit up because of crippled condition.  Is well nourished, and free from pain.
Jun 8, 1909.  Still in bed.  Otherwise in good condition.  Never noisy.
Jul 12.  Has failed very much in the past two weeks.  Pulse 120.  Temp 100.  Lies in a stupor.
Jul 15, 1909.  Died 1:30 a.m.  Senile asthenia.


History and clinical notes:
History:  Brought by officer who could give no history of case.  Patient states that she is very nervous, suffers from severe pain in ears and cannot sleep.  Has choreiform movements.
Apr 2, 1907.  Works a little.  Eats and sleeps well.  Some mental improvement.  
Jul 20.  Has been complaining for a few days; is in bed.  Very hard to find what her complaint is, on account of her mental state.
Jul 30.  Has been in bed since last note; will not eat.  Stomach very irritable, regurgitates all milk that is administered.  Head very hot; ice caps have been applied constantly.  Muttering delirium.
Aug 8.  Delirium still continues.  Very much weaker.
Aug 12, 1907.  Patient died this 6 a.m.  Pachymeningitis [Inflammation of the dura mater].

Final disposition:
Died of pachymeningitis [inflammation of the dura mater]


On certificate of:
Drs. P.W. Tomlinson and Harrison W. Howell

History and clinical notes:
History:  Brought from N.C. Co. Almshouse where he has been confined, suffering from alcoholism and a frozen toe; he became violent and had to be sent to D.S.H.  When admitted he broke a window pane.  Admitted Jan 26, 1907, but papers did not arrive until Jan 28, 1907.  Is violent and requires restraint.
Mar 4, 1907.  Has entirely recovered, working on ward and is industrious.
Mar 7.  Paroled.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Was a former patient in this hospital and upon the request of her mother she was removed to her home.  Prior to the last few weeks, she was always obedient to her mother, but has grown irritable and wanders from home.  She complains of pain in abdomen, feet and limbs are oedematous and abdomen slightly enlarged.  For previous history see Book V, page 102.
Apr 2, 1907.  Patient complains constantly of pain in abdomen.  Continually rubs it and says little devils are in there pulling and biting.  Cries and moans all the time.  Is in bad physical condition.  Does not sleep without narcotics.  Eats fairly well.
Sep 2.  Is better physically; does not complain of much pain.  Is in an emaciated condition due to fretting.  Eats fairly well.
Nov 12.  Still complains of abdominal distress.  Very thin.
Jul 11, 1908.  Very untidy and disturbed.  Physical condition poor.
Dec 1.  Has Erysipelatous condition of arm, following bruises received mysteriously during night.  Generally run down.
Jun 8, 1909.  Very untidy.  Eats well.
Jul 12.  Noise and troublesome at night, injures herself unless kept in restraint.
Mar, 1913.  Very little change since last note.  Is noisy and troublesome.  Later her urine shows traces of sugar and her eye lids are puffy.
Jan, 1914.  No change mentally.  Has general anasarca, passed large amount of urine.
Mar 15.  Attendant found her dead in bed at 5:30 this a.m.  Body was still warm.  Abdomen fall (full?) and limbs very oedematous.
Mar 15, 1914.  Died at 5:30 a.m.  Pericarditis with effusia and diabetes mel.

Final disposition:
Died of pericarditis with effusion and diabetes mellitus

Additional notes:
MR from infancy; mother kept her at home until she became disobedient and mother was unable to handle her


History and clinical notes:
History:  Brought to institution on Feb 7, 1907 but papers did not arrive until today, Feb 9, 1907.  Has been a patient as “St. Agnes” Baltimore and Penna. Hospital for Insane; present trouble began about three years ago, presumably from overstudy.  He had been a student at Johns Hopkins College, Balto. and worked very hard during his college career.  When 13 years of age he complained of severe headaches, which was attributed to ocular disturbance; his eyes were examined and fitted with glasses which seemed to give him some relief, which however was only temporary; he still complains about his eyes.  Physical condition is good.  He refused to talk other than to say “There is nothing the matter with me and I must go home to see my wife and child.”
Apr 4, 1907.  Is sometimes troublesome in regard to his wearing apparel, refusing to wear his clothes unless they are properly marked.
Feb 28, 1908.  Has marked vaso-motor paralysis and was ordered to bed.
Mar 2.  Refuses to eat and had to be “tubed.”
Mar 4.  Ears, lips, hands and feet cyanosed and pallor of face.  9 a.m.  9:45 a.m. patient collapsed and responded feebly to all forms of stimulation.
Mar 4, 1908.  Died at 4:15 p.m.  Cerebral embolism.

Additional notes:
Died at DSH 3/4/1908 of cerebral embolism.


History and clinical notes:
History:  Has been drinking to excess and is suffering from Mania Potu [insanity brought on by alcohol]; has been very violent since admission and tears bed clothing.  Was brought to hospital on Feb 12, 1907 but papers did not arrived until today, Feb 14, 1907.
Feb 27, 1907.  Very much improved, sleeps and eats well.
Mar 1.  Paroled.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought by officers who state that patient has been mentally weak for several years and spends much of his time about Engine House in Wilmington; imagines he has money and does not have to work.  Received an injury to the spine several years ago and was treated in Penna. Hosp., Phila.  
Jan 1, 1911.  Works in Ward D, dining room, has gained considerable flesh but does not improve mentally.
Jan 24, 1932.  Died.


History and clinical notes:
History:  Patient came to Wilmington from Syracuse, New York yesterday and began to act strangely, imagined he is a brass band or can imitate one.  He says he has been sick for 15 years suffering from rheumatism; no other history obtainable.  Did not show any evidence of insanity when admitted, but for past two weeks has been acting strangely.
Apr 25, 1907.  Has grown gradually worse.
May 16.  No improvement since last report.
Jun 25.  Refuses to eat and says he has no intestines; failing rapidly, mentally and physically.
Jun 28, 1907.  Died.  Valvular disease of the heart.
Note:  Buried at DSH, #146.  Could find no other info on ancestry.com.


On certificate of:
Drs. Irvine M. Flinn and William E. Sherwood (?)

History and clinical notes:
History:  Was a former patient, has suffered from Epilepsy for past 10 years; is violent when he has attacks.  For previous history see Book V, page 105 (?).  
Apr 4, 1907.  Has occasional epileptic attacks during which he is very disagreeable.
Apr 25.  Condition remains unchanged.
Jan 1, 1911.  Has occasional epileptic attacks and during the attacks he is very troublesome and frequently strikes fellow patients.
Aug 28, 1912.  Have frequent epileptic seizures.
Aug 30.  Is in a condition of “status” and is showing marked exhaustion.
Sep 3.  Has developed a pneumonia.  Respirations 55, pulse 135, temp 103.2 at 5 p.m.
Sep 5.  In a semi-conscious condition; labored breathing, rapid pulse, and some cough.
Sep 6, 1912.  Died.  Pneumonia, lobar.  Status Epilepticus.

Final disposition:
Died -- lobar pneumonia; status epilepticus


History and clinical notes:
History:  Brought by an officer who could give no history of case other than she was violent and destroying furniture.  On admission she seemed feeble, quite unsteady, and talked incoherently.
Sep 2, 1907.  Very feeble; quiet and tractable.  Eats and sleeps well.
Nov 12.  No change in any way.
Jul 11, 1908.  Patient has been failing rapidly for the last week.  Is very feeble.
Nov 17.  Patient confined to bed.  Has been failing for a long time.  Eats very little.
Dec 3, 1908.  Died.  Senile asthenia.


History and clinical notes:
History:  Patient has been in saloon business for many years and always devoted most of his time to business, used liquors to excess; about nine months ago he sold his property and business and experienced some trouble in the transaction; since that time he has failed mentally and physically.  He wandered away from home a few days ago, was “picked up” by Phila police and sent to “Blockley” until his friends from Wilmington secured his release and brought him to Farnhurst.  He imagines people are trying to get his money.  When admitted he was weak and emaciated.
Apr 4, 1907.  Is untidy and destructive and sometimes requires restraint.
Apr 25.  Physical condition very much improved and walks about the grounds.
May 15.  Is failing physically, refuses to eat and is fed by artificial means.
Jan 1, 1911.  No mental change; appetite fair but does not sleep well.
Apr 6.  Is gradually losing flesh, does not sleep well.
Oct 3.  Confined to bed most of the time; is very noisy and untidy.
Dec 12.  Does not eat regularly and is greatly emaciated.
Jan 15, 1912.  Died.  General paralysis of the insane.

Final disposition:
Died -- general paralysis of the insane [syhilis]


On certificate of:
Drs. James H. Draper, Jr. and P.W. Tomlinson

History and clinical notes:
History:  Has been drinking to excess for several days, has not been eating or sleeping.  Came to institution on Sunday, Feb 17, 1907, but papers did not arrive until today Feb 23rd, 1907.  
Feb 26, 1907.  Very much improved.
Mar 1, 1907.  Discharged cured.


History and clinical notes:
History:  Patient has never been very well mentally.  Has had epileptic seizures since he was four years old, but at very irregular intervals.  For past five years has had them very frequently, at least twice daily.  Mind has become very enfeebled.  Fairly good physically – suffered from constipation.
Apr 4, 1907.  Is in poor physical condition and has frequent seizures (epileptic); is very irritable during attacks.
Apr 25.  Does not improve.
Jan 1, 1914.  Condition remains unchanged, is very untidy.
May 12, 1915.  Had several violent epileptic seizures today.
May 14.  Had a profuse hemorrhage from lungs.
May 15.  Had another hemorrhage at 6:30 p.m.
May 15, 1907.  7:30 p.m.  Died – pulmonary hemorrhage and status epilepticus.

Final disposition:
Died -- pulmonary hemorrhage and status epilepticus


History and clinical notes:
History:  Patient has been in workhouse for about one month, has been insane all of this time.  Term expired yesterday.  Is in very poor physical health.  Refuses to eat.  Officers from workhouse know nothing of his history.
Apr 4, 1907.  Is surly and sometimes requires restraint.
Apr 25.  Has not improved since last report.
Jun 1.  Very much improved since last report, is now cheerful and is anxious to go home.  
Jun 8, 1907.  Paroled.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought by granddaughter who states that patient could not be cared for at home, is noisy, does not sleep well, and is untidy.  Very feeble when admitted.
Apr 2, 1907.  Has been confined to bed since admission until this week – is much better physically.  Has enormous appetite.
Sep 2.  Is now able to sit up all the time.  Is rather feeble, but eats and sleeps well.  Mind much impaired.
Nov 12.  Growing feeble.  Tears her clothes.  Eats well.  Confused.  
Jan 1, 1908.  Patient taken with chill, difficult breathing.  Has high temperature.  Dullness over both lungs.  Cannot talk.
Jan 2.  Patient growing rapidly worse.  Breathing labored and painful, temperature high.  Will probably not recover.
Jan 4, 1908.  Died – lobar pneumonia.


History and clinical notes:
History:  Patient has been confined to bed suffering from La Grippe and on March 12th he became delirious, would not eat, tore his clothes, and imagined people were after him.  Has always been eccentric but never considered mentally unbalanced.
Apr 25, 1907.  No mental change.
Jul 16, 1908.  Sent to infirmary, temp 103.2, marked depression, gurgling in right iliac fossae, no rose spots.  Clinical diagnosis Typhoid Fever.
Jul 21, 1908.  Died – Typhoid Fever.


History and clinical notes:
History:  Officer who brings patient knows nothing of her history.
Apr 2, 1907.  Patient has improved very much both mentally and physically.  Is quiet and respectful, in good spirits.  Eats and sleeps well.
Sep 2, 1907.  In good physical condition.  Mentally somewhat improved.
Nov 12.  Pleasant and industrious.  Somewhat simple.  Eats and sleeps well.
Jul 11, 1908.  In fair condition mentally.  Physical cond. good.
Dec 1.  In good physical condition.
Jun 8, 1909.  In good health.
Sep 4.  In good condition physically, improved mentally.
Feb 28, 1943.  Died.

Additional notes:
Buried at DSH, Grave #545.  Many years with no notes, no real diagnosis.


History and clinical notes:
History:  Patient has been weak minded since birth.  Lately has assaulted his mother with knife.  Officers know nothing further of his history.
Apr 20, 1907.  Imagined he was going to be murdered, ran down the hall, and fell against a bench, inflicting a lacerated wound on supra-orbital region requiring a suture.
Nov 8.  Sometimes noisy and untidy about his wearing apparel.
Jan 1, 1910.  Condition remains unchanged.
Mar 21, 1950.  Died.

Additional notes:
No notes from 1910 to 1950.  His death certificate says he died of chronic myocarditis, mitral valve heart disease, atherosclerosis and senility.  He is buried with his parents at Riverview Cemetery.


On certificate of:
Drs. W. Victor Messick and Thomas C. Moore

History and clinical notes:
History:  Was a former patient in this institution, under date of Sept 8th, 1899, see Book IV page 4.  Present trouble began one week ago, refuses to eat or talk and sleeps poorly.  Has choreiform movements of head and arms.  Refuses to eat.  Constant state of excitement.
Apr 10, 1907.  Patient unconscious from exhaustion.
Apr 13, 1907.  Died.  Exhaustion from acute mania.

Additional notes:
Says the cause of her problem is "abuse."


History and clinical notes:
History:  Has been acting strangely since the death of his wife and three children, which occurred at close intervals; is very irrational in his conversation, says he is a good butcher and came up here to examine some hogs.
Apr 10, 1907.  Is excitable, but not violent.
Apr 25, 1907.  Is quiet and excitable on alternate days.
Nov 8.  Has gained some flesh but no mental improvement.
Feb 3, 1908.  Physical health failing and eats very little.
Feb 16.  Confined to bed and is rapidly failing.
Feb 28, 1908.  Had a profuse hemorrhage from lungs.
Mar 1, 1908.  Died.  Cerebral apoplexy.

Note: from ancestry.com:  John George and Clara Gertrude were married in 1897, when John was 30 and Clara was 19.  Oldest child George Willard born 8/9/1898, died 10/5/1898.  Second child Natalie Gertrude born 8/9/1899.  Last known at age 10, living with grandmother Wilhelmina.  Third child Mildred Elizabeth born 11/17/1900, died 2/17/01.  Mother Clara died 12/27/1904.  George died in 1908.  Supposedly was a fourth child, but could find no evidence.  Perhaps from a first wife?

Additional notes:
Supposedly had 4 children, 3 of whom died, along with his wife.


History and clinical notes:
History:  Brought by Chas. S. Terry who states that patient has been acting in a peculiar manner for past 18 months, and the citizens have demanded that he be placed in an institution for the care of the insane.  He was a druggist and is perhaps addicted to the use of drugs, sometimes he wanders from home and is gone for several days.
Apr 10, 1907.  Has given us no trouble since admission but is eager to catch “9 o’clock train.”
Apr 25.  No improvement since last report but gives us no special trouble.
Nov 8.  Has lost considerable weight, mental condition remains unchanged.
May 14, 1910.  In poor physical condition, has a ravenous appetite but diet is restricted on account of an irritable bowel.  A large mass is palpable in left hypochondriac region, probably carcinomatous.
Jun 1.  Rapidly growing weaker, rejects all food.
Jun 13, 1910.  Died.  Carcinoma of stomach and intestines.

Final disposition:
Died -- carcinoma of stomach and intestines


History and clinical notes:
History:  Brought by officers but they were unable to give any history.
Apr 9, 1907.  Has been drinking to excess for several days; is still very excitable.
Apr 25.  Very much improved, eats and sleeps well and is very respectful.
Later history obtained.  Patient jumped from third story window, which caused the contusion on his leg.
May 3, 1907.  Paroled.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought from N.C. Co. Workhouse by Warden Meserve, where he has been confined on a charge of disorderly conduct; for past few days he has been noisy and would sing for hours at a time.  When admitted his tongue was heavily furred, skin jaundiced, conjunctivae pigmented and he complained of severe pain on right sight (side)(over hepatic region).
Apr 25, 1907.  Is very untidy.
May 15.  No improvement since last report; is very untidy and expectorates on floor and walls.
Jun 14.  No improvement since last report.
Nov 8.  Sometimes abusive and strikes other patients.
Dec 12, 1908.  Rapidly growing worse physically and mentally.
Jun 25, 1909.  Died.  General paresis.


History and clinical notes:
History:  Brought to hospital on April 4, 1907 but trustees’ certificate did not arrive until today (4-15-07).  Suffers from epilepsy and is violent at times.
Apr 25, 1907.  Has occasional epileptic attacks.
May 18.  Improved since last report.
May 18.  Paroled.
Sep 13, 1907.  Discharged improved.


History and clinical notes:
History:  About 2 years ago lost 3 children within a week from Diphtheria.  Shortly after this began to neglect his work, became very melancholy and depressed – imagined that everything was going wrong.  This depressed state has continued.  For past two or three weeks has wandered from home, did not appear to know what he was doing.  Lately has threatened suicide.  Could not keep him at home any longer.
Nov 8, 1907.  Very melancholy.
Jan 1, 1911.  No improvement since last report, sits about ward with mind in a state of constant worry.
Dec 11, 1916.  Is delusional, seems depressed, seems very feeble, does not eat well.
Jul 5, 1917.  Has delusions of persecution, is depressed, physically, he has been failing for some time, has been kept in bed part of the time.  Eats very little.
Aug 1, 1917.  Has been transferred to the infirmary, probably will only [ill.] for a short time.
Aug 2, 1917.  Died today 9:45 a.m.  Chronic interstitial nephritis.

Note: From ancestry.com: Wife Annie also died in 1917.  The three kids who died of diphtheria were their three oldest children, Harvey (aged 16 years), Florence (aged 14 years), and Hannah (aged 13 years).  They had at least 3 other children.

Additional notes:
Depressed because of loss of three older children to diphtheria within a week of each other.


History and clinical notes:
History:  Brought by son who states that present trouble began four months ago; wanders from home and disrobes in street, is violent at times.
Jun 12, 1907.  Paroled.
Jun 23.  Became unmanageable and was returned today.
Jun 30.  Failing mentally and physically.
Jul 21.  Is confined to bed and is suffering from Pachymeningitis.
Jul 28, 1907.  Died of Pachymeningitis.


History and clinical notes:
History:  Brought by nurse who states that patient has been ill for several months, having a complication of diseases, chronic constipation, indigestion, and uterine trouble.  She has always been fond of her home and spent most of her time in sewing and it was with some difficulty that she could be persuaded to take any outdoor exercise.  When admitted she was very calm and realized where she was being taken to.  Physical condition, not very good, pale and somewhat emaciated.
Apr 29, 1907.  Patient says she is heartsick from trouble and worry.  Gynecological examination: Hymen intact, vagina inflamed, left ovary palpable, right not, uterus very small, slightly anteverted.  Has just menstruated after two months cessation.
Sep 2.  Has been home twice since admission but immediately desires to return and gives trouble.  Here, she is quiet and well behaved.  Physical condition moderately good.
Nov 12.  Physical condition very good.  Rather foolish and silly.
Jul 11, 1908.  No mental improvement.  Health fairly good.
Dec 1.  Very disturbed and is growing emaciated and weak.  
Jun 8, 1909.  Very much disturbed, requires constant attention, continually crying to go home.  Very much emaciated.
Aug 18.  Patient very troublesome, cries almost continuously.  Large abscess on right forearm also one in gluteal region opened and treated.  Very much emaciated.
Sep 3.  Abscess on left forearm and elbow opened and treated; patient very troublesome.  Failing physically.
Jul 10, 1957.  Still in hospital.


History and clinical notes:
History:  Brought by cab driver who knew nothing about patient.  When admitted he seems feeble and gait unsteady.
Sep 21, 1907.  Has been up and about since admission.  Suffers a great deal from chronic rheumatoid arthritis.  Joints are swollen and at times painful.  Has been taking remedies for the disease as required.  This p.m. 6:45 while undressing fell in an epileptiform convulsion.  When Supt. arrived left pupil contracted (right enucleated) and diagnosis was made of cerebral embolism.  Continued unconscious and died 8:30 p.m.
Sep 21, 1907.  Died.  Cerebral embolism.


On certificate of:
Drs. Henry J. Stubbs and L. Heisler Ball (?)

History and clinical notes:
History:  Patient states that about two years ago a man took advantage of her and she firmly believes he accomplished the act with the aid of drugs or by hypnotic influence; she contracted gonorrhea and was treated by Dr. H.J. Stubbs at Delaware Hosp., Wil.  She imagines she is suffering from some loathsome disease and that her husband and friends have contracted same; she also imagines that everyone she sees changes colors, from a pink to a sallow color.  The statement in reference to gonorrhea and etc. is corroborated by husband.
Apr 29, 1907.  Patient persists in her story, changing the tale somewhat in first stating that man was chemist at Newark, and later saying it was a veterinarian from Philadelphia, whom she had sent for to treat her dogs.  Gynecological examination reveals absence of ovary on right side and large easily palpable ovary on left side.  Uterus in fairly good position, fundus drawn slightly to left side.  Cervix not congested, but constant discharge from uterus.  Smears made for examination.  Urethra congested and eroded meatus.  Has just finished menstruating.
May 29.  Patient took advantage of screen door being open to shake rugs and escaped unnoticed.  Ran down to lake, waded in, and tried to drown herself by lying down in water.  She was seen by attendants working in cemetery and dragged out of the water.  After being thoroughly rubbed and stimulated she was put to bed on Ward 3, and suffered no ill effects from exposure.  Continues to say she is infecting the whole hospital with “blood poison” and states that she will make another attempt on her life when she can get a chance.
Jul 13, 1907.  Paroled.
Sep 24, 1907.  Mrs. [last name] returned.  Same delusions as before.  Attempted suicide by taking 3 tablets – bichloride of mercury.  Throat very sore.  
Nov 12.  Physical condition good.  Wants to go home, retains delusions.
Apr 14, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.  Two standard forms attached.  First one dated July 13, 1907.  I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness: Wm. Hancker.  Signed [husband’s name].
Second one dated April 14, 1908.  I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.  Witness: T.H. Davies.  Signed [husband’s name].

Additional notes:
In 1900 census, Mary was living with husband Wilmer; same at 1910 census and also at 1920 census.  In 1930 and 1940 census, she was at DSH.  She apparently survived until 1963, was buried with her husband, who died in 1941.  Buried together in Mill Creek Meeting House Cemetery.


On certificate of:
Drs. Jospeh M. Martin and Joseph W. March

History and clinical notes:
History:  Brought by Mr. Lynch who states that patient has always been weak minded but could not furnish any other history.  When admitted she was very untidy in appearance.
Sep 2, 1907.  Very quiet.  Eats and sleeps well.
Nov 12.  Is not well, and confined to bed, temperature rises every evening, body cold, pain in back and head.
Jan 13, 1908.  Patient had a violent attack of hysterics, shrieking and threatening to kill herself; she also suffered temporarily from the delusion that her husband was dying in the Almshouse and calling for her.  She was transferred to Ward 3, but brought back the next day, having become quiet and more rational.
Jul 11, 1908.  No change.  Very delusional.
Dec 1.  Sometimes very excited.  Physical health good.
Jul 11, 1944.  Died.


History and clinical notes:
History:  Brought by officers who could give no history.  
May 15, 1907.  Has been very restless since admission and has failed physically.
Jun 14.  Is excitable and sometimes requires restraint.
Nov 8.  Some improvement both mentally and physically and does not require restraint.
Nov 30.  Transferred to Wd. C and is very quiet.
Jan 1, 1911.  Is noisy and untidy and is seldom able to recognize friends or relatives.  Hesitancy of speech more marked and is rapidly failing; is unable to walk without assistance.
Mar 20.  Continues to grow worse, bowels are loose and has from 10 to 12 evacuations every 24 hours.
Apr 3.  In a comatose state today.
Apr 4, 1911.  Died, 1:25 a.m.  Gen. paralysis of insane.


History and clinical notes:
History:  Brought by son who states that patient was well until 10 years ago, when he fell from a tree, injured head, and since that time has suffered from epilepsy.  Patient brought to hospital on Sat. May 4th, 1907 but Trustees certificate did not arrive until May 6th, 1907.
Jun 14, 1907.  Is quiet but has occasional epileptic seizures.
Nov 8.  Very untidy, poor physical condition.
Mar 25, 1908.  Very feeble and confined to bed.
Apr 22, 1908.  Died.  General paresis.


History and clinical notes:
History:  Officer who brings patient knows but little of his history.  Has been in work house for 63 days.  Had been drinking a long time before he was brought there.
Jun 13, 1907.  Attempted to escape while out walking and was captured at R.R. bridge on Del. R.R.
Nov 8.  Is still delusional, but given us no trouble; at present time is employed as a brick layer on “New Building” but eats and sleeps at hospital.
Nov 27, 1907.  Paroled.
Dec 3.  Was arrested in Wilmington and fined for drunkenness and disorderly conducted (sic) and afterward returned to hospital by officers.
Mar 30, 1908.   Delusions are more fixed.  Says he is “Dutcher the Detective”; also says he is married to one of our employees, claims the reward for finding Marvin boy.
Jan 1, 1911.  Works about grounds but occasionally goes away without permission to obtain liquor; when he has imbibed he usually become delusional and it is necessary to confine him to the wards for a few weeks.
Sep 2, 1911.  Paroled.
Feb 9, 1912.  Discharged improved.

Standard form attached, dated Nov 27, 1907.  “I hereby remove my brother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.”  Witness: T.H. Davies.  Signed [brother].

NOTE:  In the ledger on this page is a small lined note hand written in pencil, which is very difficult to read.  This is my best effort at transcribing it.

“[Ill. words] get to come over [ill.] that will do you good.  (Happy New Year).
Farnhurst, Del.  Dec 29, 1907.
Friend Brother
That what you said you was if you ment (meant) what you said come over here before The New Years.  I have been tortured enough in this old year, everyone wants to start the New Year right.  I told you how the torture was worked on me and it is time it was stopped.  If you want to know more about it write to Washington DC or to Lieutenant Sheldon, Fort Leavenworth and he will tell you it is done through telephone without [ill.] other than the human body itself.  I can show you in New York that they do wonderful things through [illegible words] and other if you want to learn I give you that number its on Broadway.  I want to have you go with me, but did not get the chance, I know and I wanted you to know.  There is no use Bloffing (sic) about Drink, nothing to do with drink.  This is the first time I have taken the skeleton out of the closet – come over and will explain everything.  Tell [ill. – momi?] to send Mr. Dougherty’s address in Phila.  I seen him the week [ill.] and I think it is in the [ill. – Betts Bead??].  Yours truly, Geo. Dutcher.”

From ancestry.com: Patient died November 23, 1953 at age 87, and is buried in Smyrna.  At the 1940 census he was living with an elderly couple as a hired hand.

Additional notes:
Died 11/23/1953 at the State Welfare Home in Smyrna.


On certificate of:
Drs. P.W. Tomlinson and Clara M. Ferguson

History and clinical notes:
History:  Has shown signs of mental impairment for past five years (since death of his wife) is never violent but requires constant care.
Jun 14, 1907.  Is very untidy.
Oct 15.  Takes very little nourishment and rapidly growing weaker.
Oct 26, 1907.  Difficult to arouse, has been semi-conscious for past few days.
Oct 31, 1907.  Died.  Senile asthenia.

From ancestry.com: The patient was a captain in Company C, 124th Infantry Regiment, the Pennsylvania Infantry during the Civil War (1862-1963).  Is listed on SUVCW Graves Database.  Photo available on line from cemeteryworks.com.


On certificate of:
Drs. William R. Messick and Hiram R. Burton

History and clinical notes:
History:  Patient is the daughter of neurotic parents, she masturbates and from history of case, is a nymphomaniac.
Sep 2, 1907.  Very quiet and sweet tempered.  No bad habits.  Eats and sleeps well.
Nov 12.  Working on Centre.  Amiable and industrious.  Physical condition fair.  Has recovered but recently from a slight attack of typhoid fever.
Jul 11, 1908.  In good physical condition.  Slight mental improvement.
Dec 1.  No change in any way.
Jun 8, 1909.  Condition same.  Very quiet and tractable.
Sep 4.  Working in attendants’ dining room.  Improved somewhat mentally.
Nov 10, 1913.  No change mentally or otherwise since last note; complained of feeling badly this a.m. and remained in bed.
Nov 12.  This a.m. complained of difficulty of breathing.  Lungs were found to be affected, rales well marked over both and considerable effusions in both pleural centers.
Nov 13.  Very much worse.  All symptoms worse.  Considerable dyspnea.  Oxygen gas was given at intervals all day, with but little effect.
Nov 15.  Patient continued to fail and died at 6:30 a.m.
Nov 15, 1913.  Died 6:30 a.m.  Lobar pneumonia.


History and clinical notes:
History:  Patient is growing feeble and wanders about, has no home and has been cared for by friends.
Sep 2, 1907.  Very quiet and industrious.  Physical health good.
Nov 12.  Physical condition good.  No change in mental state.
Jul 11, 1908.  Fair physical condition.  Very untidy.
Dec 1.  No change.
Jun 8, 1909.  Condition same, very quiet.
Feb 18, 1910.  Sits on a chair and fall off the chair while nodding.
Feb 21.  Very weak and put to bed.
Feb 28.  Patient in coma.
Mar 3, 1910.  Died at 5:25 a.m.  Uremia and nephritis (parenchymatous) and Senile Dementia.

Final disposition:
Died -- uremia, nephritis (parenchymatous) and senile dementia


History and clinical notes:
History:  Friends who bring patient cannot talk English.  Certificate states that he has shown symptoms of insanity since last April and that the probable cause is masturbation.
Jun 14, 1907.  No improvement since admission.
Mar 30, 1908.  Is unruly at times and requires watching.
Jan 1, 1911.  Does not improve.  Is very indolent and untidy.
Jan 1, 1913.  Mentally and physically getting worse.
Jan 24, 1916. Patient suffers from tuberculosis of lungs.
May, 1918.  Patient has a few attacks of hemophysis mornings cough with expectoration, dyspnea, hectic fever.  Loss of weight; physical signs: marked dullness and bronchial breathing.
Jan, 1919.  Physical condition of patient getting worse.  Signs: tympanitic percussion note; cavernous sounds.  Vocal resonance greatly intensified.  Heart sounds transmitted to cavity.
Apr 4, 1919.  Patient getting worse.
Apr 11, 1919.  Patient died this morning at 2 o’cl.  Phthisis pulm. (3 years).

Additional notes:
Hectic fever:  a fever that recurs each day, with profound sweating, chills, and facial flushing.


History and clinical notes:
History:  Brought by uncle who could give us no history other than patient is very excitable and her only topic is upon religious matters.  She has been attending St. Joseph School, Balto.
Sep 2, 1907.  Very saucy.  In restraint all the time.  Eats and sleeps well.
Nov 12.  Always disturbed mentally.  Eats and sleeps well.
Jul 11, 1908.  Very pleasant and obedient.  Physical condition good.
Dec 1, 1908.  Improved mentally and physically.
Jun 8, 1909.  Very well except for pain at menstrual period.
Aug 1.  Suffering from chorea.  Patient very nervous.  Rx Fowler’s Sol. [ill.] iii, q.4.h.
Sep 4, 1909.  Seized with convulsions at 3 a.m., unconscious.
Sep 11, 1909.  Died.  Status epilepticus.


On certificate of:
Drs. Joseph H. Chandler and P.W. Tomlinson

History and clinical notes:
History:  Brought by officers who state that patient came to “lock up” and gave himself up, saying he wanted protection.  Several years ago patient was bitten by a supposed rabid dog.
Jun 14, 1907.  Quiet during the night.
Nov 8.  Is very nervous, physical condition approved.
Feb 1, 1908.  Removed today, against advice of Supt.  Paroled.
Sep 7, 1908.  Discharged improved.

Standard form attached, dated Feb 1, 1908.  “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: none.  Signed [wife].


History and clinical notes:
History:  Brought by officer who states that patient has always been a good citizen, worked steadily and was thrifty; he took an interest in politics and “carried some weight” in his ward; several weeks ago he received several threatening letters and as a result he has worried about the matter.  Physical condition fair.
Nov 8, 1907.  Gradually growing worse, gait very ataxic, tongue tremulous.
Dec 1.  Marked physical and mental decline.
Mar 30, 1908.  Is confined to bed and failing mentally and physically.
Jan 25, 1908 [dates make no sense].  Gradually growing worse.
Mar 8, 1908.  Rapidly losing flesh and will only take semi-solid food.
Apr 18, 1908.  Had a slight hemorrhage (pulmonary) today and is sinking rapidly.  Died.  General paresis.


History and clinical notes:
History:  Officers brought patient but could give no history.  Certificate states she had a similar attack about 20 years ago.
Sep 2, 1907.  Patient on Ward A.  Very gentle and pleasant.  Physical condition fair.
Nov 12.  In confused mental condition.  Anaemia and rheumatic.
Jul 11, 1908.  Some improvement.  Eats and sleeps well.
Dec 1.  Very delusional.  Fair physical condition.
Aug 1, 1909.  Patient very quiet.  In good health.
Sep 4.  In good condition physically – still has some delusions – eats and sleeps well.
Jan 26, 1933.  Died.


History and clinical notes:
History:  Brought by a friend who states that patient has been acting strangely for past three weeks, did not want to go to his home, preferred being with strangers.  Also has “delusions of grandeur.”
Jul 16, 1907.  A good patient since admission.
Nov 8.  Is inclined to be unruly but not violent.
Dec 1.  Better behaved and is a good worker.
Apr 4, 1908.  Paroled.
Sep 7, 1908.  Discharged improved/recovered.


History and clinical notes:
History:  Brought by officers who could give no history.
Sep 2, 1907.  No change in any way.
Nov 12.  In fair physical condition.  Well behaved.  No change mentally.
Sep 28.  Paroled
Dec 10, 1907.  Discharged recovered.


History and clinical notes:
History:  Was an inmate of this institution in 1901.  See Case Book 4, page 223.  Present attack began about 12 days ago.  Certificates states that it came on gradually without any assignable cause.  Was brought by officers who are ignorant as to details.
Jul 16, 1907.  Very much improved mentally, but has some difficulty in urination, due to enlarged prostate.
Aug 1, 1907.  Paroled.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought by wife who states that patient has been a steady drinker for past 20 years but never allowed it to interfere with his work; about two weeks ago he lost his position and since that time has been drinking to excess; his appetite has been good but he does not sleep well.
Jul 1, 1907.  Removed by his wife against advice of Supt.
Jul 1, 1907.  Paroled.

Standard form attached, dated Jul 1, 1907.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.”  Witness: T.H. Davies.  Signed [wife].


History and clinical notes:
History:  A former patient in this institution under date of Sept, 12th, 1905.  At the time suffering from alcoholism and a Comp. fracture of ankle joint, for previous history see Book V, page 173.  Papers did not arrive until today, July 4th, 1907.  Was very noisy when admitted.
Jul 16, 1907.  Has been very quiet since first day.
Nov 8.  Does not improve; is noisy and uses foul language.
Mar 30, 1908.  No mental change since last report.
Aug 25.  Some improvement since last report.
Jan 1, 1911.  No improvement since last report.
May 8, 1951.  Died.

Additional notes:
No entries between 1908 and death in 1951.


History and clinical notes:
History:  Patient brought here from Almshouse.  Has been a trained nurse in Philadelphia.  Has very bad foot due to bruise made by washtub falling upon it.  Periostitis.  Patient very unmanageable and impudent.
Sep 2, 1907.  Patient has been transferred to Ward III.  Foot nearly well.  General physical condition not very good.  Language bad and patient is very ill-tempered.
Nov 12.  Patient violent and obstinate.  Gives more trouble than any patient in hospital.  Lies and fights the nurses.  Screams all night through sheer obstinance.  Eats heartily.
Dec 4.  Patient very violent; threatens to kill attendants, and fights all the time.  Unable to let her out of restraint for a minute.  Bit Mrs. [name redacted] finger yesterday and attempted to strangle [name redacted] by knotting the strap of her jacket tightly several times about her throat.  Says she will get ahead of the nurses and cut her own throat.  Is kept in very close restraint.
Jul 11, 1908.  No improvement.  Patient lies and does about every mean thing she can think of.  Eats and sleeps well.
Dec 1.  Is a little more decent than at the last writing.  Eats and sleeps well.
Jun 8, 1909.  Patient very abusive at times.  Eats well; says she doesn’t sleep.
May 5, 1918.  Patient getting worse physically and mentally; had an attack of light apoplexy.  Kept in bed all time; very hard to manage.
Aug, 1918.  Patient is very violent at times; still kept in bed; has very bad bedsores and ulcers.
Jun 3, 1919.  Patient getting worse.
Jun 24, 1919.  Patient died at 11:45 p.m.  Cerebral apoplexy.  6 days.

Additional notes:
"Most troublesome patient in hospital."  Former nurse. Buried at DSH, Grave #306.


History and clinical notes:
History:  Brought by Coroner Conaway who could not furnish other than patient wanted to preach in every church she saw; her grandfather died in this institution on Feb 5, 1904.
Aug 26, 1907.  Patient disturbed and violent day and night.  Screams and throws her limbs about incessantly.  Does not eat well.  Constant disturbance.
Aug 31, 1907.  Died.  Exhaustion from acute mania.


On certificate of:
Drs. David Stewart and William P. Wertenbaker

History and clinical notes:
History:  Brought to hospital July 5th, 1907 but papers did not arrive until today July 6th, 1907.  Has always been a good citizen and worked at his trade (tinsmith); about one week ago he began to worry and imagined he had lost his business and money; refused to eat and is in poor physical condition.
Jul 7, 1907.  Has to be fed artificially and is rapidly failing.
Jul 10, 1907.  Died – Enteritis (tubercular).

Additional notes:
Came to hospital just a few days before he died.


History and clinical notes:
History:  Patient has always been a little weak-minded, but tractable.  Lately she has taken a notion to wander from home and her friends and neighbors are afraid that she would commit some depredation.  General health has been good.
Sep 2, 1907.  No change in any way.
Nov 12.  No change.  Usually quiet.  Eats and sleeps well.
Jul 11, 1908.  Somewhat improved both mentally and physically.
Dec 1.  No change in any way.
Jun 8, 1909.  Condition same.
Apr 1, 1911.  Patient has been failing lately; suffering from Pulmonary Tuberculosis.  Was transferred to TB today.
May 1.  Much worse; has failed very rapidly and this morning was very low; continued to fail and died at 5:30 p.m.
May 1, 1911.  Died of Pulmonary tuberculosis.


History and clinical notes:
History:  Has been in poor health for several months and has worried a great deal; last night he attempted to saw his wife’s head off.  Physical condition – very poor.  When admitted he had a lacerated wound of scalp.  
Jul 14, 1907.  Transferred to T.B.
Oct 28.  Marked physical improvement.
Nov 8.  No change since last report.
Nov 19.  Some mental improvement.
Nov 27.  Condition about the same as when last reported.
Nov 27, 1907.  Paroled.
Apr 2, 1908.  Discharged recovered.

Standard form attached, dated Nov 27, 1907.  “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. Hancker.  Signed [another person for wife – who must not be able to write]

Additional notes:
Removed by wife AMA.  Had tried to saw her head off!


History and clinical notes:
History:  Has been drinking to excess for past week and has been acting strangely for several days; was a former patient in this hospital about 6 years ago.
Jul 16, 1907.  Has been quiet since admission.
Aug 13, 1907.  Paroled.
Sep 13, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought from N.C. Co. Almshouse where he had been an inmate for several days; has been violent and required restraint.
Jul 16, 1907.  Has been very quiet since admission.
Jul 23.  Suffering from phthisis pulmonalis, removed to T.B.
Oct 28.  Has had 2 slight pulmonary hemorrhages and is rapidly growing weaker.
Jan 3, 1908.  Died – phthisis pulmonalis.


History and clinical notes:
History:  Brought by officers who could furnish no history, other than she was sometimes violent and tears her clothes.
Nov 12, 1907.  Disturbed and sometimes violent.  Eats and sleeps well.
Jul 11, 1908.  No change in any way.
Dec 1, 1908.  In fair physical condition.  Works about ward.
Jun 8, 1909.  Well except for pain at menstrual period.
Apr 5, 1944.  Died.

Additional notes:
Buried at DSH, Grave #556.  Was at DSH for decades with no entries in ledger.  Had four kids, the youngest was 5 when she was only 23?  Makes no sense.


On certificate of:
Drs. P.W. Tomlinson and Paul Isenschneid

History and clinical notes:
History:  Brought by son who states that patient has been failing mentally for several months, sometimes she would refuse food for several days, she would purchase large quantities of food and would allow some to spoil in preference to eating it.  Does not sleep well and was always tampering with the fires about the house.
Sep 2, 1907.  Has heart trouble.  Eats and sleeps well.  Quiet and well behaved.  
Nov 12.  In fair physical health.  Mentally somewhat confused.  Eats well.
Jul 11, 1908.  Very untidy.  Restless and stubborn.  Eats and sleeps well.
Dec 1.  Is in no way improved.  Sometimes attacks other patients and has to be restrained.  Very untidy; knows very little.
Jun 8, 1909.  Very untidy and has to be restrained at times.
Aug 20.  Has had persistent diarrhea for past week; is failing physically; mentally no change.
Sep 3.  Diarrhea cured.  Patient very untidy.
Sep 17.  Two ulcers have appeared at base of spine; treated; healing slowly.
Jan, 1913.  No improvement.  Is in bed all the time.
Sep 12.  Has been very feeble for a long time.  Is in bed.  Has no mind whatever.
Sep 20.  At 9:20 patient was noticed breathing hard.  Physician was summoned but patient died in a few moments.
Sep 20, 1913.  Died at 9:30 a.m.  Valvular disease of the heart.


History and clinical notes:
History:  Has been a patient in this institution, was released from Workhouse one week ago where he had been undergoing a 28 day sentence, after his release, he began to drink and had a number of epileptic seizures.  For previous history see Book V, page 55.
Nov 8, 1907.  Epileptic seizures becoming more frequent.
Jan 1, 1911.  Epileptic seizures more frequent and during attacks is vicious.
Jul 25, 1915.  Losing flesh; has a persistent couch and expectoration.
Aug 15.  Emaciating rapidly; has a marked pallor, pulse very rapid, respirations hurried, mucous rales in both lungs; removed to T.B.
Sep 25, 1915.  Rapidly growing weaker and cannot take nourishment.
Oct 1, 1915.  Died.  Phthisis pulmonary.  Epilepsy.


History and clinical notes:
History:  Brought to hospital July 19, 1907 but papers did not arrive until today, August 3rd, 1907.  For previous history, see Book III, page 469.
Jan 10, 1908.  Confined to bed suffering from Ac. Artic. Rheum. (sic) gastritis and cystitis.
Mar 23.  Is still confined to bed, is improving but is weak and emaciated.
Jul 2, 1908.  Is convalescing and able to leave infirmary.
Aug 27.  Marked physical improvement.
Aug 9, 1910.  Mind is very much enfeebled, incoherent in his conversation and sometimes tears his clothes.
Jan 1, 1911.  Condition remains unchanged, tears his clothes and is untidy in regard to personal appearance.
Dec 9, 1943.  Died.

Final disposition:
Died after many decades in DSH with no entries in ledger.


History and clinical notes:
History:  Has been failing mentally for past six months; neglecting his business, living beyond his means and making purchases of jewelry, etc.  Also drinking to excess and following women about the streets.  Physical condition fair, but somewhat anaemic.
Oct 28, 1907.  Has delusions of grandeur.
Nov 8.  No change since last report.
Jun 21, 1910.  Received a burn of thigh, produced by hot water while bathing.
Sep 10.  Confined to bed and is rapidly losing flesh.
Sep 28.  Continues to grow worse and refuses nourishment.
Oct 2, 1910.  Died.  Exhaustion from general paresis.


History and clinical notes:
History:  Was formerly a patient in this institution and was removed against advice of Dr. Hancker and after going home was seduced; she has threatened to burn the house in which lived (sic).  Has attacks similar to Petit Mal.  For previous history see Book V, page 218.  
Sep 2, 1907.  Disturbed mentally, cries a good deal.  Anaemic and badly nourished.
Nov 12.  Somewhat improved physically.  Has epileptic convulsions.
Jul 11, 1908.  No change in any way.
Dec 1.  Has alternate periods of exaltation and depression.  Has heavy and severe convulsions.  Eats very well.
Jun 8, 1909.  No improvement.
Mar 26, 1911.  No change in any respect since last note; has convulsions occasionally.  This morning went into a status was given chloral by enema, convulsions ceased, but has been unconscious all day.  At 7 p.m. went into convulsions again and died at 7:20 p.m.
Mar 26, 1911.  7:20 p.m.  Died – status epilepticus.


History and clinical notes:
History:  Patient was struck by a locomotive about 4 years ago and since that time has been failing mentally, no other information could be obtained.  Physical condition poor.
Sep 26, 1907.  Physical condition improved since last report.  
Oct 28.  Slight mental improvement, marked physical improvement.
Nov 8.  No change since last report.
Dec 19.  Became unmanageable today, struck Attendant Mearns (?) on head with a mop handle and patient [name redacted] on the arm.  
Dec 29.  While walking down the hall he was pushed by [another patient – name redacted] and as a result fell heavily to the floor, producing a lacerated and contused wound of left temporal region.
Mar 30, 1908.  Spends most of his time in bed but is able to walk to dining room for meals.
Aug 25.  Is able to sit up but requires a strap around waist to prevent him from falling on floor.
Aug, 1909.  No apparent change physically, but remains in bed most of the time.
Sep 10.  No so strong, in bed all the time, has to be cared for as a child.
Oct 1.  Very feeble.
Oct 4.  Very weak today; considerable fever this evening.  Friend visited him this evening and concluded to remove him.
Oct 6.  Very week this evening – friends removed him in ambulance.
Oct 6, 1909.  Discharged unimproved.


History and clinical notes:
History:  About 11 years ago patient had some minor operation of throat – cocaine was used and since that time has been in the habit of using morphia and liquor whenever she could get it.  Her sister has been furnishing her liquor without letting her husband know about it.  About 3 years ago, Dr. Montgomery performed an operation – removed uterus and ovaries for organic diseases, nature not known.  Has been extremely nervous for past 10 years.  Lately is becoming much worse; cannot sleep; very restless and irritable.  For past 3 or 4 weeks has been uncontrollable – imagined that people were breaking into the house; heard noises, etc.  Has once or twice spoken of suicide.
Sep 1, 1907.  Pulse very low; condition of exhaustion; calls for stimulants and narcotics constantly; very disturbed.  Thinks she is accused of some crime.  Bowels very loose.  Vomits frequently.  Has slight rise of temperature today.
Sep 22, 1907.  Died at 9 a.m.

Additional notes:
Became addicted to morphia after being given cocaine during surgery


History and clinical notes:
History:  Brought by son who states that his mother has been melancholy and taciturn for the last several years.  Ever since a severe illness the nature of which he is unable to state, but thinks it was a stomach trouble.  The patient wanders off in a dazed state and gets lost, and they fear she will be drowned or get a fall.  Seems to be well physically, and stays outdoors most of the time.
Oct 2, 1907.  Paroled improved.
Apr 2, 1908.  Discharged recovered.

Standard form attached, dated Sep 28, 1907.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.”  Witness: Wm. Hancker.  Signed [husband]


History and clinical notes:
History:  Patient was in a N.Y. Asylum about 7 years ago; particulars not known.  About 6 months ago present symptoms of insanity were first noticed; became very jealous of his wife, threatened her and she was compelled to leave him.  Imagines that his friends and neighbors have been intimate with her and has threatened to kill them.  Imagines that they put searchlights on him every night, etc.
Sep 25, 1907.  Works about grounds and is well behaved but still has above mentioned delusions.
Apr 2, 1908.  Much improved and has the freedom of the grounds.
May 1, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.


On certificate of:
Drs. C. de J. Harbordt and Wilbur D. Burton

History and clinical notes:
History:  Father who brings patient state(s) that his son has been away from home for 10 years and that he arrived home last Sunday and at that time was insane – talked a great deal about religion, so much so that the boys in the street tantalized him and he threatened them.  What caused his trouble he does not know, but that he has been very devout and religious lately, that he has not worked for 3 weeks.
Sep 26, 1907.  Is violent at times and requires restraint.
Oct 28.  No improvement since last report.
Jan 1, 1909.  Since last note patient has been up and about the ward.
Jun 1.  Patient failing.  Has pulmonary tuberculosis; was transferred to T.B. today.
Jun 15.  Failing very perceptibly.
Jun 30.  Had a severe nosebleed today.
Jul 2.  Bleeding so profuse today that it was necessary to plug posterior nares.
Jul 3.  Patient failed and died at 1:50 p.m.  
Jul 3, 1909.  Died 1:50 p.m. of pulmonary tuberculosis.


History and clinical notes:
History:  Brought by officers who could give no history, supposed to be a resident of Phila.
Nov 12, 1907.  Very surly, sometimes disturbed and violent.  Physical cond. Fair.
Jul 11, 1908.  In good health.  No change mentally.
Aug 24.  Patient’s mental state has not improved.  Is not vicious.  Was visited by her husband today and he was told that he would have to remove her as she was a non-resident of Delaware.
Aug 24, 1908.  Discharged unimproved.

Final disposition:
Husband required to take her away as she was not from Delaware.


History and clinical notes:
History:  Brought by brother who states that patient’s mind has been gradually growing weaker for past 2 years; is usually quiet but has occasional outbreaks when he is violent.
Oct 12, 1907.  Is confined to bed and rapidly growing weaker.
Oct 21, 1907.  Died.  Exhaustion from acute mania.


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

History and clinical notes:
History:  Brought by Dr. Ritchie and Mr. Ellison who state that patient has been failing mentally for past 12 years.  Imagines he has committed a crime and must undergo sentence in jail; grieves over loss of sexual powers.  Had a brother in this institution several years ago.
Oct 21, 1907.  Some improvement since admission, was removed today by Mr. Ellison.
Oct 21, 1907.  Paroled.
Apr 2, 1908.  Discharged recovered.

Additional notes:
". . . grieves over loss of sexual powers."


On certificate of:
Drs. Francis M. Green and Edward H. McCabe

History and clinical notes:
History:  About 6 years ago his daughter eloped and married without his consent; became somewhat depressed after this and he has never been himself since.  About 1 year after this became very cross and irritable; became very restless; would leave his home and run for a mile or so until he was exhausted.  Mind is becoming more feeble all the time and at times is incoherent in his talk.  General health has been fair.  Has a good appetite.  Becomes very angry when interfered with in any manner.
Sep 24, 1907.  Removed against advice of Supt.
Sep 24, 1907.  Paroled.
Dec 10, 1907.  Discharged unimproved.

Standard form attached, dated Farnhurst, Del, Sep 24, 1907.  “I hereby remove my father from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.”  Witness: T.H. Davies.  Signed [son]

Additional notes:
Upset about daughter eloping.  Removed by son AMA.


On order of:
Court of General Sessions, New Castle County

History and clinical notes:
History:  Patient brought from workhouse by keeper.  States that he is quiet and harmless.  Was arrested because of threats made publicly of injury to the public; declared insane by jury.  Is pale and emaciated.  Very quiet when admitted.
Nov 8, 1907.  No mental improvement; attempted to escape while out walking.
Mar 30, 1908.  No change since last report.
Jan 1, 1911.  Does not improve and sometimes very unruly.
Jun 26, 1917.  Has many delusions, is depressed, has been failing physically for some time.
Jul 10.  Patient has developed pulmonary T.B., slight elevations of temperature a.m. and p.m.; has lost considerable weight, but eats and sleeps well.  Has been transferred to T.B. building.
Jul 28, 1917.  Has been rapidly growing weaker and died today at 4:10 p.m.  Pulmonary tuberculosis.


On certificate of:
Drs. C. de J. Harbordt and Willian F. Davis

History and clinical notes:
History:  Patient is old and feeble.  Walks with great difficulty.  Memory about gone.  Wanders away from home and gets lost.  Cannot care for herself at all.
Nov 12, 1907.  More feeble.  No other change.
Jul 11, 1908.  Not very good condition physically.
Nov 1.  Patient has had two slight apoplectic “strokes” and is very feeble.  Refuses to eat and is in a semi-conscious state.
Nov 16, 1908.  Died at 1:30 a.m.  Cerebral hemorrhage.


History and clinical notes:
History:  Brought to hospital by Dr. Bullock but little history could be obtained.
Nov 12, 1907.  Physical condition fair.  Mentally confused.  Uneasy disposition.
Jul 11, 1908.  No change in any way.  Eats and sleeps well.
Dec 1.  In good physical condition.  No mental changes.
Jun 8, 1909.  Condition same; has to be restrained at times for her walking propensities.
Dec 22, 1909.  Was allowed to go home on parole today; no change in any respect.
Jun 10, 1910.  Discharged unimproved.


Cause:
illegible [looks like "loony" or "cong"]

History and clinical notes:
History:  Patient is a respect(ed) accountant, working for anyone who requested his services.  Has done a great deal of work for the DuPonts.  Last July, began to neglect his work.  Would leave home and return in a short time and imagined that he had been at work all day and had finished his job.  Mind is failing very rapidly.  A few days ago, became very noisy and swore for three or four hours steady, which is not his custom, as he has for years been a steady church member.  This has been the only outbreak of excitement he has had.
Oct 28, 1907.  Condition remains unchanged.
Nov 8, 1907.  Is well behaved, but is showing a gradual mental decline.
Jan 1, 1911.  Condition about the same as when last reported.
Jun 6.  Is losing flesh, bowels are loose and he takes but little nourishment.
Sep 9.  No improvement, is confined to bed, has a foul discharge from rectum and is emaciating rapidly.
Nov 1.  Rapidly growing worse, does not retain nourishment and complains of severe pain.
Nov 11, 1911.  Died.  Carcinoma of rectum.

Additional notes:
Delaware death card says date of death was 4/16/1909.


History and clinical notes:
History:  Brought by officers but they were unable to furnish any history but patient is supposed to be an alcoholic.
Oct 21, 1907.  Paroled.
Apr 2, 1908.  Discharged.  Not insane.

Additional notes:
Died in 1909, buried at Cathedral Cemetery.


History and clinical notes:
Brought by officer who states that patient became very violent and attempted to choke his wife and would no doubt have killed her had it not been for the interference of friends.
Oct 3, 1907.  Has been mean and disagreeable since admission, inclined to be violent and had to be transferred to Wd. 6.
Nov 8.  Is very surly.  Inclined to be dictatorial.
Mar 17, 1908.  Marked improvement, mentally and physically, says he realizes he has been mentally deranged and attributed his breakdown to financial difficulties, and etc.
Mar 25, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.


History and clinical notes:
History:  Brought to hospital Sept [blank] 1907 but papers did not arrive until today, October 3rd, 1907.  Dr. Cobb states that patient has frequent outbreaks, which prior to this attack never lasted longer than 24 to 48 hours and he was always cared for at home.
Oct 28, 1907.  Marked improvement since admission, but is still somewhat stupid.
Nov 1.  Very much improved, transferred to Ward C.
Nov 23, 1907.  Paroled.
Apr 2, 1908.  Discharged recovered.


History and clinical notes:
History:  Has suffered from epilepsy for past twenty years.
Nov 12, 1907.  Very quiet.  Mental torpor and run down physically.
Nov 16.  Taken away by Sallie Lank (apparently her sister).
Nov 20.  Returned today, absent four days.
Jul 11, 1908.  No change.  In fair physical condition.  Has many fits.
Dec 1.  Has frequent convulsions.  Eats well.  
Aug 25, 1910.  Has frequent convulsions; has been working in the dormitories and assisted with the mending in Cottage.
Aug 25, 1910.  Paroled.
Feb 11, 1911.  Returned today by herself on the 5:20 p.m. train.  Patient stated that her sister was too sick to come with her.
Jan 6, 1915.  Has occasional epileptic attacks.
Nov 5.  Has lost flesh, complains of pain in hepatic region, slight cachexia.
Jun 12, 1916.  Confined to bed, pain more severe, cachexia marked.
Aug 5, 1916.  Rapidly growing worse, distinct mass felt at lower border of ribs (hepatic region).
Aug 8, 1916.  Died.  Carcinoma of liver.


History and clinical notes:
History:  Mind has been failing for past year and has been difficult to manage, although not violent.  Physical condition poor.
Nov 8, 1907.  Untidy habits, has an ataxic gait and is feeble.
Jan 1, 1908.  Growing weak and is confined to bed, is difficult to care for and has to be tied in bed.
Jan 10, 1908.  Died.  Senile asthenia.


On certificate of:
Drs. Irvine M. Flinn and Leonard A. Kittinger

History and clinical notes:
History:  Brought by his uncle who states that patient has been unmanageable for past week; was a former patient in this institution, for previous history, see Book V, page 312.
Oct 26, 1907.  Appetite poor, does not talk.
Nov 8.  Does not improve, markedly stupid and untidy.
Jan 1, 1911.  Has shown some mental improvement in past few weeks.
Jan 20.  Is recovering from an attack of erysipelas involving face.
Feb 4, 1911.  Removed against advice of Supt.
Feb 4, 1911.  Paroled.
Sep 18, 1911.  Discharged unimproved.

Standard form attached, dated Feb 4, 1911.  “I hereby remove my son from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.”  Witness: Wm. Hancker.  Signed [mother, made a mark]


History and clinical notes:
History:  Brought to hospital Oct 23rd, 1907, but papers did not arrive until today, 10-24-07.  Has been using alcoholic liquors to excess and is suffering from Mania Potu – imagines that his home is full of robbers.
Oct 30, 1907.  Very much improved.
Oct 31, 1907.  Paroled.
Dec 10, 1907.  Discharged recovered.


On certificate of:
Drs. Walter H. Steel and Charles H. Blake

History and clinical notes:
History:  Brought by son, who states that patient has been failing mentally for past two years and for past four months has been difficult to care for; he would eat immense quantities of green corn, apples, tomatoes, and etc. all in an uncooked state, appetite ravenous.
Nov 8, 1907.  Very untidy in his habits.
Mar 23, 1908.  Is confined to bed from a general asthenic condition.
Jul 15.  Condition remains unchanged, rapidly failing.
Jul 17, 1908.  Died.  Senile asthenia.


On certificate of:
Drs. Joseph M. Martin and William R. Messick

History and clinical notes:
History:  Patient had been drinking to excess and attempted suicide by cutting his throat.  When admitted he was rational, but very melancholy.
Nov 8, 1907.  Is a well-behaved patient, but is delusional.
Nov 19.  Is about ready to discharge, has been rational since second day after admission.
Nov 30.  Is a good patient and has parole of the grounds.
Dec 3.  Was taken to Wilmington, B&O Station by Mr. Nickle and turned over to Mr. Buzby.
Dec 3, 1907.  Paroled.
Dec 10, 1907.  Discharged recovered.


History and clinical notes:
History:  Brought by officers who could give no history, other than patient had been drinking to excess.
Nov 4, 1907.  Slept well during the night and has given no trouble.
Nov 9.  Paroled.
Dec 10, 1907.  Discharged recovered.


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

History and clinical notes:
History:  First symptoms 3 months ago, became very cross and irritable, quite unlike herself.  Gradually became violent and broke glass and pieces of furniture.  Ran away from home several times.  Has slept good, menstruation regular.  Has a voracious appetite.
Mar 21, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.

Standard form attached, dated March 21, 1908.  “I hereby remove my daughter from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.”  Witness: Wm. Hancker.  Signed [father]

Additional notes:
Grumpy teenager.  Removed by father AMA.  From ancestry.com -- she died at DSH 7/23/1913, age 21 years.


History and clinical notes:
History:  Patient has been employed as foreman at Harlan & Hollingsworth’s shipyard for past 30 years and has always been a man of good habits; recently he developed vertigo and since that time he has been failing mentally, growing irritable, and yesterday threatened to kill his wife.
Nov 19, 1907.  Is delusional, says twelve secret orders were in his home last night.
Dec 3.  Some improvement since last report.
Dec 8.  Is very nervous and restless at night and complains of pain in right ear.
Dec 10.  Examination of ear, impacted cerumen removed.
Dec 11, 1907.  Paroled.
Apr 2, 1908.  Discharged improved.

Additional notes:
Could not find about anything more from ancestry.com


History and clinical notes:
History:  Officers could give no history; patient is very feeble.
Nov 19, 1907.  Had a cerebral hemorrhage three years ago.
Dec 1.  Has been a good patient since admission, but became somewhat excitable when visited by his daughter.
Dec 15.  Somewhat improved and is a very good patient.
Dec 20, 1907.  Paroled.
Apr 2, 1908.  Discharged not insane.


History and clinical notes:
History:  First symptoms of mental enfeeblement were noticed about six months ago; he imagined his wife was trying to poison him.  Is gradually failing physically and at times refuses to eat, sleeps well usually but occasionally restless.
Nov 30, 1907.  Rapidly growing weaker.  Is very restless and is showing marked exhaustion.
Dec 2, 1907.  Died.  Senile exhaustion.


Form:
psychosis with Const. psycho fatty's inf. (???)

History and clinical notes:
History:  Brought by officer but he could not furnish history of case other than patient is a bachelor and has lived by himself for many years, never rode on a train until today.
Dec 1, 1907.  Became violent during the night and required restraint.
Mar 23, 1908.  Improved since last report but is mentally weak.
Feb 7, 1910.  Mental condition about the same as when last report other than he is suffering from Furunculosis.
Jan 1, 1910 [date incorrect?].  Some physical improvement, no mental change.
Jun 19, 1930.  Died


History and clinical notes:
History:  Brought by officers; when admitted he was very excitable and perspiring profusely, imagined some person was going to shoot his mother.  It was said that a man threatened to shoot him, because he voted “dry” at recent election and this has been assigned as the cause of the trouble.
Jan 17, 1908.  Some improvement since last report.
Mar 23.  Condition remains unchanged.
Feb 7, 1910.  Is well behaved and a good worker, but somewhat morose.
Jun 1, 1910.  Paroled.
Oct 18, 1910.  Discharged unimproved.

Additional notes:
Voted "dry" at recent elections; original cause of people being after him!


History and clinical notes:
History:  Brought by officers who state that patient surrendered himself to police, stating that he had obtained goods under false pretense and a warrant had been issued.  When admitted he seemed rational and is held for more complete examination.
Dec 8, 1907.  5 p.m.  Refuses to talk.
Dec 9.  Became very abusive when visited by “night watch” and threatened to throw him out of room.
Feb 20, 1908.  Refuses to eat and had to be fed with tube, is very melancholy.
Mar 23.  Mental and physical improvement since last report.
Mar 30.  Continues to improve, eats and sleeps well and is more cheerful.
Aug 25.  Spends most of his time reading bible.
Feb 7, 1910.  Is not so melancholy as formerly, sometimes unruly and uses profane language.
Jan 1, 1911.  Has a large cold abscess on infra-scapular region and is confined to bed.
May 30, 1915.  Eloped.
Dec 17, 1915.  Discharged unimproved.  Newspaper article attached:  “SOUTH INSANE.  Man Who Claimed to be a Fugitive From Justice, Mentally Unbalanced.  Entirely losing his mental balance in the police station yesterday morning at the close of the religious services, [name redacted], who made a spectacular entrance into the office of Sheriff Stafford on Saturday and claimed to be a fugitive from justice created considerable excitement among the prisoners and had to be taken to the insane hospital at Farnhurst.  After surrendering himself on Saturday, [he] claimed to have been fleeing from the officers for obtaining money under false pretence in Salem, N.J.  The authorities there were communicated with and it was learned that several years ago he had been implicated in a shady deal, but that the matter had been straightened out without any arrests and the man was allowed to depart.”

Additional notes:
In 1920 and 1930 censuses he is listed as a patient in a mental hospital in New Jersey.  No information on death.


On certificate of:
Drs. P.W. Tomlinson and Meredith Samuels

History and clinical notes:
History:  Brought from N.C. Co. Workhouse, where he had been undergoing a sentence of 40 days for disorderly conduct.  Had a slight temperature when admitted and was quite feeble; was taken to Ward D and expired five minutes after admission.  Coroner was notified and took charge of body.
Dec 15, 1907.  Died.
Dec 16, 1907.  Autopsy held by Coroner’s Physician.  Cause of death: uremia.

Additional notes:
Autopsy held 12/16/1907 by Coroner's Physician.


History and clinical notes:
History:  Brought by officers from N.C. Co. Workhouse where he had been undergoing a 40 day sentence for disorderly conduct; no other history obtainable other than he is religiously inclined.
Feb 21, 1908.  Is violent and requires restraint.
Mar 23.  Some mental improvement.
Aug 25.  Works about grounds and is well behaved.
Feb 7, 1910.  Has been disturbed for past few weeks and requires restraint.
Jan 1, 1911.  At present time is very noisy and violent.
Mar 5.  No improvement since last report.
Dec 12.  Has lost flesh and is not as noisy and violent as for past 6 mo.
May 8, 1912.  Abdomen distended with gas, introduction of tube and remedial agents only afford temporary relief.
Jul 12.  Abdomen filled with fluid; paracentesis performed today and 10 pints of a straw-colored fluid removed.
Jul 28.  Abdomen is again filling up with fluid; is very weak; only takes a small amount of liquid nourishment and is vomiting.
Aug 4, 1912.  Died.  Intestinal obstruction.
Aug 5, 1912.  “P.M.” held today, cause of death verified.  (P.M. = Post Mortem).

Additional notes:
Came from workhouse with another "colored" man on same day.   Buried at DSH #217.


On certificate of:
Drs. Irvine M. Flinn and Benjmain R. Veasey

History and clinical notes:
History:  Patient has had convulsions since infancy, as many as 36 in one day.  Has been in school for Feeble Minded at Elwyn for several years.  Is a very bad boy and made several attempts to rape his mother.
Mar 23, 1908.  Works about dining room and is well behaved.
Aug 25.  Works about kitchen.
Jan 1, 1911.  Condition the same as when last reported.

From ancestry.com: Still at DSH during census of 1910, age 23, 1930, age 43, and 1940, age 53.  No further info.


History and clinical notes:
History:  Patient has always been healthy and first showed signs of mental derangement about two months ago, when his daughter died.  Has delusions of a persecutory nature.
Jan 10, 1908.  Very much improved.
Jan 13.  Removed against advice of Supt.  Paroled.
Sep 7, 1908.  Discharged unimproved.

Standard form attached, dated Jan 13, 1908.  “I hereby remove my husband from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that he is not a safe person to be at large, and that he is liable to do damage to himself or others, and in removing him I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.”  Witness: T.H. Davies.  Signed [wife]


Complications:
hydrocoele and hemiplegia and arterioschlerosis

History and clinical notes:
History:  Patient is unmanageable at home and inclined to be violent, wanders away from home.  Physical condition poor.
Mar 19, 1908.  Suffered from a “stroke” today, is confined to bed.
Mar 23.  Some improvement today, is able to protrude tongue and has move use of his limbs.
May 24, 1908.  Died.  Cerebral apoplexy.


History and clinical notes:
History:  Was in St. Francis Hosp. for Insane, Pittsburgh, Penna, a few years ago.  
Jul 11, 1908.  Has very marked delusions.  Is agreeable and easily managed.  Physical condition fair.
Dec 1.  Assists seamstress in sewing room.  In fair physical condition, mental condition unchanged.
Jun 8, 1909.  In good physical condition but imagines a good many ailments – very agreeable.
Sep 26.  In good condition physically, rather silly in her manner.  Occasionally melancholy.  Taken home by Dr. [name redacted/same as patient’s] of Wilmington.
Sep 26, 1909.  Paroled.
Feb 21, 1910.  Discharged improved.

Additional notes:
Died 4/13/1948 and buried in Pittsburgh.


History and clinical notes:
History:  Brought by Dr. Conwell, who states that patient has been employed by him for past 10 years and has always been a man of good habits.  He has about two attacks per month and remains stupid for several days following, is not violent or untidy.  
Mar 25, 1908.  No change, but patient is well behaved.
Jun 21, 1908.  Died.  Phthisis pulmonalis.

Letter attached, on letterhead of “Office of L.S. Conwell, M.D. of Camden, Delaware.  Dated June 22, 1908.  Unlined paper, handwritten in ink.  “Dear Dr. Hancker, I received notice of Wayman Woods death.  Thank you for your kindness.  It marks the ending of a greatly afflicted life.  As I told you he has no relatives except a sister and I do not know where she is and do not think likely she would claim the body, so I guess he will have to rest with other unfortunates.  Yours truly, L.S. Conwell.”


History and clinical notes:
History:  Brought from Del. Hosp. where he underwent an operation for retention of urine (paracentesis).
Feb 23, 1908.  Condition unchanged – bladder is irrigated once daily with Sol. Acid Boric and Bromine gr V v.i.d. internally.
Feb 30.  No physical change.
Aug 25.  Condition about the same as when last reported.
Feb 7, 1910.  No change since last report.
Jan 1, 1911.  Condition about the same as when last reported.
Mar 8.  Prostate trouble growing worse, urinates frequently and suffers from pain, is losing flesh.
Oct 29.  Very much worse today and shows signs of septic infection.
Nov 30, 1911.  Died.  Septicemia following prostatitis and cystitis.

Final disposition:
Died -- Septicaemia following prostatitis and cystitis.


History and clinical notes:
History:  Brought by wife who states that patient eats poorly and sleeps very little.  Patient seems to be in fair physical health but is nervous and appeared to be bewildered; is very slow in answering the most simple interrogations.
Mar 20, 1908.  No improvement.
Apr 8.  Gradually growing worse, refuses nourishment and is very much emaciated.
May 25, 1908.  Died.  Pulmonary gangrene.


Insane Relatives:
father (dead); brother (suicide); sister (insane)

History and clinical notes:
History:  Brought by Constable Bowers.  Patient has been a heavy drinker and has been acting strangely for several months; threatened to kill his wife yesterday; patient’s father was insane, a brother committed suicide by drowning and also has a sister mentally unbalanced.
Feb 16, 1908.  Has been found rational at all times since admission and is always quiet and respectful.
Feb 19.  Has been closely observed and his condition remains unchanged.
Feb 21.  Blames his family for his incarceration and says he will not live with her after his discharge from hospital.
Mar 23.  By mutual agreement, patient and his wife are going to separate, property is to be sold and proceeds divided.
Mar 23, 1908.  Discharged – not insane.

Letter attached, typed on plain, unlined paper.  Dated March 23, 1908.  “I hereby remove my husband, [name redacted] from the Delaware State Hospital at Farnhurst and assume all responsibility for his removal and I exonerate the officers and the Board of Trustees from any act or depredation that he may commit.  Witness: [illegible, 3 part signature, not a name I recognize]; signed [wife].

Additional notes:
Domestic trouble with wife; says they are going to be divorced.  From ancestry.com; died 2 July 1931.


History and clinical notes:
History:  Has been a patient in this institution on two different occasions.  For past ten days he has been acting strangely and was arrested.  For previous history, see Book V, page 317.
Mar 15, 1908.  Condition remains unchanged.
Aug 25.  Says he was committed without cause and also says that “he cannot help what his shoes say, when they squeak.”  
Feb 4, 1910.  Is usually very surly, says “he does not belong here and we have no right to keep him.”  
Jan 1, 1911.  Had a pronounced chill today, temperature 104° F., tongue heavily coated, dry rales over both lungs.
Apr 9, 1911.  Temp. still high, labored breathing and pulse very rapid, in a semi-comatose condition.
Apr 11, 1911.  Died.  Lobar pneumonia.

Buried at DSH.  Grave #199.

Civil War Veteran, was able to get him listed as part of Graves Database, Sons of Union Soldiers of the Civil War.

Additional notes:
Civil War Veteran.  Buried at DSH, Grave #199.


History and clinical notes:
History:  Has been weak-minded for 20 years, but has worked about farm.  No other history obtainable.  A former patient in this hospital.
Feb 18, 1908.  Marked improvement since admission.
Mar 15.  A well behaved patient and works about ward.
Mar 22.  Marked improvement since admission.
Aug 25.  Condition remains about the same as last report.
Feb 4, 1910.  No mental improvement but is a well behaved patient.
Jan 1, 1911.  Is delusional at times and very nervous, but always respectful.
Nov 21, 1913.  Works about stable, seems cheerful, eats and sleeps well but becomes very nervous at times.
Jan 5, 1914.  No change since last report.
Mar 4, 1914.  Complains of pain in right side, is very thirsty, no temperature, pulse very rapid, refuses nourishment.
Apr 10, 1914.  Losing flesh rapidly.
Apr 19.  In a comatose state and cannot be aroused.
Apr 20, 1914.  Died.  Acute nephritis.


History and clinical notes:
History:  Patient has been keeping house for her brother for about 19 years.  For some years patient has been suffering from severe ear ache.  First symptoms of insanity was noticed about 3 months ago, said that her neighbors were talking about her, imagined that they said she was indecent.  For past two or three weeks has been gradually getting worse, could not sleep at night and wandered around the house.  Does not eat at times, says the food is poisoned.  Has been steadily getting worse.  Has not ate much for three days.  Has steadily lost flesh.
Jul 11, 1908.  Patient occasionally refuses to eat and has to be tubed.  Is rather variable in disposition, marked delusions.
Dec 1.  Was transferred to T.B. in summer, where she has greatly improved physically.  Mentally no change.
Jun 8, 1909.  Condition about same.  No mental improvement.
Jul 12.  Failing mentally and physically, very noisy at times, coughs and expectorates very much.
Jul 23.  Fell and cut her upper lip in median line, also bruised nose and forehead.
Jan 1, 1912.  Patient has failed physically, is suffering from Pulm TB.  Was transferred to T.B. building.
Jun 20.  No improvement.  Has been so disturbed that it was necessary to transfer to cottage.
Jul 1.  Gradually failing, both lungs affected.
Jul 25.  Has failed rapidly during night and died this 8:15 a.m.
Jul 25, 1912.  Died 8:15 a.m., phthisis pul.


History and clinical notes:
History:  Present trouble dates back about one year, imagined she had committed some unpardonable sin and has been praying for forgiveness.  Has not been eating or sleeping well and is sometimes noisy.
Feb 15, 1908.  Paroled.
Feb 18, 1908.  Discharged unimproved.  See note above.

Standard form attached, dated Feb 15, 1908.  “I hereby remove my mother from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.”  Witness: Wm. Hancker.  Signed [son]

Newspaper article attached:  “ACID CAUSED DEATH.  Mrs. [name redacted] Died at Hospital From Effect of Taking Drug.  Drinking a quantity of carbolic acid at her home, No. 1125 Apple street, last night, Mrs. [name redacted], 45 years old, died in terrible agony a few minutes after being admitted to Delaware Hospital.  The woman only returned from the Delaware State Hospital at Farnhurst a few days ago, and it is not known whether her death was caused from the intentional taking of the acid or whether she took it by mistake.  When it was learned what she had taken, Dr. H.G. Buckmaster was called and ordered the woman taken to a hospital at once.  The body was removed from the hospital last night by Deputy Coroner Nichols.

Final disposition:
Discharged unimproved (died from drinking carbolic acid at home several days later).


On certificate of:
Drs. Walter A. Caine (?) and John W. Delerit (?)

History and clinical notes:
History:  Patient left this hospital Nov 29th, 1905.  See Case Book 5, page 59.  Father states that she has been quite well since she left here until about 3 weeks ago when she again became quite violent.  Was noisy and turbulent and her relatives could not control her.
Jun 20, 1908.  Patient much better; is very quiet and rational.
Jul 11.  Was visited by relatives today and was allowed to go home on parole.
Jul 11, 1908.  Paroled.
Apr 1, 1909.  Discharged improved.

Not attached, typed on plain paper, seems to be the notes from her first attack:
[Name redacted]  Admitted September 1904.  Age 20.  Single.  Occupation – Domestic.  Poor circumstances.  Poor education.  Protestant, good habits, nativity – Delaware.  Form.  Ac. Mania.  A year ago patient had first attack became incoherent, irresponsible, and at times violent.  Parent stated that just before this condition appeared, patient had been “thrown over” by a young man who was paying her some attention and this made her very unhappy.  She grew better after awhile so was not committed to any institution.  Three days ago, another attack came on and she refused to eat, showed violence to her mother and was not able to sleep at night.  Screamed all night before being brought to Hospital.  Since admission patient has been untidy, noisy, pathological condition externally perceptible.  Eats well, but is restless and noisy at night.

Additional notes:
**"Thrown over" by a young man when she was 20.  From ancestry.com -- she was at DSH in 1935 and 1940.  Could not find any more information.


History and clinical notes:
History:  Brought by constable who could give no history.  Patient is feeble and has spastic paraplegia.
Feb 19, 1908.  Mentally very dull.
Mar 15.  Very weak, has been unable to walk since admission, at present is confined to bed and has great difficulty in swallowing.
Mar 17.  Rectal alimentation began today.
Mar 21.  Continues to grow worse, unconscious since last report.
Mar 22, 1908.  3 a.m.  Died.  Cerebral apoplexy.


On certificate of:
Drs. John Palmer, Jr. and P.W. Tomlinson

History and clinical notes:
History:  Has been growing feeble, mentally and physically, for several months and is sometimes difficult to manage.  For past few days has been suffering from Ac. Dysentery; when admitted he was very feeble and was assigned to infirmary.
Feb 18, 1908.  Very noisy during the night but much improved today.
Mar 15.  Some mental improvement since admission.
Mar 23.  Confined to bed, appetite poor.
Mar 30.  Is up and about ward but quite weak.
Jun 20, 1908.  Paroled.
Apr 1, 1909.  Discharged improved.


History and clinical notes:
History:  Patient has never been bright, could not learn at school, was at Home of Good Sheppard (Shepherd) at Phil. For 17 months and was at Industrial School for Girls in Wilmington for 3 years.  Is incorrigible at home, runs away, but mother states that she never knew of her being immoral.  Is very impudent to every one.  General health is good.
Jul 11, 1908.  Helps in T.T.B. (J.J.B.?) dining room; very flighty.  Eats well.
Dec 1.  Is sometimes difficult to manage, as she has bad temper.  Eats and sleeps well.
Jun 8, 1909.  No change in condition.
Jul 12.  Being treated for eczematous condition of ear infirmary (sic).
Jan, 1919.  No change in patient’s mental condition.  Physically well.  Works in the dining room of J.E. ward.
Dec 23.  Patient’s mother came and took her home for a few week trial.
Dec 23, 1919.  Paroled improved.
Jan 2, 1920.  She was brought back by her mother.

Final disposition:
Brought back by mother.  Still in hospital at DSH.

Additional notes:
From census records, was still at DSH in 1930 and 1940.  Also an Emma Robinson listed in Book VII.  Also an Emma Robinson buried in DSH cemetery, but she died in 1915, so must be a different Emma Robinson.


History and clinical notes:
History:  Patient was removed from this institution Nov 24, 1906 against the wish of the Officers.  She has been fairly well until last Tuesday, when she suddenly became quite violent and since then has been quite disturbed, resisting all efforts of her husband to quiet her.  Last night, slept well but has taken no nourishment today.
Jul 11, 1908.  Still somewhat disturbed.  Amiable.  Health fair.
Jul 18.  Was visited by husband today who removed her against the advice of the Supt.
Jul 18, 1908.  Paroled.
Apr 1, 1909.  Discharged unimproved.

Standard form attached, dated July 18,1908.  “I hereby remove my wife from the Delaware State Hospital at Farnhurst against the wish and advice of the Superintendent, who has notified me that she is not a safe person to be at large, and that she is liable to do damage to herself or others, and in removing her I exonerate the officers and the Board of Trustees from any act or depredation that she may commit.”  Witness: Wm. Hancker.  Signed [husband].

Final disposition:
Discharged unimproved.  Removed by husband AMA.


History and clinical notes:
History:  Brought by son who states that patient has been a “local preacher” and recently became so excitable at meetings that it became necessary to keep him away from church; does not sleep well, appetite good.  Brought to hospital Feb 29, 1908 but papers did not arrive until March 9th, 1908.
Mar 15, 1908.  Is very restless and requires restraint.
Mar 23.  Is more quiet today, restraint removed.
Mar 30.  Very much improved since last report.
Apr 18, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.


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

History and clinical notes:
History:  Several weeks ago while patient was intoxicated he went to a hotel in Wilmington and went to bed; during the night an employee smelled gas and located the leak in gas jet in room occupied by above-named patient.  He found the occupant in a stupor and he was hurried to a hospital where he did not regain consciousness for four days and since that time he has been mentally dull.
Mar 15, 1908.  Is restless and untidy.
Mar 23.  Slight mental and physical improvement.
May 15.  Marked improvement since last report.
Aug 3.  Continues to improve both mentally and physically.
Aug 22, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.

From ancestry.com:  Patient was married and had four children, b. 1895, 1898, 1901, and 1902 before this incident with the gas poisoning.  At 1920 census was living with wife and all four children.


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

History and clinical notes:
History:  Officers who bring patient know but little of his history.  Talks continuously about religion.  A short time before admission grabbed a razor and cut his throat.  The wound is about 2 inches long, but superficial.
Mar 21, 1908.  Restless during the night and today he imagined he was pursued by an enemy, he jumped from his seat and bumped his head against a window pane, breaking the glass and producing an incised wound of head.  Transferred to Wd. 6.
Mar 29.  Marked improvement, is more rational in his conversation.
Oct 19.  Is delusional at times, imagined “he swallowed a “bad odor”” and drank a solution of Sanitas but not sufficient to produce any toxic effect.
Mar 26, 1909.  No mental improvement.
Jan 24, 1910.  While going to dinner he leaped over stair railing and fell to first floor, a distance of 20 feet and as a result received a severe contusion of scalp and ankle, was unconscious for 10 minutes, wounds dressed and patient sent to infirmary.
Jan 1, 1910.  No change since last report; occasionally asks for some medicine to kill him and says he is no use to himself or family.  [End of notes].

From ancestry.com:  In 1910, he is listed in the Wilmington City Directory as a cabinetmaker, living with relative who was correspondent for DSH admission.  In 1911, the correspondent relative (a female) was listed in the directory as living by herself at the same address, where she remained through the 1910s and 1920s – always by herself.

Final disposition:
Still in hospital -- could not track in census or death records


On certificate of:
Drs. P.W. Tomlinson and Conwell Banton (Burton?)

History and clinical notes:
History:  Brought by officers.  Was a patient in this institution, for previous history see Book V, page 239.  Very much depressed when admitted.
Mar 26, 1908.  Very noisy during the night and required restraint.
Aug 25.  Improved since last report, works about grounds.
Oct 19.  Condition about the same as when last reported.
Nov 4.  Became suddenly ill today, profuse sweating, coated tongue, inactivity of bowels and retention of urine; refuses nourishment and is very much confused.
Nov 7.  Gradually growing worse.
Nov 11.  7:30 p.m. Had a cerebral hemorrhage affecting right side.
Nov 11, 1909.  Died.  Apoplexy (cerebral).


History and clinical notes:
History:  Brought by officers.  Patient realizes that he is mentally deranged and fears his case is hopeless, says he imagined “spirits” were after him and as a result he ran down the street half-clothed.  Has worked very hard in order to accumulate some wealth and his business has been a source of much worry to him.
Apr 24, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.


History and clinical notes:
History:  Patient brought by Sheriff, who could give no history.
Apr 15, 1908.  Patient in restraint since admission; tears her clothes and is very much disturbed.  Has sore on neck, is undersized, and has other marks of degeneracy.  Is quiet at night, but does not eat well.
Jul 11, 1908.  Very disturbed and dirty.  Has specific or tuberculous adenitis, which does not respond to treatment.
Dec 1.  Adenitis disappeared after KI treatment was kept up for some time.  Mental and physical improvement.
May 30, 1909.  Failing rapidly.  Tuberculosis.
Jun 1, 1909.  Died.  General tuberculosis.

Additional notes:
MR?  Buried at DSH, Grave #169.  Death record says she died 5/1/1909.  Could not trace her 2 year old child.


History and clinical notes:
History:  Brought by officers who state that patient has only been in Wilmington one day.  Patient says he came from Havre de Grace, Md., where he worked for a few weeks and prior to that time worked in York County, Penna.  Was found yesterday, kneeling upon the streets, praying and also saying the “end of the world” was just approaching, that he had received his message from God, commanding him to spread the news.
Apr 20, 1908.  Very much improved, works about ward and is a well-behaved patient.
May 2, 1908.  Paroled.
Sep 7, 1908.  Discharged recovered.


History and clinical notes:
History:  A couple of years ago, patient was suffering from a severe attack of neurasthenia, but eventually recovered.  Was always a very nervous person.  On March 14th of this year, her mother was admitted here as a patient; this [ill. – can’t tell if it says increased or decreased or something else] her nervousness.  About two weeks ago became quite depressed, neglected her work, and kept a great deal by herself.  Day before yesterday her mother found her with a bottle of carbolic acid, which she said she was going to swallow as she did not want to live any longer.
Jun 1, 1908.  Returned today, complained of severe pain at base of skull.
Jul 1.  Patient is about the same as before being paroled.
Jun 17, 1908.  Paroled.
Apr 1, 1909.  Discharged recovered.


