# 1973deaths

History and clinical notes:
History:  Certificate states that this attack began after an explosion at artillery fuse plant a year ago, where she was employed at that time.
Jul 13, 1918.  Patient is very violent.  Tears her clothes, uses very abusive language, talks about some surgical operations and doctors.  Refuses to take any food, very weak.  
Aug 28.  Patient is very restless but not violent.  Very talkative.  Physically improving slightly.  
Jun 10, 1919.  Patient improving very nicely mentally and physically.  Transferred to Ward A.  
May 11.  Working around the ward and outside.  Improving very nicely.
Jul 12, 1918.  Her mother came and took her home.  Paroled improved.
Dec 19, 1919.  Discharged improved.

Additional notes:
She married in 1921 and had 7 children, six girls and one boy.  The first three children died in early childhood.  She died in 1973.


History and clinical notes:
History:  The med. certificate states that patient’s mother is quite insane, has been confined in a New York Institution, but father is willing to keep her at home.  Patient began to be in this condition at puberty, was in high school and quite bright.  Takes no care of self and will sit all day at window in a nude condition, will not dress or go out on street.
No further entries.

Additional notes:
Was at DSH for 1920, 1930, 1940 censuses.  Died in 1973, is buried in Jewish Community Center Cem.


History and clinical notes:
History:  Patient brought by her husband who states that after the birth of each child, she was in the same condition, which lasted from 3 to 4 months.  About six weeks after she had the birth of the last child, and gradually she became violent until about 2 weeks ago when her condition [ill.] special attention.  She was taken to W. Chester hosp, but they would not keep her there.  Many attempts of suicide.  At times she is melancholic, but mostly violent.  Eats very little.
Sep 25, 1919.  Patient very violent, destructive and untidy.  Kept in restraint.
Dec 2.  Physically improving, mentally about the same.
Jan 4, 1920.  Today patient was told about the death of her baby and her husband.
Jan 7.  Patient improving very nicely.  Works in the dining room.  Very clean.  Acts perfectly normal, wants to go home.
Jan 19, 1920.  Her people came and took her home as recovered.  Paroled recovered.
May 27, 1920.  Discharged recovered.

Additional notes:
Was she feigning insanity to get away from husband????  Died 12/12/1973, buried in Red Clay Creek.  See file on Seagate drive.


History and clinical notes:
History:  Has been an inmate of this institution on 3 different occasions and was discharged improved Jan 13, 1905.  For previous history see Book V, page 26.  
Sep 18, 1905.  Talks constantly and incoherently.  Tears clothing.  Physical condition good.
Nov 13.  Is very crazy.  Eats and sleeps well, and is quiet on ward.  Is blind.
Jan 4, 1906.  Eyesight nearly gone; double cataract.  Quiet and physical condition good.
Feb 20.  Physical condition not so good.  Very well behaved.
Apr 6.  Eyes pain her constantly; otherwise in good condition.
Jul 30.  Totally blind.  Eats and sleeps well.
Oct 15.  Complains of headache constantly.
Apr 2, 1907.  Quiet, has occasional bilious attacks.
Apr 6, 1907.  Paroled.
Sep 13, 1907.  Discharged improved.

Additional notes:
Died 9/23/1973 (or at least someone with same name)


History and clinical notes:
History:  Patient brought by an officer, no history obtainable.  
Mar 10, 1919.  Patient’s mother came to see him and states that before the armistice the boy wanted to enlist and he was not allowed; he was discouraged, and as soon as he heard about the armistice, he locked himself in [his] room and would not talk to any one.  Afterwards he started to talk about some invention and also buying some [illegible words] mixing together and claiming himself as a doctor.  Several weeks before this attack he was drinking some whiskey.  Patient is working around the ward.
Mar 25.  Patient improving nicely, working outside.
Apr 15, 1919.  Patient very much improved; his mother came and took him home.  Paroled improved.
Dec 19, 1919.  Discharged improved.

Additional notes:
In 1910 census, age 10, described as a "mulatto" living with his grandmother.  Mother's name Annie White [Briggs], father Alfred Carpenter.  Middle name Mitchell.  Died 9/13/1973.  See more info on file.  First marriage had two sons, second marriage to Luttie Henrietta Hines Carpenter had two daughters, one of whom, Louise Jackson, found a famous dance school in Bermuda.  Died in 1973.


# Demographic info and clinical notes

History and clinical notes:
History: Officers who brought patient to hospital know nothing of this attack.

May 10, 1894.  Very noisy and violent th  is morning.  Leg and ankle very much swollen.  Applications of dead water and opium applied.
May 16.  Has been in bed since admission and much more quiet and rational.  Says she hurt her foot by jumping on it.  The swelling has subsided but she still complains of severe pain.  No indications of fracture of any of the tarsal bones can be elicited.
May 25.  Has been sitting up for past two days.  Foot pains considerable – cannot stand on it – swelling disappearing.  Is more rational.
June 4.  Still continues to improve and was working in sewing room.  Foot much better.
July 18.  Has been working in Supt’s family for past 2 or 3 weeks.  
[Ill.] 1895.  Is still working in Supt. Family.
May 16, 1895.  Discharged recovered.


History and clinical notes:
History: Was taken to Alms House about (a) week ago; was very noisy and troublesome; history of the case not known.
May 16, 1894.  Quite noisy and garrulous at times.  Says she is not insane.
June 11.  Very noisy and talkative.
June 23.  No change.
July 21.  No change.
Aug 5.  Has been failing for past few days and is in bed in infirmary Ward A.
Aug 11.  Has failed very rapidly and has lost flesh and strength; is still in bed.  Takes but little nourishment.
Aug 17.  Died 10 am.


History and clinical notes:
History: She aborted on 5th of April and since that time has been nervous.  Has a tendency to wander around.  Head was full of pediculi.

May 19, 1894.  Has been very quiet and orderly since admission.  Is somewhat depressed and very nervous and at time hysterical.
May 25.  Is not quite so restless.  Says she feels a great deal better.  Has assisted in light work about the ward.
May 30.  Was visited by husband today.
May 31.  Was much more melancholy this am.  Attendants caught her abusing herself several times.
June 4.  Still very depressed; says she is slowly dying and that the Lord is going to kill her tonight.  Has most of the delusions characteristic of melancholia.  Has not ate much for past two days; would not eat any dinner today.  
June 11.  Has been quite depressed since last note.  Keeps by herself a great deal of the time.  This morning attempted to drown herself in the bath tub – said she was going to kill herself.  Also said that her children had nothing to eat and that they ought to be in heaven and that her husband ought to die and that she was going to kill herself the first chance she had.
June 23.  Very quiet.  Keeps by herself; seldom speaks to anyone; nor will she answer when spoken to.
July 21.  No change of any importance since last note.
Aug 11.  No improvement.  Takes no interest in anything.  Sits and picks and bites her finger nails; ends of fingers are raw and bleed easily.  
Sep 3.  Is a little better, does not express delusions as much as formerly and is more industrious.
Oct 21.  No special change since last note.
Nov 14.  Was visited by her husband today who desires to remove her.  He was informed that she was still suicidal and that she might injure herself or children.  Removed her in spite of protest of Supt.
Jan 31, 1895.  Discharged improved.


History and clinical notes:
History: Father states that she has been addicted to self-abuse for 4 or 5 years and that the first symptoms of insanity was noticed about 4 years ago.  That at first she was very much depressed; neglected her reading and school; was always a great reader.  Latterly, she has become uncontrollable – breaks dishes and tears and breaks furniture.  Has steadily lost flesh and strength.  Father is very illiterate and can give but a rambling history of the case.  Lately exposes herself to any strange man that she could see.

Jun 4, 1894.  Was so noisy and troublesome that she was transferred to rear hall.  Was placed in a room where she removed every particle of clothing.  Cries and moans and is often caught fingering her privates.  Says she is suffering from cancer of the uterus.  An examination per vaginum was made this p.m.  Labia minora much enlarged and mucous membranes of vagina much congested.
Jun 11.  Masturbates at every opportunity.  Moans and cries a great deal.  Says I want to see my mother and I want to get married.
Jun 23.  No improvement.  Yesterday lay on the floor, pulled her clothes up, and asked Supt. to have connection with her.  
Jul 21.  No improvement.  Still masturbates at times and is vulgar in her conversations.  Is untidy in her personal appearance.  Leaves her dress open in front and lies on the floor with her clothes up.
Aug 11.  No improvement; tears her clothes and makes improper advances to every man she sees.
Sep 3.  Has not [ill.] in any respect.
Sep 19.  Still takes her clothing off and makes improper proposals to workmen who come on the ward and the physicians.  Masturbates frequently and is placed in camisole at night to prevent her from so doing.
Nov 26.  No apparent change.
Dec 23.  No change.
Jan 5, 1895.  Is not quite as vulgar as she formerly was.  Mind is gradually failing.
Feb 14.  No change.
Mar 30.  No change.
Apr 28.  No change.
Jun 2.  No improvement.
Jul 7.  No change.
Oct 1.    Has gradually grown more untidy; pokes her fingers into her eyes; to prevent which it is necessary to keep her in a camisole.
Jan 23, 1896.  No change for better, is somewhat stronger physically.  Mind more feeble.
Mar 20.  No change.
Jun 7.  No change.
Jul 12.  No change.
Aug 12, 1898.  No change.
Mar, 1899.  Very little change; mind very feeble.  
Jun.  Condition about same; somewhat more quiet.
Aug 1, 1902.  Mentally no change; physically excellent health
Feb 27, 1904.  Is quiet all day.  Never speaks and sits with her eyes closed.  Physical condition good.


History and clinical notes:
History: Officer who brings patient to hospital knows nothing of his history.  

Jun 15, 1894.  Has been quiet since admission.
Jun 17.  Talks incoherent.  Says his family is treating him shamefully.  Wants medicine blown in his left ear.  
Jun 25.  Was sick in bed two days previous today with torpid liver; was treated and is relieved.
Jul 12.  No change in his condition.
Jul 26.  Was sick but is considerably better now.
Aug 11.  Is up and about every day; general health good.
Aug 22.  Orderly and well.
Sep 8.  Has been well and on ward every day.
Sep 30.  Has good health now and is no trouble on ward.
Oct 16.  No change.
Nov 28.  Health good; no change mentally.
Dec 13.  No improvement.
Jan 1, 1895.  Health good.  No changes mentally.  
Jan 8.  No change.
Jan 19.  No change.
Jan 26.  No change.
Feb 3.  No change.
Feb 28.  No change.
Mar 10.  No improvement.
Mar 30.  No improvement.
Apr 15.  Mind feeble.
May 6.  No improvement.  Can’t remember things as well as he could (a) few months ago.
Jun 15.  No improvement mentally.  Says his wife has treated him wrong.
Jul 7.  No improvement.  Often writes letters to be sent to his wife which are impossible to understand.
Aug 3.  Has been very sick for the past two weeks, but some improved now.
Aug 10.  Is slowly failing.  Expectoration profuse.  Eats but little.
Aug 12.  Failed very much since last note.  Is slowly dying of phthisis.  Died 8:30 p.m. of pulmonary phthisis.


History and clinical notes:
History: First symptoms noticed about two years ago – said that he thought that something was inside of him; said that it felt like a hen.  This delusion was permanent.  Has also at times stated that the rats chased him at night, when he was watching.  Has also stated that his sister, who died about 8 years ago, would wake him up at nights and several times tried to kill him.  Hallucinations of hearing and seeing have been very pronounced during these two years, but he has been able to attend to his duties and has kept his position.  For the past few months has not worked – has suffered from insomnia and very seldom would undress himself, but would walk the floor at night and curse and swear.  This has been more pronounced during the past two weeks.  Last Wednesday night became quite violent and, in an altercation with his family, struck his son over the head with a root beer bottle.  His general health has been good excepting inability to sleep.

Jul 12.  Has been very quiet since admission and is now employed in the dining room and is considerable help.
Aug 11.  No change.  Says this is a good place and he would just as leave stay here as not.
Aug 22.  Still in dining room and doing nicely.
Sep 8.  Is quiet and orderly, still working in dining room.
Sep 30. Same as above reported, Sep 8.
Oct 16.  Same as above reported.
Oct 20.  Went home today on parole with daughter.
Jan 31, 1895.  Discharged improved.


History and clinical notes:
History: Has always been more or less eccentric and inclined to keep by herself.  Has never had a serious illness and has enjoyed good general health.  About 1 year ago first symptoms of insanity was noticed and first delusions were observed.  Kept by herself a great deal and was very melancholy and depressed.  Said people were going to kill her and her son.  Hall [?] all the delusions peculiar in cases of melancholia.  Has steadily grown worse.  Lately has been constantly wandering aimlessly about – would not stay in the house; was afraid of being killed.  Has entirely neglected her religious devotions while formerly she was very devout.  Has a fair appetite.  At night sleeps but little, will stay up, walk the floor, and cry a great deal.  Towards morning usually has a nap.  Has lately lost flesh and strength.

Jul 10, 1894.  Quiet and orderly since admission.  Somewhat melancholy and depressed.  Wants to go home.  Says that her friends had no business bringing her here.
Jul 14.  Has a severe diarrhea and is in bed today.  
Jul 15.  Is not quite so well. Diarrhea continues; at times discharges are bloody.
Jul 16.  Considerable pain over entire abdomen.  Dysentery well [ill.].  Will not yield to treatment.  Heart’s action very irregular and feeble.
Jul 17.  Is slowly failing.
Jul 18.  Friends are with her today.  Is much worse.
Jul 19, 1894.  Died 1:30 am.


History and clinical notes:
History: Has suffered since she was a small child with severe cephalalgia.  About 1 year ago menstruation ceased and has not appeared since.  About 8 months ago became quite depressed; would not associate with anyone and when any visitors came to the house went to the cellar and hid herself.  Has frequently threatened suicide and said that she would kill herself the first opportunity she had.  About one week ago she attempted to drown herself in the Brandywine and was rescued, but said that she would succeed some other time.  General health has always been very poor and she was a delicate child.  Lately has said that she would kill herself by starving.  Has slept well at night usually.  Lately has refused to eat.  

Jul 21.  Is quiet since she came here.  Seldom speaks to anyone – sits in the hall with her head bowed down.  Will not read the daily papers nor will she assist in any kind of work.  Has told the Supt. that she intends to commit suicide someday.  
Aug 11.  No change.  Very melancholy.
Sep 3.  Has not improved.
Sep 19.  Still no change.  Will not interest herself in anything.  Sits in one place all the time with her head bowed down and will only speak when spoken to and then only in monosyllables.  
Oct 21.  No improvement.  Laughs inordinately at time with no cause.  
Nov 26.  No change is apparent.  Mind is quite feeble.
Dec 23.  No change.
Jan 5, 1895.  No change.
Feb 14.  No change.
Mar 30.  No change.
Apr 30.  No change.
Jun 2.  No change.
Jul 7.  No change.
Oct 16.  Very untidy in her habits, otherwise no change.
Jan 23, 1896.  Picks her face and hands until they bleed and frequently has to be restrained on this account.  Otherwise condition not improved.
Mar 20.  No improvement in any respect.
Jun 7.  No change.  Very untidy and demented.
Jul 12.  No change.
Aug 12, 1898.  No change.
Mar 1899.  Condition unchanged; patient very untidy; very seldom ever speaks.
Jun 1899.  Mind very feeble; almost never speaks.  Physical health very good.
Jan 1900.  No improvement in mental condition.  Patient quite frequently strikes at those about her; seldom speaks; physical health good.  
Aug 1, 1902.  Mentally and physically unchanged.


History and clinical notes:
History: Was first brought to hospital 3.19.91 with acute mania; discharged cured Jan 1st, 1892 and has been perfectly well until four weeks ago when he became noisy, using profane language, wandering around from place to place.  Yesterday attempted to kill his father and mother with a hoe but was stopped before any injury was done.  Talks about various subjects; restless at night very wild, and has been under restraint.

Jul 20.  No improvement, untidy, destructible, and noisy.
Aug 11.  No change for the better.
Sep 8.  Is not in restraint and on the hall.
Sep 30.  Restraint reapplied, few days ago, and no improvement.
Oct 16.  No improvement under restraint.
Nov 15.  Restraint removed today and patient improved.
Nov 28.  Very much improved; takes his meals in the dining room and on quiet ward during the day.
Dec 8.  Complaining of pains in his head, fever, coated tongue, etc.  
Dec 10.  Was taken to the infirmary and disease treated without any benefit.
Dec 13.  Symptoms the same as above, no improvement.
Dec 24.  Has been very sick and malarial fever, no convalescing.
Jan 1, 1895.  Patient dines at table and very much improved mentally.
Jan 8.  Does not talk much, some depressed.
Jan 19.  No change.
Jan 26.  Not so much depressed; talks with more force.
Jan 31.  No change.
Feb 19.  Some improved.
Feb 27.  Went home on parole.
May 1, 1895.  Discharged recovered.


History and clinical notes:
History: Patient has always been weak minded, although he is capable of learning.  Has learnt to read and write.  Is never vicious.  Wanders from his home and is unable to care for him longer.  The older he gets the more he is inclined to disobey her.  His general health has always been good.

July 20, 1894.  Quiet and no trouble.
Aug 11.  No special change.  Mind is quite feeble and constantly asking to go home.
Aug 22.  No improvement.
Sep 8.  No change.
Oct 16.  Went home today on parole with brother.
Dec 4.  Discharged improved.


History and clinical notes:
History: The officer who brings him says he has known him for forty years; always has used alcohol to excess.  Patient says he has great wealth, money in bank.  Was in New Castle Alms House for 2 weeks.  Noisy, at times restless run across the fields and return saying that students were after him to kill him.  He pulled his bed in front (of) the door of his room and slept under it the whole time in Alms House.  Says that his grandfather was there and he had frequent conversations with him and that he was going to him away.

Aug 11.  Has occasioned no trouble since he came here; does not express any very [ill.] delusions as yet.
Aug 22.  Symptoms remain stationery.
Sep 8.  Is very quiet; some improved.
Sep 30.  No change since last report.
Oct 16.  Quiet; works on ward and is no trouble.
Nov 20.  Works on the wards; has hallucinations of hearing.
Dec 13.  No change.
Jan 1, 1895.  No change.
Jan 8.  No change.
Jan 19.  No change.
Jan 26.  No change.
Feb 19.  No change.
Feb 28.  Orderly.
Mar 10.  Has delusions, say people are after him.
Mar 30.  No improvement.
Apr 30.  No change.
Jun 15.  Is very orderly.
Jul 7.  He works on the wards and is very orderly; often says he wants to go away; that there is nothing wrong with him.
Aug 3.  Says his father has considerable money for him and that he comes here and talks to him.  Father been dead for years.
Aug 27.  No improvements.
Sep 29.  Works on ward; no improvement mentally.
Oct 24.  Says he has seen his father a number of times on the lawn and he wants to go to him.
Dec 9.  No change.
Jan 6, 1896.  No change.
Jan 26.  No change.
Nov 15.  No improvement.
Nov 25.  Is orderly; works on ward; mind feeble.
Feb 26, 1897.  Mind very feeble; appetite good.
Aug 28.  No change, health good.
Oct 8.  Has bad health, lost flesh, chronic diarrhea; mind still feeble.
Jan 8, 1901.  Has been in bed since last note, suffering at times from severe diarrhea.
Apr 20.  Failed rapidly since last note.
Apr 29.  Died from exhaustion at 7:45 this evening.
Apr 29, 1901.  Died.


Complications:
operated on at Homeopathic Hospital for varicocoele

History and clinical notes:
History: Officer who brings patient to hospital knows nothing of his history.  Was operated on a week ago at the Homeopathic Hospital for Varicocele.  Has been very restless before that time (and) since.  Last night eluded the attendants at the hospital and escaped and was picked up by the police.  Patient is quite feeble – features are pinched.  

Aug 11, 1894.  Patient on arrival yesterday was placed in a bed and an examination made.  Severe pain on side over 8 & 9 rib; pain was so severe that a thorough examination could not be made.  All symptoms of fractured rib are well marked.  The lung has evidently been injured as he coughs up blood and mucus.  Several large bruises over different parts of the body – complains of severe pain over upper lumbar vertebrae.  The ligature from operation of varicocele still remains in situ.  Patient states that he left the hospital early yesterday morning and that he was struck by a train but does not know on what road.
Aug 22.  Very restless; pain still severe over fractured ribs; has ceased spitting blood, the ligature still remains.
Sep 8.  Is out of bed and considerable improved physically; none mentally.
Sep 30.  No improvement mentally.
Oct 16.  Sleeps well, appetite good.  Some improved mentally.
Oct 23.  When attendant went to patient’s room at 6 a.m. he found (Mr. ____) suspended by a sheet.  The sheet was tied to a clothes rack that was fastened between the two windows.  Asst. Supt. was at once notified, but life was extinct; he probably died a hour or so before discovered.


History and clinical notes:
History: Officer who brings patient knows nothing of history.  Has been living with brother-in-law for past 18 months.  He says she looked strange at times and that she has been insane ever since she has lived with him and how much longer he does not know.  A few days ago she jumped from his 2nd story window and was picked up by the police and taken to the hall.  When admitted, side of her face was bruised; also bruises on right leg and arm.  Brother-in-law is rather reticent and will not give intelligent answers to questions.
Aug 31.  Very much depressed.  Keeps by herself a great deal.  Last night was very untidy.  Says she was told to filthy her room and bed clothes.
Sep 3.  Told Supt. this a.m. that she was very wicked and that she had committed a great many sins; and that she wanted to die and she had thought of killing herself.  Said she had committed adultery a great many times and that she would take any man that would come along.  Also that she had masturbated for years – that she could not help it.  Patient is suffering from secondary syphilis – has also the characteristic symptoms of this disease.  She says her husband gave her this disease and then ran away from her.
Sep 19.  No improvement since admission.  Is very untidy about her personal appearance.  Keeps her clothes wet from the faucet in closet and is constantly washing her face and hair.  Sometimes is quite talkative; while again is very morose and taciturn.
Oct 11.  No change noticeable.
Oct 21.  No improvement.  Is not quite as talkative.  Frequently strikes those that come near her without any assignable cause.  Has improved physically.
Nov 26.  At times is violent and strikes those around her without apparent cause.
Dec 23.  No change.
Jan 5, 1895.  No change; mind gradually failing.
Feb 16.  No change.
Mar 30.  No change.
Apr 28.  No change.
Jun 2.  No change.
Jul 7.  No change.
Oct 16.  No change.
Jan 23, 1896.  Is some better mentally; works on ward and is more cheerful.
Aug 26.  Has improved rapidly.  Was removed on parole by sister.
Oct 4, 1896.  Discharged recovered.


History and clinical notes:
History: For the past three weeks he hauled people around to the camps and beaches and home give them meals without expenses.  Talks incoherent; has not been violent; rests fair at night; appetite good.  Was in Pennsylvania hospital seven years ago for nine months and made a complete recovery.

Sep 8.  Very orderly and some improved.
Sep 30.  Is doing very well.
Oct 16.  Quiet, composed and is orderly patient.
Oct 27.  Went home today with friend.
Nov 30, 1894.  Discharged recovered.


History and clinical notes:
History: Has delusions of persecution; is noisy.  Talks mostly on religion; is restless; can’t sleep.  On Saturday night last was so excited on religion that his family became frightened and had him taken to station house where he has been until he was brought here.  Has been on a debauch for two weeks up to 4 or 5 days ago.  
Aug 31.  2 a.m.  Very noisy, delirious, violent, struck his head against the window screen and broke the sash.  Was given a hypodermic injection of Hyoscine 1/90 grain by Dr. Hammond in the presence of Dr. Haucken, Mr. Wade and Mr. Lynch.  At 9 am still delirious.  4 p.m. more rational, asked for water.
Sep 1.  1:25 a.m. Noisy.  Was given 1/75 gr Hyoscine and has been quiet since.
Sep 2.  9 a.m.  Was given bath.  Both restraints removed and is on front hall.  6 p.m. became restless, restraint put on.
Sep 3.  Rested well throught the night and restraint removed.
Sep 8.  Doing well since last report, but is very weak.  
Sep 12.  Became violent on front and attacked Mr. Lynch in the presence of his people; was put in restraints and still has delusions of persecution.
Sep 30.  Has been quiet for the past few days; cough is much better.
Oct 6.  Has no cough.  Has been very noisy and vicious.
Nov 3.  Has been quiet and rooming on front hall.
Nov 24, 1894.  Went home today.
Jan 31, 1895.  Discharged recovered.


History and clinical notes:
History: Officer who brings patient knows nothing of his history, except he was in Homeopathic Hospital for a while.
Sep 8.  Has delusions of wealth, is quiet and orderly.
Sep 30.  Has improved so much since his admission that he was discharged today.
Sep 30, 1894.  Discharged recovered.


History and clinical notes:
History: Every summer for the past 5 years she has worried over things which did not amount to anything; but would be well in winter.  Has been in present condition since July.  She imagines that she is to be arrested and her son-in-law wants to leave; and people have all turned against her and for the past two days has abused her family.  4 days ago she was found with two bells fastened together drawn around her neck on the bed.  This morning she had nail (?) knife and it is supposed she intended to use it on her self.

Sep 19, 1894.  Delusions are characteristic of melancholia.  Cries and moans a great deal.  Says her daughter is dead, while in reality she is alive and well.  Says she is a great sinner and is going to be punished for her wickedness.  Says she does not deserve to be treated as well as she is here.
Oct 8.  Has been fed twice daily with nasal tube for past 3 weeks; will not eat voluntarily – says she cannot afford it.  Delusions are of the same character.  Has lost flesh and strength.  
Oct 21.  No improvement mentally.  Still refuses to eat and has to be fed with tube.  Says she cannot afford to eat here.  That she has disgraced her family and that we are going to [ill.] and torture her.
Nov 26.  No change; still very melancholy and depressed.
Dec 23.  No change.  
Jan 5, 1895.  No change for the better.
Feb 16.  Has been at home for past week.  Was so bad, had to be returned today – would not eat and today was fed with tube.  
Mar 30.  Now takes her food voluntarily.  Is stronger physically but is still very melancholy and depressed.  
Apr 24.  Patient face and limbs very much swollen and symptoms of Bright’s disease quite apparent.
Apr 25.  Patient is unconscious this a.m.  Urine drawn by catheter; bladder was quite full.  Still in semi-comatose condition.
Apr 27.  Is a little better this a.m.  Swelling disappearing.
Apr 28.  Improvement continues.  
Jun 2.  Has been up and about ward since last note.  For past week or two has been very much depressed, moaning and [ill.].  Will not eat and has been fed with tube twice daily.  Very noisy at night, and it is necessary to administer hyoscine in order to give her needed rest.  Has lost flesh and strength lately.
Jul 7.  Is now on front ward and is stronger physically.  Is still quite depressed and is as fully influenced by her delusions as formerly.
Oct 15.  Very little change.  At times is less depressed but is usually melancholy and governed fully by her delusions.
Dec 21.  No change worthy of note since last entry.  Has had two attacks of coma produced by uraemia; but rallied from each.  Was visited by daughter who perceived her capable to spend holidays at home.
Jun 13, 1896.  Discharged improved.


History and clinical notes:
History: Has been gate tender on PW & BR at Market St., 8 or 9 years.  About 3 months ago, erysipelas on right leg and foot appeared and has been unable to work at all.  About 2 weeks ago began to talk incoherent on various topics – politics, etc.  On admission both lower extremities very much swollen.

Sep 30.  Is in bed and is very quiet.  Eruptions some improved.
Oct 16.  No changes mentally.
Nov 13.  Patient’s extremities cold.  Pulse feeble, respirations short, delirious, power of coordination nearly lost on left side.  Was catheterized 6:15 p.m.
Nov 14.  Gradually became worse and died. 3:35 a.m. Nov 15, 1894.


History and clinical notes:
History: Patient has been in ill health for over a year.   Has suffered from La Grippe and its concomitant complications three times.  This has prevented him from following his business.  This has worried him a great deal.  The first symptoms of insanity were first noticed about eight months ago.  The patient was very extravagant; would purchase stores and other things that he had no use for and would send them to his house.  Lately has become very melancholy and has threatened to kill himself and has also repeatedly threatened his wife – said that they had nothing to live for and that they might as well die.  Has steadily lost flesh and strength.  Patient’s wife has a trimming store and he says he has a number of times found a man in the store and told his wife on Saturday night last that if he found him there any more he would kick him out.

Oct 16.  Looks much improved in flesh; sleep well; appetite very good and is doing well.
Nov 16.  Has improved so much that he went home today.
Jan 31, 1895.  Discharged recovered.


History and clinical notes:
History: Has been an imbecile since birth; very cross and hard to control; very revengeful; has threatened to burn people’s houses and has made threats of all kinds.  Was committed to Georgetown Jail a few days ago for frightening his father; has very little intellectual capacity.

Nov 15.  Took the top from the radiator; his it in his bed with the intention of bursting the door to make his escape.  It was found by an attendant; and has (tried) a number of times to get away.
Dec 13.  Very orderly.
Jan 1, 1895.  No improvement.
Jan 8.  Is behaving very nicely on ward.
Jan 19.  Very orderly.
Jan 20.  Stole a hatchet and hid it under another patient’s bed.
Feb 3.  No change.
Feb 19.  No improvement.
Feb 28.  Mean as ever.
Mar 10.  No improvement.
Mar 30.  No improvement mentally.
Apr 28.  No improvement.
Jun 15.  No improvement.
Jul 7.  Is quiet, orderly, and works on the ward, health good.
Aug 3.  No improvement.
Aug 25.  No improvement.
Sep 29.  No change.
Oct 24.  Is very orderly, health good.
Dec 9.  No improvement mentally.
Jan 6, 1896.  Orderly.  No change mentally.
Jan 26.  No change.
Apr 6.  No change.  Physical health good.
Nov 15.  Health good.
Nov 25.  No improvement mentally; health good.
Feb 26, 1899.  Imbecile from birth; is a very treacherous patient complaining of pains in some parts of his body every time a physician goes on the ward.  Appetite good, health fair.  
Aug 28.  Health good, mind feeble.
Sep 3.  Eloped and was returned from his mother’s home.
Sep 12.  Is feeble minded, health fair.
Aug 12, 1901.  Complains almost constantly with no discoverable basis.  Right testicle cystic and enlarged.
Sep 2, 1903.  Health good.  Habitually complains of vague pains.  Hysterical.
Oct 24, 1920.  Patient escaped from the dining room between 6:30 and 7 p.m.
Oct 24, 1920.  Patient brought home.

Final disposition:
Returned to hospital after escaping (on same day).


History and clinical notes:
History:  She has been peculiar for the past two years.  Always has had good health; first symptoms noticed became very cross and irritable without any cause; remained in this condition until July last when she gradually became worse.  Last week she began to neglect her household duties; talk incoherently; has delusions that she is poisoned; refuses all food on the account of this delusion; she has lost flesh and strength very rapidly; has suffered from insomnia for the past week; will not take any medicine and refuses everything.  Always very nervous and excitable and has black eye and bruises on her back.

Oct 11.  Has been more or less disturbed since her admission.  Interferes with the rest of the patients.  Removes her clothing constantly.  Has been wearing a camisole.  Bites and scratches everyone that comes near her; will not take anything voluntarily and has been fed with nasal tube twice daily.
Oct 21.  Is much stronger than she was.  Still refuses to eat and is fed twice daily and is very profane in her talk and curses and swears at everyone that comes near her.
Nov 5.  Discharged this p.m. in very low condition.


History and clinical notes:
History: Patient had a severe fall on his head when 3 years of age and shortly after he had a convulsion and has been healthy until four years ago when he had La Grippe and was delirious for a few days.  His brothers are of the opinion that he abuses himself.  His peculiarity was first noticed 3 months ago; says he is mistaken for the son of the Russian Czar; that he is mesmerized, hypnotized, and that people are all against him.  He would lay abed and did not work and will use a whole plug of tobacco in one hour.

Nov 17, 1894.  Has worked in male dining room since admission; is no trouble, very quiet and orderly.
Nov 28.  Still works in dining room with no improvement mentally.
Dec 13.  Some improved; still working in dining room.
Jan 1, 1895.  Some improved.
Jan 8.  Works in dining room.  Some improved.
Jan 19.  No change noticeable since last report.
Jan 26.  Same as last reported.
Feb 19.  No change.
Feb 28.  No change.
Mar 10.  Says people still take him to be the Russian Czar’s son.
Mar 30.  No improvement.
Apr 28.  No change.
Jun 15.  Says people mistake him for the son of the Czar of Russia; mind some feeble.
Jul 7.  Works in the dining room, but prefers to be by himself.
Aug 3.  No change.
Aug 27.  Mind feeble; only speaks when spoken to.
Sep 29.  Still works in dining room.  No change.
Oct 24.  Works in the dining room yet, but likes to be by himself.
Dec 9.  No improvement.
Jan 6, 1896.  Has been transferred to Ward C; works on the ward; no change mentally.
Jan 26.  No improvement.
Apr 26.  Mind feeble.
Oct 15.  No improvement and is very quiet and orderly and works at Supt.’s residence.
Feb 26, 1899.  Mind demented; works in the kitchen and is very useful; appetite good; general health excellent.
Oct 8.  Very much demented; general health good; has worked in the dining room until a few days ago when he became restless and attempted to wander away.  He was put on Ward C where he still remains.
Sep 2, 1903.  Works in the kitchen.  Good health.  Mind feeble.
Jul 6, 1919.  Patient still working in the kitchen, as second [ill.].  While out for a day he did not return.
Jul 9.  Paroled.
Jul 15, 1919.  Patient came back, said he took his vacation, went to Denver, Colorado.

Final disposition:
Left without permission; came back 9 days later.

Additional notes:
Still at DSH in 1900, 1920, 1930, and 1940 census.


History and clinical notes:
History: Patient was taken in August with malaria and rheumatism from which she recovered in four or five weeks and immediately after had neuralgia of the ovaries with gastric complications, menses are regular, has had poor health for 6 years.  Symptoms of insanity were first noticed Sunday night; talking incoherently, noisy at time, restless, insomnia, appetite poor; she fears that she will not get well and that her medicine is not being administered properly.

Oct 21, 1894.  Patient was quite weak when brought here; several large bruises were on back and her hair was so matted together that it was necessary to cut it off.  Has not taken any food voluntarily since she came.  Has to be fed twice daily by the aid of nasal tube.  Resists everything that is done for her.  Is very noisy, tears her clothing, and is difficult to control.  Pulse is extremely rapid and very weak.
Nov 26.  Is stronger than she was at time of admission.  At times will not eat and has to be fed with nasal tube.  Seldom speaks to anyone.
Dec 23.  Has gradually improved.  Now eats voluntarily and more bright and cheerful.  Answers when spoken to and has gained flesh and strength.
Jan 5, 1895.  Is slowly improving in every respect.
Jan 31, 1895.  Discharged recovered.


History and clinical notes:
History: Officers who bring patient know nothing of his history.  He was picked up in Wilmington.  Had in his possession one ladies watch, $148 and a Ry (railway) Ticket from Chester to Perry [ill.], Md. Dated October 31, 1894.

Nov 15.  Has been very noisy, talks incoherent, violent, destructable to clothing, restless at night, refused to eat for a few days; has been under restraint.
Nov 17.  Patient is quiet out on ward, sleeps in front hall, all restraint removed and doing well.
Nov 24.  Went home today.
Nov 30, 1894.  Discharged recovered.


History and clinical notes:
History: Officer who brings patient to hospital knows nothing of his history, except he is supposed to have wandered into this state from Penn.  

Nov 28.  Patient is quiet, no trouble, and doing well.
Dec 13.  No change.
Jan 1, 1895.  No change.
Jan 8.  Sits around, does not talk and will not work.
Jan 19.  No improvement.
Jan 26.  No change.
Feb 19.  No improvement.
Mar 10.  Sits around the ward and will not speak when spoken to one (only) in monosyllables.
Mar 30.  No change.
Apr 30.  No change.
Jun 15.  Sits in one seat; very seldom speaks when spoken to, will not assist on wards.
Oct 24.  No change, physical health good.  
Dec 9.  No change.
Jan 6, 1896.  No change.
Jan 26.  No change.
Apr 6.  Never will be any better mentally.  Physical health good.
Oct 15.  No change.
Nov 25.  Same as above reported.
Feb 26, 1899.  Very much demented.  Seldom speaks to anyone, will not do any work on the wards; Appetite fair, health good.
Aug 28.  Very much demented.  Health good.
Oct 8.  Mind very feeble; general health poor; patient is orderly and tidy.
Jul 1, 1917.  There is no change in mental condition; has slight cough; is loosing (losing) in weight.
Sep 3.  Patient is gradually growing weaker; does not eat well.  No change in mental condition.  Is suffering from pulmonary TB.
Oct 14, 1917.  Died at 3:30 a.m.


History and clinical notes:
History: Was in the Penna. Hospital for the Insane, 18 month, and was first admitted here 9-31-89 from that institution was discharged here August 14, 1890, cured.  His family have noticed for the past six months he is nervous, excitable, irritable, etc.  He imagines that he can’t eat and food does not do him any good.  He asked a friend to shoot him; said he was tired of living and sleeps very poorly at night; health fair.  

Nov 17.  Rests poor at night, beats on the door, says people are trying to get into his room at night; appetite some improved.
Nov 28.  No improvement mentally.
Dec 13.  No improvement.
Jan 1, 1895.  Improving physically, none mentally.
Jan 8.  No change.
Jan 19.  No improvement.
Jan 26.  No change.
Fed 2.  Was transferred from Ward C to infirmary.  Has cough, pain in right lung; dullness on percussion, rales on auscultation, fever, expectoration and all the other symptoms of pneumonia.
Feb 3.  No improvement.
Feb 4.  Very week
Feb 5, 1895.  Died at 11:15 a.m.


History and clinical notes:
History: The first symptoms noticed of insanity by her relatives were restlessness, worrying, walking the floor at night, insomnia, loss of appetite.  Said that people were making fun of her and that she had lied, etc.  In about 2 months she became better was taken out of the state for recreation and was better for a few days and then became rapidly worse and has not improved since that time.  She wants to go where no one will see her and has attempted two or three times to run away from home.  She says she imposes on her people and they don’t want her.  She was bought a new pair of shoes and won’t wear them for the reason that her money did not buy them.  A few nights ago she hollered for her husband time after time and could not be convinced that he was dead.  She attempted suicide this morning with a knife.

Nov 26.  Is very melancholy.  Keeps by herself on the ward; will not interest herself in anything.  Says she has committed so many sins that she can never be forgiven.  Has delusions characteristic of melancholia.  
Dec 23.  Very little change since admission.
Jan 4, 1895.  No change; very melancholy, says she wants to die; that she is wicked, etc.
Feb 16.  No change.  Very melancholy and depressed.  Frequently has crying spells.
Mar 30.  Is a little more cheerful than she formerly was.  Does some work about the ward and knits a great deal.  Has improved physically.
Apr 29.  Works about the hall and is much more cheerful.
Jun 2.  Was visited by brother-in-law today, who wished to try her at home.  Was permitted to go on parole.
Jul 8.  She was returned by her relations who said she was getting along very nicely until 3 weeks ago when she drank a quantity of solution of acetate of lead which caused convulsions.  Physician was called in and relieved her.  A few days after was found with a razor and has since asked to go down the creek road by herself, saying she wanted to make away with herself.
Oct 16.  Has been quiet and orderly since she returned, but is still somewhat depressed.
Jan 23, 1896.  No change.
Mar 20.  No change.  
Jul 12.  No change.  Still at times very moody and taciturn.  Frequently speaks of suicide; says she has nothing to live for and wants to die.
Aug 26.  Was visited by sisters today who decided to take her home for a trial.  Was informed by Supt. that she is liable to commit suicide but that she was very anxious to give her a trial.  Was allowed to go on parole.
Feb 11, 1897.  Has been away since last note.  Today discharged improved.


History and clinical notes:
History: The patient has been in Hospital three times before; was admitted last time 5.12.93 and discharged recovered 6.24.94.  The first symptoms noticed were a few days ago, when he became noisy, irritable, cross, and ill-natured; talked incoherent, restless at night, etc.

Nov 28.  Patient is doing well; is on convalescent ward, and very orderly.  
Dec 6.  Very orderly.
Dec 13.  Quiet and composed.
Dec 25.  Went home.
Jan 31, 1896.  Discharged recovered.  [Ledger says 1.31.95, but that is obviously incorrect].


History and clinical notes:
History: The gentleman who brings him knows nothing of his history.  Dr. Hammond saw in the Saturday’s issue of the Milford Chronicle where the patient drew a revolver on Frank Reedy and was arrested and sent to Dover Jail.  He is depressed; will not talk unless someone talks to him, etc.

Nov 28.  Refused to eat; has been very quiet and feed with tube today.
Nov 29.  Ate his meals today.
Dec 6.  Some improved.
Dec 13.  Improving.
Jan 1, 1895.  Still improving.
Jan 8.  Works on the ward; speaks when spoken to and is very orderly.
Jan 19.  Is excellent help on ward, orderly, composed, and is very much improved.
Jan 26.  Still improving.
Feb 9.  Improving.
Feb 19.  Improving.
Feb 28.  Improving.
Mar 30.  Works on the farm.
May 1, 1895.  Discharged recovered.


History and clinical notes:
History: Patient has been depressed for the past 4 months; does not talk unless talked to and then in a low voice.  Sobs for hours and never say a word; sleep fair during the night but is awake during the early hours of the morning.

Dec 23.  Patient’s condition is a little improved.  Talk a little more than she did when first admitted.  Sits in one place on the hall and seldom speaks unless spoken to.  General health is good.
Jan 5, 1895.  No change.  Sits by herself on the ward and never speaks to anyone.
Feb 14.  No special change.  Seldom speaks to anyone.  Lately has at time assisted in light work on ward.
Mar 30.  No improvement since last note.
Apr 28.  No change for better.
Jun 2.  No change.  Is very untidy about her person; spits on floor and clothing.
Jun 7.  No change.
Aug 13.  Patient eloped this a.m.
Oct 16, 1895.  Discharged improved.


History and clinical notes:
History: Patient had a sun stroke some years ago followed by cerebro spinal meningitis; also fell off a horse when a boy.  Symptoms of insanity first noticed 21 years ago; wild in actions; strange incoherent language; has periodical attacks, the intervals varying in time from two to six years.  When excited, raves on various subjects.  Has been in hospital twice before; was admitted last time 10.8.92 and discharged recovered 11.27.92.

Nov 29, 1894.  Is on quiet ward today and very orderly.
Dec 2.  Noisy.
Dec 8.  Quiet.
Dec 10.  Very noisy; gave him a hypodermic of hyoscine.
Dec 13.  Quiet.
Dec 16.  Noisy.
Dec 20.  Noisy.
Dec 25.  Talks considerable.
Jan 1, 1895.  Some improved.
Jan 8.  Still improving.
Jan 19. Sleeps well; is quiet and improving.
Jan 26.  Still improving.
Feb 6.  Went home on parole.
May 1, 1895.  Discharged recovered.


History and clinical notes:
History: Injured in 1861 by jumping from a train.  Head injured and arm broken.  In 1876, began to complain of a buzzing sound in head.  Became so severe that he was compelled to quit work as he could not concentrate his thoughts and had to remain away from work for nine months, when the trouble gradually disappeared.  From this time on he continued his work as a switchman until five months ago, when he was injured by being struck with a moving railroad coach.  He sustained a scalp wound 4 inches long and top of ear slip; and since that time has not been well; but still continued his work until the middle of October when he had to give up his position and two weeks from that time, the first symptoms of insanity were noticed by his incoherency in speech, restless, insomnia, didn’t recognize his home.  If interfered with, he resists with all his strength.  Has threatened to kill himself by shooting; has shown violence towards his wife.  Was very restless and difficult to control last night.  Has steadily lost flesh and strength.
Dec 13.  No improvement.
Dec 22.  Discharged unimproved.

Additional notes:
Apparently, their yearly count began on December 1st of each year.


History and clinical notes:
History:  Was admitted Dec 12, 1893 and discharged Nov 16, 1894 some improved, and was readmitted today (Dec 6, 1894).  The first symptoms of insanity were noticed June 1893.  Patient became depressed; would not talk; loss of appetite; slept poorly at night.

Dec 23.  No change.  Very melancholy and depressed.
Feb 16, 1895.  No change from last note.
Mar 20.  Very much depressed lately.  Has not taken food as well.  Says she wants to die and has threatened suicide; was fed with nasal tube today.
Mar 31.  Has been fed daily since last note.  Has lost flesh.  Lays on floor and does not speak and seldom moves.  
Apr 28.  Has been fed almost daily since last note.  Is in a profound stupor.
Jun 2.  Still fed twice daily with nasal tube.  Is very untidy.  Lays in bed and will not answer when spoken to.  
Jul 7.  Lately has taken food voluntarily, but is very much demented.  Lays in bed most of the time.  Will not keep underclothing on and lays in bed naked.  Will not answer when spoken to.
Oct 16.  Takes food voluntarily now and has gained flesh and strength.  Talks occasionally but is very melancholy and depressed and at times very untidy about her person, removing her clothing, etc.
Jan 23, 1896.  No improvement since last note.  Still at times removes her clothing, etc.
Mar 20.  No mental improvement.
Jun 7.  No change.
Jul 12.  No change.
Aug 12, 1898.  Mind very feeble.  Takes her clothing off.  No change in mental state.
Apr, 1899.  Patient sits in one place most of the time without speaking; holds her lips tightly shut; sleeps and eats fairly well but has to be made to move even to her meals; mind very feeble; says she is too tired to do any work.
Jun, 1899.  Condition about the same.  Patient is in good physical health, but there is no improvement mentally.  
Jan 15, 1900.  Patient has changed but little since last note seldom speaks and has to (be) made to move about at all; frequently troubled with tooth ache.  Otherwise general health is very good.
Aug 1, 1902.  Mentally and physically stationary.
Feb 27, 1904.  Condition good – occasionally noisy.
Jan, 1912.  No special change.  At times violent and mind extremely feeble.  Has steadily losing flesh due to a general tubercular state.
May 1.  Very weak; has been in bed for about one week.
May 3, 1912.  Steadily failed and died today.
May 3, 1912.  Died, general tuberculosis.


History and clinical notes:
History:  Officer who brings patient to hospital knows nothing of her history.  States that she has an adopted daughter living at Speakman's who is trying to get what little money the old lady has.  Patient states that this is a fact.

Dec 23, 1894.  Is very melancholy.  Cries and moans a great deal.  Says she is very wicked and often asks to be locked up all day so that she can fast and pray.  Says her adopted daughter Mrs. Speakman is trying to get all her money and of other are in league against her.
Jan 5, 1895.  Has not improved; very melancholy.  Frequently gets up in the middle of the night and walks the floor moaning and crying.  Talks a great deal about religion.  At one time says her adopted daughter Mrs. Speakman is a nice woman, while again says she is a common prostitute.  Told Supt. today that in New Year Day was going to commit suicide; but she refrained as she thought God wanted her to live for some purpose.
Jan 7.  Was noisy last night; slept but little the entire night.  Tore her chemise into threads and threw them out of the window and walked the floor nude.
Jan 8.  Was removed today by Dep. Sheriff Gillis on order of court (Chancellor) to appear before a jury to try her insanity.
Jan 9.  Att. Conrad notified Supt. today that the case was tried and patient found insane and not capable of caring for her property.  The attorneys on both sides consented that she be allowed to remain at large at least until such times as a guardian should be appointed.
May 1, 1895.  Discharged recovered.


History and clinical notes:
History: About three weeks ago was taken with pneumonia disease; passed crisis and symptoms of insanity were noticed 5 days ago.  Says people are after him and he don’t know who they are – is noisy.  Talk incoherent; sleeps poorly at night;

Dec 20, 1894.  Has been very sick since admission.
Dec 28.  Improving in strength also mentally.
Jan 1, 1895.  Dines at the table and is doing nicely.
Jan 8.  So much improved that he will be able to go home in a few days.
Jan 12, 1895.  Discharged recovered.


History and clinical notes:
History: Brought to hospital by Grandson, Rev. J. B. Turner who states that patient mind began to fail about 5 years ago and has gradually become more feeble in this respect.  Has to be watched constantly to keep her from wandering away.  About a month ago began to have a severe diarrhea which proves very intractable and difficult to control.  Has lost some flesh and strength.

Dec 23, 1894.  Was placed in front ward but was so untidy (paying no attention whatever to the calls of nature) that it was necessary to transfer her to rear ward.  Mind is very feeble, says this is her home, etc.
Jan 4, 1895.  Has been in infirmary for last few days.  When up and about her bowels are very loose and very restless in bed and has to be tied to keep clothes on.  Mind wanders a great deal and has but little memory of past events.
Jan 5.  Is not quite so well today; appears to be failing slowly.  Is more quiet in bed.
Jan 20.  Is stronger than she was.  Eats heartily.  Is still in bed.  Very restless and has to be confined in camisole to prevent her removing clothing, etc.
Feb 16.  Still in bed and about the same general condition.
Mar 1, 1895.  Died 8 p.m.


History and clinical notes:
History: Patient fell on his head and epileptic attacks commenced when 16 years of age and continued ever since.  Mind is gradually becoming more feeble; unable to work; never has been violent.

Jan 1, 1895.  Has fits, some times for three or four days.  Is very hard to control at times and is untidy.
Jan 8.  Was taken down the back of Ward D last night by his attendant and become violent and scratched him.
Jan 19.  The patient is very unclean, stubborn, and hard to manage.  
Jan 20.  No improvement.
Feb 9.  No improvement.
Feb 19.  No change.
Feb 28.  No change.
Mar 10.  Has three or four convulsions a day; very much demented and untidy.
Mar 30.  No improvement.
Apr 28.  No improvement.
Jun 15.  Has lost flesh.  Appetite poor, no improvement mentally.
Aug 3.  No improvement.
Aug 27.  No change.
Sep 29.  Health poor; lost flesh; appetite poor.
Oct 24.  No improvement.
Dec 9.  Convulsions frequently, very much demented and untidy.
Jan 6, 1896.  No change.
Apr 6.  No be any better mentally.  Physical health poor.
Oct 15.  Very much demented; has a number of convulsions during the month; is very untidy.
Nov 15.  Never improve.
Dec 15.  Health good.  No improvement.
Aug 1, 1897.  Health good.
Aug 13.  5:30 a.m. attendant Dillen went to room to let patient out and found that patient could not walk and physician was sent for and found compound tibia fractured at lower third.  Patient was put in infirmary and limb dressed.
Sep 11.  This morning plaster paris dressing over fracture was stained with bus and blood.  A piece of dressing over injury was removed.  A small spicule of the bone was found protruding, but not detached from shaft.  The wound was cleaned and dressed with applications of corros. sublimate.
Feb 26, 1899.  Has convulsions.  Mind very feeble; appetite good; health fair; is very untidy.
May 4.  Patient fell in his room and fractured the lower third of right tibia; was set and put in cot.
Aug 28.  Leg all right but still confined to bed.
Oct 8.  Still has convulsions.  Mind feeble.
July 4, 1903.  Has been confined to bed for months; a total dement.  Became worse this p.m.  Temp 103, R 50, P 150 and died in about 2 hours.
Jul 4.  Died.  Epileptic dementia.  Chronic myocarditis.

Final disposition:
Died, epileptic dementia and chronic myocarditis


History and clinical notes:
History: Officer who brings patient says he was arrested for vagrancy and struck the officer in the face.  Patient was admitted here by [illegible words] Bayard, by order of court for burning a haystack 5.24.90.  Certificate at that time stated that his disease was due to heredity.  Was discharged 11.10.90 as recovered.

Jan 1, 1895.  Very orderly.
Jan 8.  Works on the ward and is orderly.  
Jan 19.  Very orderly.  
Jan 26.  No change.
Feb 9.  No improvement.
Feb 19.  No change.
Feb 28.  Patient says that he is greatest fighter in the world.  Also that he had direct communication with God; that he knew and could do all things.  
Mar 10.  Says he is the greatest pugilist in the world and that he can whip any four men in the house.
Mar 30.  No improvement.
Apr 28.  Says that all the land in the world belongs to him and before anyone can use if for farming purposes they come to him.  
Jun 15.  No change.
Jul 7.  Says he is in direct communication with God and every thing that is done in this house he know all about it.
Aug 3.  No.
Aug 28.  No change.
Sep 29.  Patient says he talks direct with God and every night that he hears people talking about him.  
Oct. 24.  No change.
Dec 9.  Asked Dr. Hammond to go with him to the door of patient’s room; said the patient was cursing and abusing him.  On investigation, the patient in room was not saying a word.  
Jan 6, 1896.  Is orderly.  Works with upholster(y).
Jan 26.  Talks mostly on religion; was excited this a.m. and struck patient [name removed] on head.
Apr 6.  Chronic case; never improve.
Oct 15.  No improvement mentally; works on the farm.
Nov 25.  No change.
Oct 8 (no year).  Very feeble minded, works on the wards.
Aug 22, 1901.  Still somewhat religious.  Great fighter.  Believes he is abused by patients and attendants.  Small lemon-sized left lumbar hernia.  
Sep 9, 1903.  No change in condition.  Delusional and hallucinatory.  Losing flesh.
Jul 1, 1911.  Emaciated rapidly and confined to bed.
Jul 20, 1911.  Died.  General tuberculosis.

Note: 7/20/11 Autopsy at 5 p.m.


On certificate of:
Drs. L.A.H. Bishop and Thomas O. Clements

History and clinical notes:
History: Has been suffering from fistula in [ill.] for years.  A little over a year ago was operated on by specialists in Phil. And has been under their care for a number of months.  First symptoms of insanity was manifested about 1 year ago when his disposition began to change; became irritable and at times suffered a great deal from indigestion.  Marked symptoms of insanity noticed about 6 months ago.  About 1 week ago because much worse and violent.  Threatened to kill the doctor who attended to him and also a friend of his.  Has loss considerable sleep lately and anodynes has had but little effect.  For past six months has lost flesh and strength.  [Name removed] – a patient in this hospital – is a cousin of patient.

Jan 1, 1895.  Is orderly usually; at times is very restless and not inclined to do what is told.
Jan 4.  Tore his carpet from the floor yesterday and when remonstrated with struck his attendant.  Removed all his clothing today and was very cross and irritable.  Is constantly getting up schemes to make money.  His latest is to go to New York, buy a number of car loads of mules, fatten them on his farm and then sell them at an immense profit.  Says he can make $10,000 a yearly this means.  Has a hesitating voice and his gait is somewhat unsteady; characteristic symptoms of Dem. Par.  Appetite is not very good and at times refused to go to his meals.  Cries a great deal of the time, especially when you speak to him of his home or relatives.
Jan 9.  Was seen this a.m. by his attendant practicing self abuse.  This 8 p.m. very noisy; was given hypodermic and put in back hall.
Jan 10.  Was given his own room and very noisy from 2 a.m. until day then returned to back ward. 
Jan 11.  Struck his attendant in the face and tore his clothes.
Jan 13.  Masturbates frequently; very restless.
Jan 17.  Was given a hypodermic and put the mitts on him.
Jan 23.  No improvement.
Jan 25.  No changes.
Jan 31.  Masturbates any opportunity.
Feb 9.  No improvement mentally; has had a number of blisters on his feet.
Feb 16.  In restraints.
Feb 28.  No change.
Mar 10.  No improvement.
Apr 7.  Patient has so much improved that he has been on the front hall; allowed his furnished room.  Was down to the lake yesterday a fishing and walked around with his attendant.
Apr 8.  Had a long walk with his attendant this a.m.  
Apr 15.  Patient has had outdoor exercise since the above report; is quiet, orderly, and very much improved.
Apr 24.  Was visited by father and wife today, who desired to remove him; was informed by Supt. that it would be detrimental to remove patient, but they would not listen to reason and removed him against advice of Supt.
Aug 21, 1895.  Discharged improved.


History and clinical notes:
History: Has complained of severe headaches for 3 years and the first of last October was speechless for 24 hours.  No other muscles of the body affected; was conscious during this condition and the speech is still thick and pronunciation poor.  The weeks from the attacks symptoms of insanity were first noticed.  Has delusions of persecution; says people are going to take him away.  And when he left the hotel he imagined that the prop. Accused him of sealing, thinks he owes money when he don’t owe a cent.  He is depressed; downhearted and worries because he is out of employment.  Has asked for big pistol; said he wanted to protect himself.  Sleeps very poorly and recently has been very crobid (sic) to his wife because he imagines she is talking about him.

Jan 15, 1895.  Imagines that people are after him to kill him.
Jan 19.  No improvement.
Jan 25.  No change. 
Feb 1.  Mind very feeble.
Feb 7.  6 a.m. had a number of convulsions.  9 a.m. convulsions ceased by injection of chlorate per rectum.
Feb 9.  Some improved.
Feb 10.  Not so well.
Feb 12.  Died 10:40 p.m.

Notes: Dr. Holland treated patient for syphilis before his admission here.

Additional notes:
Note: Both “chlorate of potash” and “chloride of potassium” were used at the time as treatments for various ailments, including the latter specifically for seizures.  Http://www.amazon.com/Practitioner-Journal-Therapeutics-Public-Health/dp/1146107706/ref=sr_1_fkmr0_3?s=books&ie=UTF8&qid=1325464019&sr=1-3-fkmr0


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

History and clinical notes:
History: Patient has been an inmate of N.C. (New Castle County) Alms House since June 1894.  Suffering from secondary syphilis and about 2 months ago symptoms of insanity were first noticed; namely, that there is something coming out of the steam pipes that is eating him at night; says Mr. Ferris was the cause of this coming on him and that he has never done anything and it can’t be proven.  Says he will kill Mr. Ferris if he ever gets a gun.

Jan 25, 1895.  Says Mr. Butler is putting something on him that is eating him up.
Jan 31.  Wants to leave here, says we are all killing him.
Feb 9.  Says we are putting something in the bed to eat him up.
Feb 19.  No improvement.
Feb 28.  No change.
Mar 10.  Patient said the electricity was eating him up that he felt it in his breast.
Mar 20.  Patient was asked to retire by his attendant when he became noising, using profane language and hard to control; was muffed for three days and since that time has been no trouble.
Mar 30.  Still continues to believe that electricity from the lights is eating him on the breast.
Apr 28.  No improvement.
Jun 15.  Still believes that the electricity of the lights is burning him.
Jul 7.  No change.
Aug 3.  No change.
Aug 27.  No change.
Sep 29.  Says the engine is forcing cold air under him and he feels it all the time.
Oct 24.  Says there is nothing the matter with him and he wants to go home.
Dec 8.  Has various delusions and hallucinations although has not been hard to control.
Jan 6, 1896.  No improvement.
Jan 26.  Still complains of the engine forcing cold air on.
Feb 26.  No improvement mentally.  Phthisis very pronounced.
Mar 26.  Very much emaciated.
Apr 4, 1896.  Died 3 a.m.


History and clinical notes:
History: Patient had a severe fall on the ice hitting his head on Jan 2, 1895 and was unconscious for one half hour.  Patient has been apparently well until one week ago when he became restless.  Noisy, sleeps poorly at night, talks on every subject at random and wandered around the county.  

Jan 24, 1895.  Very noisy, destroyed his shirt and was muffed.
Jan 25.  Quieter.
Jan 26.  The same; quieter and restraint removed.
Jan 31.  More composed and on convalescent ward.
Feb 9.  Patient was reading a piece of new(s) paper and made the remark that he had to go home that the paper had told him to.
Feb 19.  Some improved.
Feb 26.  Improving.
Mar 10.  Some improved.
Mar 20.  Has liberty to go out walking when he feels like it.
Mar 30.  So much improved that he was allowed to go home this a.m. on parole.
May 1, 1895.  Discharged recovered.

Additional notes:
Admitted 4 more times, died at DSH in 1951.


History and clinical notes:
History: Five years ago had attacks of Grip and shortly after symptoms of melancholia appeared; wandered away from home; had to be constantly watched; was keep at home for two years when he was taken to Kirkbrides where he has remained until the present time.  His mind has gradually grown more feeble and at the present time has to be cared for as a child.  Lately he has torn his clothes at times.

Jan 31, 1895.  Has been seen masturbating a number of times since admission.
Feb 9.  No improvement mentally.
Feb 19.  No improvement.
Feb 28.  No change.
Mar 30.  Sits in one seat on the hall; does not speak to anyone.
Apr 28.  No improvement.
Jun 15.  Patient will not speak when spoken to, is quiet and will not assist on ward.
Jul 7.  No change.
Aug 3.  No change.
Aug 27.  No change.
Sep 29.  Sits on the wards; will not speak when spoken to nor assist in any work.
Oct 24.  Prefers to be by himself all the time.
Dec 9.  No change.
Jan 6, 1896.  No change.
Jan 26.  No improvement; has been seen a number of times masturbating.
Apr 6.  No improvement.
Oct 15.  Is very much demented; untidy; otherswise easily controlled.
Nov 12, 1898.  Removed by his father today in parole.
Nov 23.  Was returned today by his uncle.
Feb 26, 1899.  Will not speak to any one; has good appetite and looks well nourished.
Aug 28.  No change.  
Oct 8.  Masturbates when he can; has lost flesh; is very feeble minded and times untidy.
Sep 2, 1903.  Totally demented.  Sits all day without speaking.


History and clinical notes:
History: Patient was admitted here first 10.19.91 with melancholia and discharged recovered Oct 3, 1892.  

Jan 30, 1895.  Is very incoherent at all times.  Uses profane and vulgar language and noisy at nights.
Feb 15.  No improvement.  Still very violent and noisy day and night.  Physical health failing.
Mar 30.  Is not quite as well; has lost flesh and at times refuses to eat.  Still at times is noisy and troublesome.  Has to be restrained with camisole to prevent destructiveness.
Apr 28.  No improvement.
Jun 2.  No change for better.  Very destructive and untidy.  Talks irrational.
Jun 7.  Not quite as noisy and destructive as she formerly was; although [ill.] is still very incoherent and irrational.
Oct 16.  Very little change since last note.  Is much better physically.
Jan 23, 1896.  At times is quiet and orderly; while again is very restless and disturbed.  General health much better than formerly.
Mar 20.  No mental improvement manifest; talks irrationally.  General health good.
Jun 7.  Very little change; occasionally works in patient’s dining room.
Jul 12.  Still works some in ward.  No mental improvement apparent.
Aug 12, 1898.  No change in any respect.  
Mar 1899.  Patient never works off of the ward now; remains most of the time sitting in exactly the same position, doubled up in her chair, with head bent down; seems very much depressed.  Physical condition very good.
Jun 1899.  Very little change in patient’s condition; physical health remains very good but is unimproved mentally.  Usually is very quiet, but occasionally thinks that someone is abusing her and has to be restrained for a time.  Usually ask for the wristlets herself.  Patient sleeps well and has fair appetite.
Jan 1900.  Very little change in patient’s condition since last note, seldom moves from her seat except when made to do so and seldom speaks.  General health very good.
Aug 1, 1902.  Once in a while has a fight with another patient.  Occasionally goes to bed for a day saying she is sick.  Up and about as usual in a day or two.  Mentally unchanged.
Sep 2, 1903.  About the same.  Has violent fits of temper when cross.  Sits much in one position all day.
Feb 27, 1904.  Very peevish.  Teeth bad and occasionally ache.

Additional notes:
Died at DSH on 7/30/1924.  Buried at DSH, Grave #344.


History and clinical notes:
History:  Officer who brings patient to hospital knows nothing of his history.  Was brought from the Hall.  Certificate states that he is suffering from epilepsy.  

Feb 6, 1895.  Struck three patients and was confined in room on Ward C for 24 hours.
Feb 9.  Orderly.
Feb 19.  Is stubborn at times.
Feb 28.  Very orderly.
Mar 10.  Had a fit today.
Mar 30.  Has been sick in bed for two or three days.  
Apr 28.  No change mentally.
Jun 15.  Has epileptic attacks which are accompanied with maniacal excitement at times; sometimes very hard to control.
Jul 7.  Has been very orderly although convulsions are more frequent.
Aug 3.  No improvement.
Aug 27.  Work with the upholsterer.  No improvement.
Sep 29.  Had two convulsions today; is very obstinate and hard to control.
Oct 24.  Health poor, no change mentally.
Nov 21.  No change.  Patient stated that he shoved or pushed Mr. [redacted] down this 2 p.m.
Dec 3.
Dec 9.  Always complaining about trivial things; very hard to satisfy, convulsions frequent.
Dec 12.  So abusive had to be removed from dining room 5 p.m.
Jan 6, 1896.  Patient was transferred to Ward D a few days ago by Dr. Haucken and was allowed to return to Ward C.
Jan 4 (14?).  Promising to behave himself.
Jan 26.  Has been very orderly since last report.  Patients who room with him say he has convulsions at night.  
Apr 6.  No improvement.
Oct 15.  No change; physical health fairly good.
Nov 25.  Has convulsions occasionally.
Feb 26.  Mind very feeble; has fair health.
Aug 28.  Mind very feeble; health good.
Oct 8.  Has convulsions; mind feeble; appetite poor.
Aug 12, 1901.  Appetite and general physical condition fair.  Convulsions continue; is demented.  Is kept strapped to chair to prevent self-injury from falls.
Jan 14, 1903.  Died.


On certificate of:
Drs. Willard Springer and William Pierce

History and clinical notes:
History: Patient is a morocco finisher by trade and working at this business he had his hands burned with an acid which he imagines has got in his blood and poisoned him.

Feb 19, 1895.  Orderly.
Feb 28.  No change.  
Mar 10.  Says the acid that he used at his trade is in his blood and is gradually eating him up.
Mar 30.  Some improved.  Works on ward.
Apr 28.  Very much improved.  Works around the institution.
May 6.  Patient still has the same delusion but rarely expresses himself.
Jun 15.  Very much improved; is valuable assistance in the kitchen and also rubbing the floors.
Jul 7.  Same as above reported.
Aug 3.  Has his liberty.  Very good worker.
Aug 27.  Same as last reported.
Sep 29.  Works around the center, polishes the floors and is willing to assist in any kind of work.
Oct 24.  Is a very useful man.  Does not make any insane remarks and is well enough to be discharged.
Mar 10, 1896.  Was very abusive this a.m. and said we wanted to kill him; which lasted for a few days.  Was put on the hall.
Mar 20.  Some improved.
Apr 1.  Runs crying around the center.  
Aug 3, 1896.  Eloped.
Oct 4, 1896.  Discharged improved.


History and clinical notes:
History: Officer who brings patient knows nothing of his history.  Says that a number of people have poisoned him and that his wife in not true to him.

Feb 28, 1895.  No change.
Mar 10.  Patient says [name redacted] of Wilmington has poisoned him; that his wife is untrue to him and that he will get square with both of them.
Mar 30.  Mind somewhat feeble, although patient is very orderly.
Apr 28.  Still believes that he was poisoned.
May 6.  Memory very poor.  Scarcely remembers what occurs from one day to another.
Jun 15.  No improvement.
Jul 7.  Still believes that he was poisoned and when speaking about it gets very noisy and excited.  
Aug 3.  No change.
Aug 27.  No change.
Sep 29.  Works in the upholster shop but is influenced by his delusions.  Says that he was poisoned and compelled to receipt and number of bills that he did not receive any money for (sic).
Oct 24.  No change mentally.
Nov 21.  No improvement.
Dec 9.  Dementia more pronounced; sometimes is very much excited.
Jan 6, 1896.  Works with upholster; is very well physically, no improvement mentally.
Jan 26.  Mind more feeble; occasionally excited though easy controlled.
Apr 6.  Mind feeble; has delusions of persecution.
Oct 15.  Mind becoming more feeble.
Nov 25.  Health good, no change mentally.
Feb 26, 1899.  Mind some feeble; has delusions of persecution; is orderly and tidy; health good.
Aug 28.  Still has delusions of persecution; health good.
Oct 8.  No change since last report.
Jun 12, 1901.  Still maintains he was poisoned by samples of syrups and drinks shown him by [name redacted].  Was sick from this for several months.  Was also accused of stealing money which he had never seen but was obliged to sign a receipt for same.  Complains of being forced to go out to ball park and that attendants are rough; of too frequent stools; of sweating.  Talks clearly; memory faint(?).  Has not heard from wife or other relatives for years.
Aug 31, 1903.  No change mentally.  Good health.  Very lazy.  Always wants to go out and make his “own living.”  Says he is able to work.  
Jul 29, 1906.  [Patient] was found dead at 5 a.m. today, in sitting posture beside his bed.  Was examined at 5:10 a.m. by Dr. Davis and afterward removed to mortuary.  Autopsy held at 11 a.m. by Coroners Physician, Dr. Bastian.  Died of aortic insufficiency.


History and clinical notes:
History: Has been feebleminded since birth; very cross and hard to control; is revengeful; has threatened to burn people’s houses and has made threats of all kinds.  A few days ago he became excited and tore his clothes up.   Gets up during the night and goes out in his night clothes and looks at the moon and laughs.  

Mar 3, 1895.  Was taken to third floor to infirmary.  
Mar 10.  Is out of bed.
Mar 30.  Works in male dining; mind feeble; talks very little.  
Apr 28.  No improvement.
Jun 15.  Mind very feeble; sits on the benches in a sleep condition during the day.
Jul 7.  Is very stupid; masturbates often.
Aug 3.  No change.
Aug 27.  No improvement.
Sep 29.   No change.  Is very stupid; does not speak unless spoken to.  
Oct 24.  Very demented.  Will not work on wards.
Nov 21.  No change.
Dec 9.  No improvement, works with upholster pulling and pushing hair.
Jan 6.  Is sick in bed.  Is very harmless and orderly.
Jan 26.  Has very poor health; very thin.  Is confined to his bed, was seen yesterday masturbating.
Apr 6.  No change mentally, health poor.
Oct 4, 1896.  Discharged improved.


History and clinical notes:
History: Patient had typhoid fever 19 years ago and symptoms of insanity were noticed shortly after she recovered from the disease.  She would misplace things about the house, turn pictures toward wall, she would not have any thing to do with her nearest and dearest friend and at nights she would imagine that all kind of wild animals were chasing her.  Slept poorly at night; very irritable and would scould considerable at times.  The patient at the present time has no mind whatever; has always been kept at her home, never destructable nor untidy.

Mar 30.  No improvement since she came here; will not work; sits on the ward and when spoken to say she’s tired.  Very childish in her actions.  Physical health improved somewhat.
Apr 28.  Condition unchanged.
Jun 2.  No change.
Jul 7.  No change.
Aug 10.  No change for better.
Oct 16.  No change for better.
Jan 23, 1896.  No change worthy of note.
Mar 20.  No change.
Jun 7.  No change.
Jul 12.  No change.
Aug 12, 1898.  No change.
Apr, 1899.  Condition about the same; works about the ward a little occasionally, but sits the greater part of the time doing nothing.  Is very childish and at times very irritable; complains all the time of feeling tired, though she appears to be in good physical health.
Jun 15.  Bad mental and physical condition; unchanged.
Jan 15, 1900.  Very little change in mental or physical condition and is usually quiet but at time is quite irritable; usually resists in rubbing the floor.  Appetite good and sleeps well.
Aug 2, 1902.  Mentally and physically stationary.
Aug 31, 1903.  Good health.  Quite demented.
Feb 27, 1904.  Condition good, talks irrationally, very quiet.


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

History and clinical notes:
History: Menopause began 7th of September, 1894 and three months after this symptoms of insanity began with religious excitement; excited, noisy, restless, wanted to leave home.  Said the devil was after her; sleeps poorly at night; cries; appetite good.  Patient has gradually been getting worse.

Mar 30.  Very little change since she came here.  Moans and rubs her hands together as if in pain.  Very melancholy and depressed.  At times will assist in light work about the hall.  
Apr 27.  Patient’s condition unchanged.
Jun 2.  No change, assists in dining room.
Jul 7.  No change of any importance.
Aug 14.  Has steadily improved since she began working in dining room.  Is more cheerful and contented.
Sep 17.  Was visited by husband today who removed her on parole.
Jan 3, 1896.  Discharged recovered.


History and clinical notes:
History: Few years ago had a hit on the head and since that time has suffered with cephalalgia.  2 years had sunstroke.  Is supposed to a masturbator and a few days ago he became restless, dissatisfied.  Patient was some depressed but did not notice any symptoms of insanity.

Mar 20.  Has liberty to go all around the grounds.
Mar 25.  Went home this a.m.
Aug 21, 1895.  Discharged recovered.

Additional notes:
Died 6/21/1953, buried in Chester Rural Cemetery, Pennsylvania.


History and clinical notes:
History: Officer from Poor House states that patient was brought to the Poor House a couple of days ago.  Nothing is known in regard to history.  His brother died insane at Kent County Alms House about 10 years ago.

Mar 30.  Is very orderly.
Apr 28.  Has been working around the building and on farm for the past month.
May 14.  Works out around the lake.
Jun 15.  Is very eccentric and bashful at times, otherwise no trouble; works around the lake.  
Jul 7.  Has been very abusive for the past two weeks and has had a number of fight with other patients.  Collects all the old nails, pieces of iron, and etc. that he can find.
Aug 3.  No improvement.
Aug 27.  No change.
Sep 29.  Is very eccentric; fights other patients often.
Oct 24.  Believes that anyone who happens to touch him is against him and invariably curses and abuses them and often fights.
Nov 21.  No change.
Nov 30.  Had a fight this a.m. with another patient by the name of [name redacted] and was used up dislocated right thumb and face scratched.
Dec 5.  Patient struck [name redacted] in the breast this morning.
Dec 9.  Dr. Hammond saw patient strike patient; mark on back of neck this a.m.; he has to be confined to room; is very abusive.
Jan 2, 1896.  Patient is so abusive that he has to be confined.  He struck Dr. Hammand in the neck Jan 4.
Jan 26.  Is so abusive and hits so many patients and employees that he has to be confined and meals taken to him.  
Apr 6.  Still confined in room to keep him from fighting other patients.  Says he is going to have [name redacted] arrested.
Apr 16.  5 p.m. Attendant King went in his room for plate.  [Patient] threw a vessel at him and cursed him and was so violent that he had to be restrained.
Oct 15.  Has been and is now in restraint since last report.
Nov 25.  Same as above reported.
May 14, 1897.  Patient has been restrained at very times being very hard to control, irritable and etc.  Was taken sick with vomiting pain in right side two or three days ago and died this a.m.  Post mortem revealed chronic peritonitis with perforation of bowels.

Final disposition:
Died, chronic peritonitis with perforation of bowel


Insane Relatives:
paternal uncle, father, paternal grandfather

On certificate of:
Drs. Charles B. Constable and E.F. Moreland

History and clinical notes:
History: First attack occurred about 25 years ago.  This attack was characterized by excitement.  Was taken to Kirkbrides, where he remained 6 months and was discharged recovered.  Had another attack in 1878 was again very much excited, was again taken to Kirkbrides, was there 3 months and again discharged recovered.  In 1881 another attack occurred and he was taken to Catonsville where he remained 3 months and returned home recovered from this attack.  About 3 weeks ago the present attack first manifested itself; was very melancholy.  Has lately lost flesh.  Is very nervous.  Sleeps well, appetite fair.  Talks rational.  Appreciates his condition and is perfectly willing to be under treatment, in fact has requested to be placed in a [ill.].  

Mar 18.  Very much improved.
Mar 20.  Has liberty to go where he likes.
Mar 28.  Went in Wilmington and spent the day with his sister.
Mar 30.  Went home this a.m. on parole.
Apr 15.  Patient returned very much depressed; sits around, does not speak unless spoken to and then in a very low voice says he will never be well any more.
Apr 28.  Very much improved; wants to walk around the grounds, is more cheerful.
May 6.  Still improving.
May 14.  Has not been so well for the past few days; is depressed, melancholy, physical health poor.
Jun 1.  Very much improved, has liberty to go around the grounds.
Jun 15.  Still improving.
Jun 22.  Was allowed to go home today on parole.
Aug 21, 1895.  Discharged recovered.


History and clinical notes:
History: Patient has been very nervous for past two years and insanity is said to have first manifested itself about 10 days ago although he has acted strange for past 18 months.  It is supposed [ill.] caused by want of employment.  Moved here from Chicago last Jan a year and has had no steady employment since that time.  He has worried a great deal over this.  For past 10 days has been extremely nervous, more so than usual.  Has slept but little.  Has been drinking more or less lately.  Delusions of grandeur has shown themselves lately.  [Ill.] is very unsteady and his talk is indicative of Dementia Paralytica.  Physical health has not been impaired.

Mar 17, 1895.  Asked a number of patients to steal a knife from the table for him.  5 p.m.  broke out the transom over door of back hall with a chainr and was restrained.  9 p.m. restraint removed.
Mar 18.  Quieter and more composed.  3 p.m. says he has been left 750.00 dollars by a girl who he used to keep company with and that he is going to build a large hotel in Wilmington, Delaware; also one in Chester.
Mar 19.  Says he is going to have the largest circus on earth and the best music that can be found.
Mar 22.  Delusions of grandeur still pronounced.
Mar 25.  Talks on various subjects.  Says he has a patent ink that he is going to sell to the Penna. RR Co.
Mar 30.  Has made several unsuccessful attempts to get out.
Apr 28.  Has all kinds of notions to make money.
May 6.  Says he has a fine cottage at Atlantic City and invited all of us to spend the summer with him.
May 14.  Says he has bought large paper mills and will make plenty of money now.
May 30.  Patient was in the back ward with his slippers in his pocket; was asked why he did not wear them.  Reply was that if he wore them, they would cause his people trouble.
Jun 15.  Hallucinations of hearing and seeing very pronounced.
Jul 7.  Says he has diamonds by the thousands, owns a considerable property at Atlantic City.
Aug 3.  No change.
Aug 27.  No change.
Oct 24.  Still believes that he is very wealthy; says he has a number of very large diamonds in his satchel which are worth millions.  No symptoms of paralysis noticeable.  He is quiet and orderly now and does not make any attempts to escape.  Patient who rooms with him says he abuses himself 2 or 3 times a night.
Nov 21.  No change.
Dec 9.  Says he has plenty of money, plenty of diamonds, and believes that his brothers are dead; has been waiting a number of days for someone he says to come after him.  If very untidy.  Refuses to eat at times; says poison is in his food.
Jan 6, 1896.  Has had a very bad month but is very much better now.  Still believes he is very wealthy.  He is orderly and at times very untidy.
Jan 26.  No change.
Apr 6.  Very obstinate; picks his face so much that it is necessary to keep mitts on him.
Nov 25.  Mind very feeble; very untidy.
Dec 25.  Very feeble, confined to bed.
Dec 29.  Died 1 a.m.


History and clinical notes:
History:   Brought to Kent County Almshouse by [name redacted] the middle of last November.  Was violent, noisy, and destructive for 3-4 weeks.  She quieted down, would not speak to anyone, was demented, and remained in this condition until a few days ago when she became very noisy again.

Mar 30, 1895.  Very restless and talkative; tongue running constantly.  Says she wants to get married again.  Very untidy about her personal appearance.  
Apr 28.  Patient much more quiet and orderly.  Is on front ward.  
Jun 2.  Still very quiet and orderly.  
Jul 7.  Lately has been in bed most of the time.  Is quite demented and does not seem to understand what is said to her.
Aug 13.  Very talkative lately.  Greets everyone with “good morning” and is very garrulous; conversing on all topics.  Formerly would not speak to anyone and would hardly answer when spoken to.  
Oct 16.  Case has severe features of circular insanity for a month or two is very much depressed while again is very violent and difficult to control.
Nov 10.  No change.
Jan 23, 1896.  Patient is suffering from folie circulaire (bipolar disorder); for a week or two is demented and then becomes maniacal for about same length of time.
Mar 20.  No change.
June 7.  No change.
Jul 12.  No change.  
Aug 12, 1898.  No change in any respect.
Mar, 1899.  Patient is very quiet and sits quietly all day; seldom speaking except when directly expressed and then usually replying in very few words.  Physical health seems very good; patient orderly.
April, 1899.  Patient is more depressed; says she does not feel well and occasionally sleeps in bed for a day or two at a time, seldom speaks.
May, 1899.  Patient has been very noisy, talking constantly, using vile language most of the time; has to be kept in restraints much of the times and requires hypnotics at night to give her sleep.
Jun 15.  Patient is somewhat quieter, although still becomes noisy and troublesome at times, requiring restraint.  Physical health good; patient usually sleeps well at night.
Jan 15, 1900.  Patient alternates between periods of excitement and depression, although lately the depressed periods seem to be shorter than formerly.  At present time is becoming quiet and orderly after a period of excitement; general health very good.  
Aug 7, 1902.  Mentally and physically stationary.  During the past year has had several carbuncles; has had great deal of incontinence of urine at times; at others cleanly in personal habits.  Steals and secretes anything she can get her hands on.
Aug 29, 1903.  No change in condition, occasionally very violent.  Good health.
Feb 27, 1904.  Very quiet for a long time; physical condition good.  Conversation very childish.  Had letter from a niece recently.  Has written several letters herself.  Very intelligent and well written.
Dec, 1906.  Fracture of hip; on water bed.
Jun, 1907.  Growing very feeble and is much emaciated.  Has very effusive discharges from bowels and vomits frequently.
Jul 2, 1907.  Died at 7:30 p.m.  Cerebral embolism.


History and clinical notes:
History:  When patient was about 25 years of age was sunstruck; was sick for a long time after.  About 1872 was thrown from his carriage and fell on his head; was unconscious for nearly a week.  Eventually rallied and did not suffer after this.  Last Wednesday while in bed had apparently an epileptic seizure – confined to upper part of body – lower limbs were not affected.  After convulsions ceases, paralysis was generally over the whole body, but more particularly marked in right side.  Paralysis disappeared by night except five fingers of right hand.  Had several convulsions – all about the same type as above.  The last one occurred late Wednesday night, has not had a recurrence since.  Has suffered from aphasia since the convulsions.  Does not call things by their right names.  Slept well up to last night when he was very restless.  Appetite good; eats very heartily.  Mind wanders a great deal.  Cannot read nor recognize printed matter [ill.] characterized.  Has drank steadily for years, although never became intoxicated.

Mar 25, 1895.  Aphasia the most prominent symptoms.
Mar 27.  Improving.
Mar 30.  Went home this p.m.
May 1, 1895.  Discharged recovered.
Jun 8.  Was admitted without the formality required for a person to become a patient of this institution.  Amnesia pronounced; slight agraphia; complaining also of dull headaches and numb feelings lasting for a few minutes of the right arm and leg.
Jun 13, 1895.  Was removed by his son-in-law [name redacted] of Jenkintown, PA.

Final disposition:
Discharged recovered; returned 6/8/1895 without paperwork, removed by son-in-law on 6/13/1895


History and clinical notes:
History: One year ago, symptoms of insanity were first notice; roamed around from place to place and would not come home unless brought by someone.  Says he has lots of property, when he hasn’t any thing.  Demands new clothes, watches, and etc.; is very much demented; very untidy; restless at night sometimes noisy.  Patient has been at Minquadale home for the past five months and is gradually getting worse.

Apr 28, 1895.  Is very orderly; mind feeble.
May 6.  No improvement.
Jun 15.  Mind very feeble; has been in bed for the last ten days from general debility.
Jul 7.  Is very much demented, quiet and orderly; has had diarrhea for the past two weeks; is in bed and most every day has alvine (?) discharges in bed.
Aug 3.  Bowels better; no improvement mentally.
Aug 27.  Patient still confined to his bed.  Appetite poor.  Diarrhea, lost flesh, and etc.
Sep 2.  No improvement.
Sep 12.  Died from asthenia at 5:30 a.m.


History and clinical notes:
History: Patient was very violent and noisy when brought to Hospital.  Son stated that first symptoms occurred last Sunday and she has been very violent since.

Apr 7, 1895.  Has been very violent and turbulent since she came here.  Throws herself about on the floor and will not keep still; as a result of this restlessness, is bruised in different parts of body.  Will not eat and has been fed with nasal tube twice daily since admission.  As bowels have not moved, 1.5 oz of Castor Oil was administered [ill.] with tube, which operated copiously.
Apr 8.  Right knee is very much swollen and painful.  Applications of dead water and laudanum applied.  Still very violent.
Apr 10.  Violence has not subsided until this a.m. when she is very much exhausted; has lost flesh and strength.  Was so weak this a.m. that she was taken to infirmary and friends notified.
Apr 13.  Very much weaker; is slowly failing.  Husband was with her this p.m.
Apr 13, 1895.  Died [ill.] from Acute Mania, 11:55 p.m.


History and clinical notes:
History: Patient is restless; talks incoherent somewhat; insomnia; headache and etc.  Was in this institution when it was in charge of the county in 1889 suffering from melancholia.

Apr 28, 1895.  Is very much improved; quiet; composed and wants to go home.
May 4.  Says that people are putting something on his head that is poisoning him.
May 14.  No improvement.
Jun 15.  No improvement.  Says there is something that is eating his penis and testicles and from these organs he experiences a hot sensation all through his body.  Upon examination the parts appear healthy.
Jul 7.  No improvement; works in male dining room.
Aug 3.  No change.
Aug 27.  Says that there is something that tells him to do thing which he can’t hardly keep from doing sometimes; that he can feel lumps all over him and etc.
Sep 29.  No change.
Oct 24.  Very orderly, says that his penis is transferred to someone else every night and some nights he is annoyed very much by people talking about him.
Nov 21.  No change.
Dec 9.  Says people are talking about him all the time and  that he is annoyed so much that he can’t sleep at night.
Dec 12.  Very much depressed.
Dec 13.  Is on third floor taking medicine.
Jan 6, 1896.  Is full of delusions.
Mar.  Very little improved.
Jun.  No change.
Aug.  No change.
Oct 15.  No improvement.
Nov 25.  No change.
Feb 26, 1899.  Health good; mind gradually getting feeble.
Aug 28.  No change mentally; health good.
Oct 8.  Still has some delusions and is [ill.] demented; health good.
Aug 12, 1901.  Has been quiet and tidy for some months.
Aug 16.  6 p.m.  Complains of headache.  Given Mag Sulph and counted same (?).
Aug 17.  Felt better this a.m.  7 p.m.  Complains of severe head ache.  T.P.R. 103-104-26.  
Aug 18.  Headache continues.
Aug 19.  [Entire entry illegible]
Aug 20.  [Ill.] Tonight abdomen is more [ill.] some rigidity of wall of abdomen.  Constipation and T.P.R. in chest.
Aug 21.  10 a.m.  [Ill.] abdomen rigidity and tenderness general [ill.] some jaundice.  6 p.m.  Pain in [ill.] abdomen slightly distended; no notation of pain or tenderness; constipation continues; [Ill.] g ¼ repeatedly [ill.] pulse weak.  Dr. Robin reports Widal reaction negative.
Aug 22.  9 a.m. Abdominal distension more marked; vomited bile stained milk soon after taking; temp normal at 9 a.m., very weak mentally.
Aug 23.  Vomited bile-stained fluid this p.m.  Belly still distended and tender; to and fro friction (?) mR 6th space on nipple line.  One large stool this p.m.  6:10 p.m. on parole with [name redacted].  Very weak.
Aug 25, 1901.  Died at home.

Final disposition:
Died at home; paroled to father 8/23/1901.


History and clinical notes:
History: Patient has been scrofulous since birth never had any mind.  Has been in Elwyn for past 15 years; no benefit.  Patient has no intelligence.  

Jun 2, 1895.  No change.
Jul 7.  No change.
Aug 4.  No change.
Oct 16.  No change.
Nov 5.  No change.
Jan 23, 1896.  No change.
Mar 20.  No change.
Jun 7.  No change.
Jul 12.  No change.
Aug 12, 1898.  No improvement.
Mar, 1899.  No improvement in patient’s condition; is very untidy and saliva almost constantly dribbles from her mouth; at times is irritable and cries on the slightest provocation.
Jun.  Condition remains the same; very untidy; good physical health.
Jan 15, 1900.  Patient remains about the same; no improvements in her mental condition; physical health very good.
Aug 2, 1902.  Mentally and physically unchanged.
Feb 27, 1904.  Very irritable and noisy.  Physical health good.  Untidy in habits and appearance.
Jan, 1910.  No improvement.
Nov 29, 1918.  Patient has not changed for the past few days.  Very noisy and troublesome; was transferred from TB Building to Cottage today.
Nov 30.  No improvement; very noisy and troublesome.  Lungs are in bad shape; rales are pronounced.
Dec 3.  Patient very low this morning.
Dec 4.  Has been unconscious all day and died at 7:30 this evening.
Dec 4, 1918.  Died Phthisis Pulmonalis.


History and clinical notes:
History: Lost confidence in himself at work; is depressed; mind feeble.  Physical health poor; very orderly.

Apr 28, 1895.  Works in male dining room; says he feels better.
May 4.  Has seminal emissions and is melancholy at times; lasting a few hours to two or 3 days.
May 14.  Says he feels some better.
Jun 15.  Very much improved and is a very good helper to engineer.
Jul 7.  Very much improved; is lively; works and is very orderly.
Aug 3.  Working in the fire room.  
Aug 22.  Stopped working in fire room and was let go home on parole.
Oct 16, 1895.  Discharged recovered.


History and clinical notes:
History: Patient has been melancholy at times for a number of years lasting 2 or 3 days and four week ago he became depressed; appetite poor; sleeps very poorly at night; talks in a low tone.  Says that something has told him a number of times to kill his family and his self also, and he has had all he could do to control himself.

May 6, 1895.  Very much improved, has liberty to take walks away from the institution.
May 13.  Has gone to Philadelphia, PA.
Aug 21, 1895.  Discharged recovered.


History and clinical notes:
History: Symptoms of insanity were noticed a year ago.  Was melancholy, dull, loss of ambition; stupid and etc. and has been in this condition until 2 weeks ago, when he became noisy, restless, insomnia, always on the go.  Talks on various subjects; says he has lots of money and he is going to employ.  Says he is going to live until he is 95 years old, but he has picked out a number who are going to die in a few days.

Mar 20.  Has been noisy, talks incoherent since admission.
Mar 21.  12 m. (noon?).  Had a number of convulsions lasting until 2:30 p.m.
Mar 22.  In bed, convulsions have not returned and seems more rational this a.m. than any time since admission.
Mar 25.  Still in bed.
Mar 30.  No improvement.
Apr 7.  No improvement mentally; very much improved physically.
Apr 28.  Patient has gradually become worse; mind very feeble; hemiplegia of left side very pronounced; bad sore on sacrum.  Eye bruised.  Has lost flesh; is very untidy.
May 6.  Gradually growing more feeble every day; has terrible bed sores, very untidy.
May 8, 1895.  Died 12:30 p.m.


History and clinical notes:
History: Patient has been more or less weak minded for a number of years.  Patient is a sister of Mrs. [name redacted] who formerly had charge of insane patients of New Castle Co. Almshouse and assisted in caring for these patients to the best of her ability.

Jun 2, 1895.  No change.
Aug 4.  No improvement.
Oct 16.  No change.
Nov 10.  No change.
Jan 23, 1896.  Very fault finding; constantly demanding medicine for one ill or another.
Mar 20.  For past two weeks has suffered from a severe carbuncle on back of neck.
Jun 7.  No change.
Jul 12.  No change.
Aug 1.  Has failed very rapidly during past week.  Has had several slight attacks of hemiplegia.
Aug 28.  Has steadily failed; had a large bed sore over sacral protuberance.  Pulse very feeble.  Is slightly delirious at times.
Sep 6.  Has steadily failed since last note and died at 12:30 a.m.  Cerebral Apoplexy.


History and clinical notes:
History: Was committed to New Castle Jail two weeks ago for assault and battery and symptoms of insanity developed a few days ago.  Was some noisy, talked about going a driving all the time; asked frequently where his horses were and etc.  

May 2, 1895.  Patient is quiet; complains of pains in his head.
May 6.  Rubs the floor and works on the wards.
May 14.  Works in dining room.
May 19, 1895.  Discharged recovered.

Additional notes:
Died at Farnhurst, buried in Spiral Cemetery, #220


History and clinical notes:
History: Patient has been drinking for the last week and is very nervous, restless, although talks rational.  Has taken Keeley treatment without any effect.  Drinks at various times lasting from 2 days to two weeks and during these times he ponds (pawns) his clothes for a small sum of money to buy whiskey.

May 14, 1895.  Getting along.
May 31, 1895.  Discharged recovered.


History and clinical notes:
History: Son states that patient has always been very eccentric and non-communicative.  Never made a confidant of his wife nor any of his family.  Last fall lost all of his property and since then has been very cross and irritable and inclined to keep by himself.  Has frequently intimated that he was afraid that he might eventually become insane.  Never had any serious illness and has always been very temperate.  Since last fall has frequently complained of intense pain in his head; so severe at times as to incapacitate him from business.  During the past two or three weeks has suffered a great deal from neuralgia and insomnia and his appetite has been very poor.

May 15, 1895.  10 p.m. was seized with convulsions and was not discovered until 12 m.n. [midnight] when Dr. Hammond was called.  Patient was unconscious, convulsions clonic at times tonic in character which lasted until 1:20 a.m. when he died.  Chloral being used per rectum without relieving the fits.


History and clinical notes:
History: In December 1894 symptoms of insanity were notice.  After being discharged from this institution 1.31.1895 as recovered.  Says people are jealous of him and won’t give him any employment.  Says he would be better off dead than living; was uptown the other day and bought 37 lbs of beef which was considerable more than the family could use.  His wife says he does not know the value of money, is very nervous and often makes mistakes in making change in the store.  Don’t have scarcely anything to do with his children; prefers to be by himself.  He interferes in buying and selling goods which is very annoying and has caused his wife to lose considerable custom.  Drinks very hard at times; sleeps poorly, appetite bad.

June 15, 1895.  Very orderly, improved, has liberty of the grounds.
Jul 7.  So much improved that he was employed by the Supt. July 4 as upholsterer.
Mar 17, 1896.  Discharged.


History and clinical notes:
History: Was removed from this institution July 9, 1894 as recovered.  Husband states that about 7 months ago patient suffered from a severe abscess of back and it has been a running sore since that time.  First symptoms of insanity were noticed shortly after the abscess began; [she] began to be very much depressed and melancholy; constantly complained of pain all over her body.  Neglected her household work and for a couple of months has been much worse.  Patient states that she has not slept well and that she has taken a great deal of morphia to make her sleep.  Appetite very poor, has lost flesh and strength.

Jun 2, 1895.  Is very fault-finding, complains constantly of pain in all parts of her body; says she is going to die.  Is very hysterical.
Jul 7.  No change.  Still complains constantly of pains in all parts of her body.
Jul 20.  No improvement.  Was visited by her husband today who desires to remove her.  Was allowed to go on parole.
Aug 21, 1895.  Discharged unimproved.


History and clinical notes:
History: Patient was discharged from this hospital 1.31.95 recovered.  Two weeks ago symptoms of insanity returned; namely, restless, noisy, and irritable; talks incoherent, insomnia, and etc.  

Jun 15, 1895.  Has been very orderly since admission and is very anxious to go home.
Jul 7.  Has not shown any symptoms of insanity since the first week after admission.
Jul 10.  Left on parole.
Jul 16.  Was returned this a.m. noisy, restless, inclined to by violent.  Drove his family from the house, rested poorly at night, appetite poor, very nervous, and etc.  
Aug 27.  Very much improved, quiet, orderly, sleeps well, appetite good.
Sep 29.  Is very orderly, quiet, composed, and is a good patient.
Oct 8.  Was allowed to go on parole this day; left by himself.
Jan 4, 1896.  Discharged recovered.


History and clinical notes:
History: Symptoms of insanity were first notice August 1894; viz., she imagined that people were going to kill her; would not go to the table to eat if men were present; always been quiet.  Since the attack says people were stealing her clothes; rests poorly.

May 25, 1895.  Attempted to jump out third story window about 7 p.m.  Sits around one place and will not say anything.
Jul 7.  Patient is very reticent.  Has been on front ward since admission.  Does light work, sweeping, making beds, etc.  Does not like to speak to anyone and eludes Supt. When he comes on ward and when spoken to will seldom answer.
Aug 12.  No special change worthy of note.  
Oct 16.  Somewhat melancholy.  Seldom speaks to anyone.  Assists in attending the sick in infirmary.
Nov 10.  No change.
Dec 8.  No change for better.
Jan 23, 1896.  Very quiet, seldom speaks to anyone.  Still works in infirmary.
Mar 20.  No change.
Jun 7.  No change.
Jul 12.  Is much more cross and irritable than formerly; is now on back ward.
Aug 12, 1898.  Very little change.  Keeps by herself and seldom speaks to anyone.  General health about the same.
Nov 22.  Has been slowly failing for past few weeks; coughs a great deal; has a poor appetite.  Refuses to take medicines.  Is much weaker.  Her friends were written today.
Jan 28, 1899.  Has been in bed since last note.  Sputum has been examined and large quantities of bacilli tuberculosis present.  Body is very feeble; cannot last long.  Friends were telegraphed.  Died at 8:30 p.m. of Phthisis Pulmonalis.


History and clinical notes:
History: About 12 years ago patient had sunstroke and 4 years after this time he became very noisy, talked incoherent, insomnia, and etc.  Three years ago patient had another attack which lasted about three days – noisy, restless, talked incoherent and etc.  Symptoms of this attack began a week ago.  Sunday night patient tore his clothes run down the streets of Seaford without any clothes on.  Threw his watch through a church window.  Was very noisy and etc.  Says the lord told him to do these things.

Jun 10, 1895.  Much more composed, restraints removed.
Jun 15.  Quiet, orderly on the hall and is very much improved.
Jul 2.  Went home on parole.
Aug 21, 1895.  Discharged recovered.


History and clinical notes:
History: Patient about six months ago found a man in bed with his wife, was arrested for whipping the man.  Taken before Judge Bull who told him if he ever came up before him again he would send him to Farnhurst (history from police).

May 29, 1895.  Patient says he never saw anything wrong with his wife, but there is a man who goes by his house and acts strange according to his opinion.  And he believes him to be after his wife and says that it doesn’t make any difference in what part of the city he is in, he hears people a laughing at him about it which is very annoying.
Jun 8.  Still believes people will laugh at him when he goes home about his wife.
Jun 15.  Some improved.  
Jun 24.  Went home on parole.
Aug 21, 1895.  Discharged improved.


History and clinical notes:
History: Two years ago patient broke his lower third of left femur which incapacitated him from his occupation and since that time he has been despondent and fretful.  And last Tuesday he attempted suicide with a razor, and Thursday with a pen knife.  He is very much depressed, cries, insomnia.  Says he has no friends, has ruined everybody, cheated people, has nothing to eat, can’t support his family; where will he go?  Say he is going to do away with himself which is the only way to clear himself of this trouble.

May 31, 1895.  Patient’s wife says he was insane two years prior to fracture of limb.
Jun 8.  Is very much depressed, in bed, appetite poor.
Jun 15.  Has been dressed and on the hall for the past two or three days; is much brighter and cheerful and looks very well.
Jul 7.  Is cheerful; goes out in the yard, is very orderly.
Aug 3.  Very much improved.
Aug 12.  Has steadily improved.  Is more cheerful.
Aug 25.  No so well, has cried for a number of hours today saying that he wanted to kill his self; that he was no good to live.
Aug 31.  Was visited by wife today who desired to remove him.  Did so against the advice of the Supt.

Additional notes:
There is a person of this name listed in the Delaware Death Records as having died 10/4/1895.  [No date on newspaper article].  Attached newspaper clipping:  
Suicide by Hanging
[Name redacted] Kills Himself at His
Home on Sixth Avenue

The Lifeless Body of the Unfortunate Man 
Found Hanging by a Clothes Line to One
of the Bed Chamber Doors – Thought to
Have Been Temporarily Insane

[Name redacted], aged 55 years, committed suicide by hanging himself this morning at his home [address redacted].  At 11.15 o’clock he was seen alive in bed and before 11:30 his lifeless body was found hanging by a rope to one of the room doors.  He had left his room, which is the front one on the second story, and went to the middle room, where he procured a rope which had done service as a clothes line, and making a noose put it around his neck, and with the rope thrown over the door, the other end being fast to the knob, he moved his feet and allowed the weight of the body to suspend from the rope.
     Shortly before 11.30 o’clock Mr. S______, a brother-in-law of the deceased, went to the house and inquired for [name redacted].  He was told that he was not feeling well and was in bed.  Mr. S______ went upstairs to see his brother-in-law and was horrified to see the body hanging by the rope from the door.  The alarm was given, and a hasty examination showed that life was extinct.  The corpse was cut down and Deputy Coroner Chandler was notified.  An investigation will be made by the coroner this afternoon.
     The only reason that can be assigned for the rash act is melancholia, which was probably due to [his] illness.  Six years ago he broke one of his legs, and, although it apparently got well, the injured member has been troublesome at times ever since.  Recently [he] has been complaining at times, and not feeling very well this morning he remained in bed.  Less than 15 minutes before the lifeless body was found the unfortunate man was in conversation with members of the family.
     As a rule [he] was bright, and even last night he was at the home of his son [address redacted], and apparently was in the best of spirits.  He was laughing and joking with the rest of the family.  The deceased has not said anything to his family that would give the impression that he contemplated suicide, and for that reason, it is thought that he was temporarily insane when he took his life.  His injured leg has caused him a great deal of inconvenience and he has had to lose time on account of it.  He has not worked since last May.
     Living in the home with [the deceased] were his wife and two young children, a boy and a girl.  There are five other children, two of whom are absent from the city.  Deceased was a member of Hope Lodge, I.O.O.F., and also of Asbury M.E. Church.  The arrangements for the funeral have not been made.


History and clinical notes:
History: Three months ago patient was taken to the Delaware Hospital severely burned and two months ago symptoms of insanity were first noticed.  Mind feeble; forgetful; talks incoherent, and etc.; disposed [to] wander around.

Jul 7, 1895.  Patient is very feeble minded.  Has been up and about the ward since admission.  Last night had a attack of syncope; pulse was very feeble.  This morning is up and about again.  Physical health poor; is taking [ill.] etc.
Aug 4.  Is quite feeble physically.  Is demented.
Oct 26.  No improvement.  Is up and about each day, but is feeble.
Nov 10.  No change.  Is quite feeble and frequently falls on floor and face is bruised occasionally.
Dec 8.  No change for the better.
Jan 23, 1896.  No change worthy of note.
Mar 20.  No change for the better.  
Jun 7.  No change.
Jul 12.  No change.
Feb 1, 1897.  Very little change since past note; up and about the ward each day.  Very garrulous and fault-finding.  Today has a “fainting spell” – became very cyanotic.  Heart’s action extremely irregular.  Difficulty of breathing.
Feb 2.  Very weak and feeble this a.m.  Heart’s action still irregular.  Priest was notified this a.m. 
Mar 1.  Has greatly improved physically and is again up and about the ward.
May 30.  No special change in any respect.
Aug 30.  Patient has been failing for some time.  Is in bed most of the time.  Has lost flesh and strength.
Sep 18.  Is much worse today; pulse very feeble.  Is sinking rapidly.
Sep 19, 1897.  Died of senility at 5:30 a.m.


History and clinical notes:
History: Dispose to leave his business and go from place to place; is quiet, mind feeble.  Doesn’t talk much, complains of a dull headache all the time; is not capable of transacting any business.

Jun 20, 1895.  Is very orderly, very tidy and clean and is very much improved.
Jun 25.  Is cheerful, talks with the other patients and is very much improved.
Jul 17.  Has written a number of letters to his family and is in good health.
Aug 3.  Very much improved.
Aug 27.  Very much improved.
Sep 29.  Very orderly and very good patient.
Oct 24.  Apparently he has recovered; his is orderly, talks about various subjects well and nothing is noticed wrong in his conversation.
Nov 28.  Was visited by friends who removed him on parole.
May 13, 1896.  Discharged improved.


History and clinical notes:
History: Patient was discharged from this institution May 31, 1895.  For previous history see page 75 (30750691).

Jun 20, 1895.  Is not so nervous.
Jun 25, 1895.  Recovered and discharged today.


History and clinical notes:
History: Patient has been feeble-minded from birth; was sent to school but could not learn.  Is harmless, wanders from home and can’t find his way home.

Jul 7, 1895.  Is very feeble minded, quiet, orderly, but has been caught a number of times practicing self abuse.
Aug 3.  No change.
Aug 27.  No change.
Sep 29.  No improvement.
Oct 24.  Mind feeble, works on the ward and is very useful.
Dec 9.  No improvement mentally.
Dec 15.  Has been sick in bed a few days with malarial fever.
Dec 20.  Has recovered and was transferred to Ward C today.
Jan 6, 1896.  No change mentally; masturbates most every morning.
Jan 26.  No change.
Mar 8.  Has been very sick for the past week.
Jun 13, 1896.  Discharged unimproved.


History and clinical notes:
History:  Insanity was first noticed last February, viz., talked incoherent for a short time, then he would set for days and not say anything.  Sometimes he says people are after him to take him away, sometimes is [a] little noisy.  Last Wednesday he climbed out the first story window.

Jul 7, 1895.  Is delirious; throws his bed clothes around the room; will not wear any clothes; does not recognize anyone; talks incoherent; is not noisy and very untidy.  
Jul 14.  No improvement, gradually getting weaker.
Jul 22.  Died 5 p.m., very sudden, remains removed to New Castle.


History and clinical notes:
History: Patient has been drinking at times since of age; has been drinking continuously since Christmas; has had Delirium Tremens four times since Christmas; is noisy at times; very abusive to his family; will not work to support them; talks incoherent and etc.

Jun 23, 1895.  Very much improved.
Jun 27, 1895.  Discharged sober.


History and clinical notes:
History: About five weeks ago, symptoms of insanity were first noticed, viz. Patient would sit in one position for a number of hours.  Often would not speak when spoken to and at other times she would laugh, jump, and etc.  She says she is tired of living; often thinks of jumping out the window.  Has run away from home some 3 or 4 times and hides herself.  Attempted to get out of the second story window a day or two ago but was stopped by her mother.  Symptoms are more pronounced during menstrual period.

Jun 27, 1895.  Patient quite depressed.  Sits by herself, will not answer when spoken to, and acts very demented, saliva running from mouth, etc.  While again is cheerful and talkative.
Jul 1.  Has been noisy at times, will not work.  Told Matron today that she had been in the habit of masturbating for years.
Jul 7.  Last evening was very untidy.  Rubbed filth all over her person and had her mouth filled with same.  Will not talk or answer.  Was transferred to rear ward.
Aug 4.  No change.  Mind very feeble.  At times is somewhat noisy.
Oct 16.  Is not as erratic and troublesome as formerly.  Talks more rationally and is more particular about her person appearance.
Nov 10.  No change since last note.
Dec 8.  For past two weeks has been extremely untidy, rubbing faeces over body and into hair of head.
Dec 17.  Was visited by mother today who removed her on parole against the advice of the Supt.
May 13, 1896.  Has been on parole since last note and was discharged today unimproved.

Additional notes:
Note: Patient’s sex is marked as Male in demographic data.  Includes handwritten note from mother about removing her against Supt.’s advice.  “I hereby removed [name redacted] from the Delaware State Hospital at Farnhurst against the advice of the Superintendent.  He has informed me that she is liable to do herself or others bodily harm and that she is very untidy and difficult to care for.  Knowing these facts, I agree to be responsible for any damage that she might do.  Signed and witnessed.


History and clinical notes:
History: Patient has been married twice and friends state that she has always been more or less weak minded.  Lately has been quite a nuisance to all her friends and neighbors, wanted everyone to take care of her and would not stay at home.  Informant knows but little of her history.  On admission, patient had $117.42 hid about her person.

Jul 7, 1895.  Is constantly demanding her release.  Says she must go home and pay her rent.  Ask for Father Kelly a great deal.  Father Kelly told Supt. Today that he had $100.00 belonging to patient.
Jul 14.  Was removed to Stratford, Connecticut by son.
Jul 14, 1895.  Discharged unimproved.


History and clinical notes:
History: About 14 years ago, trap door fell off roof of school, fell on the patient’s head a distance of 25 feet.  Has always been nervous, restless and 6 months ago noticed that he complained of a saloon keeper putting poison in beer for him, also tobacco.  Imagined that people were spraying poison on him.  Some 4 years ago had an operation on his ear and now says that the cords of his testicle was cut and has ruined.

Jun 22, 1895.  Was removed by father today unimproved.

Additional notes:
Note from father:  June 22, 1895.  I [name redacted] to hereby agree to bind myself under obligations to the Trustees of the Delaware State Hospital at Farnhurst in the sum of Two Thousand Dollars that I will safely keep my son [name redacted] and that I will be responsible for any damage done by him and that I removed him from the Hospital against the advice of the Supt.  [signed]


History and clinical notes:
History: Symptoms of insanity were first noticed two months ago, viz., she wanted Senator Pierce to watch her house; said some[one] was going to injure her; kept her house locked and windows closed and would not allow any one in.  Would get up and wander all over the house at night; her reason was for doing this was that she saw people would hide in neighbors’ houses also.  Two weeks ago, she was found about 10 o’clock at night in [ill.] Hall’s parlor with a revolver.  Her father noticed a peculiarity in her letters to him which caused him to come home.  Her father has been able to manage her until last week when she ran away and went to Senator Pierce’s house, and after she was allowed to come in and wanted to go upstairs and hided under his bed.

Jul 7, 1895.  When first admitted was somewhat depressed and once her attendant was alone on the ward attacked her and attempted to take her keys.  Lately has been much more cheerful and contented.  Does some work in the ward.
Aug 10.  Is perfectly well in every respect.  Is cheerful and appreciated what has been done for her.
Aug 10, 1895.  Left on parole this a.m.
Oct 16, 1895.  Discharged recovered.


History and clinical notes:
History: Officer who brings patient know nothing of his history only that he was worked on the P.W.&B. RR as a day hand.  History from brother-in-law [name redacted] of Airville, York Co., Pa.  Says patient is a night track walker for the P.W.&B. RR at Newark and about 10 days ago he noticed that he talked peculiar and two or three days after that he attempted to get out of a window.  He was taken to Wilmington, to the City Hall was then sent here.

Jun 26, 1895.  7 p.m.  Was very determined rushed with all his force with his head against the wall a number of times and said if he only had a knife he would cut his throat from ear.  He was then put in restraint, given 1/100 of hyoscine, was not reported noisy this a.m. by night watch as noisy.  
Jun 27.  7 a.m. Was allowed to go on the ward today, hand[s] in restraint and under the supervision of a special attendant.  7 p.m. was told that it was time to retire, when he made a dive head long for the gate but was stopped.  Has been quiet, orderly all day, although his speech is incoherent.
Jul 1.  Said people were under his chair at his home and that was the reason that he tried to climb out the window – to get away from them.  Has been in restraint and is fastened in bed at night using hypodermic injections of hyoscine.
Jul 7.  Is much more rational, stopped Hyoscine, substituted for [ill. – perhaps “opium dead water”?].  Is much improved and walked this evening for paper to write a letter.
Jul 22.  Restraint removed a few days ago, on front hall, very rational, amuses himself by playing checkers, reads the papers and etc.
Jul 27.  Went home.
Jul 27, 1895.  Discharged recovered.


History and clinical notes:
History: History unknown, patient is very sick, fever, jaundice, very weak, pulse 120, diarrhea, coated tongue and delirious.

Jun 27, 1895.  Patient is very sick, delirious, diarrhea some increased, very high fever, urine draw with catheter, pulse feeble.
Jun 30.  Gradually became exhausted and died 1:10 a.m.  
History from police: Boarded on Lamott St., between 21st and 22nd St., Wilmington, Delaware.  Was a weaver and worked in the Arlington Mills.  Has been in Wilmington for 2 months.  Has a wife in New York.
Jun 28.  No improvement.
Jun 29.  Is very much weak, diarrhea is persistent, very delirious.
Jun 30.  Died.
Jul 1.  Held post (autopsy).  Found Ryer's patches very much inflamed and ulcerated and liver cirrhotic; was evidently a very hard drinking man.


History and clinical notes:
History: Three years ago had a severe attack of malarial fever and his mind has never been the same since.  Rested very poorly at night; would follow his wife around the house, out in the yard, and etc.   Worried about his property, thought people were going to take it from him, and has been in this condition until a few days ago, when he became worse.  Would travel from place to place and could not find his way home.  Has a son who he was very fond on and a few days ago he began to fight him and has done it a number of times since.  He left his house last night about 12 o’clock midnight and was found this a.m. (June 27, 1895).

July 1, 1895.  11 p.m.  Was so noisy that he had to be moved to a private room, put in restraints, tore the clothes from the attendant; said people had killed his wife and family and that he must go home.
Jul 2.  Was quiet.  Restraint removed, although very demented.  Was taken by wife and son July 10th to Boston.
Jul 10, 1895.  Discharged unimproved.


History and clinical notes:
History: Seven weeks ago the patient became suddenly noisy, violent, breaking the window lights out of the windows, throwing the dishes out of the house, and etc.  A physician was called in and her admitted to the Homeopathic Hospital and a few day ago she destroyed a bed and bed stead.  Her husband visited twice a week during her stay in the Hospital and was abused, cursed every time he saw her.  

Jul 1, 1895.  Patient’s head was swarming with pediculi when admitted.  Says that she got them in Hospital.  Is quiet and peaceable and occasions no trouble.
Aug 4.  No change.  Is quiet and orderly, keeps by herself.  Has but little to say to any one.
Sep 29.  Much more cross and irritable, says offices of this institution are killing her husband.  That she can hear his cries every night.
Oct 16.  No change of any importance.
Nov 10.  No change.
Dec 8.  No change.
Jan 23, 1896.  Has been so noisy and troublesome lately that she has been transferred to Ward B.  Says that we are killing her husband and children; that she can hear their cries of pain, etc.
Mar 20.  No change mentally.  At times very cross and irritable.
Jun 7.  No improvement.
Jul 12.  No change.
Sep 16.  Is a little more quiet than formerly; was visited by daughter [ill.] who desired to remove her on parole.
Oct 23.  Was returned tonight by daughter who state that she had been very much worse for past week or two and that she had refused food for nearly a week.
May 30, 1897.  Has occasioned no trouble since her return; takes her food voluntarily and in sufficient quantities.  Has turned against all her relatives and frequently says that she would like to kill them.  Is suffering from aortic insufficiency and frequently complains of pain in cardiac region.
Feb 22 (1898).  Had a stroke of left sided hemiplegia today; entire left side is paralysed.
Feb 28.  No special change.  Bed sores are appearing.  She says she feels like there is needles and pins being pushed into her left side (paralysed side).  Is not much weaker.
Aug 12.  Still keeps to her bed, no change mentally or physically.  Left side entirely paralysed 
Mar, 1899.  Patient remains in same condition; considerably contracture of lower limb on paralysed side, so that she is unable to straighten it.  Physical health very good.  Talks a great deal to imaginary people but appears quite sensible when spoken to, though possessing evident delusions.  
Aug 7, 1902.  Mentally and physically unchanged.
Aug 29, 1903.  Entirely helpless.  Has an occasional attack of heart trouble.  Has a marked mitral valve murmur.  Is cheerful.  Marked hallucinations.
Feb 13, 1909.  Died, Angina Pectoris.


History and clinical notes:
History: Has been in Sussex County Almshouse for two years.  About a year ago symptoms of insanity were first noticed.  Would get out of bed all hours of the night; sometimes dressed and sometimes not; would leave the house and go over the fields and etc.  Has refused to eat for three weeks at a time.  Says people are trying to kill her, stealing her clothes.  Says she owns a farm, which she does not.

Jul 7.  Patient is very quiet and orderly.  Seldom speaks to any one and keeps by herself.  Does not interest herself in any thing.
Aug 4.  Is much more cheerful and contented.  Does some work on ward and frequently assists in kitchen.
Sep 29.  No change for better.
Oct 16.  Very little change.  Assists every day in kitchen preparing vegetables.
Nov 10.  Has been assisting in kitchen of Supt.’s house for some time past.
Jan 23, 1896.  Has fully recovered and still works at Supt.’s residence.
Mar 20.  Has been back in wards for past month.  No special change in condition.
May 9.  Was sent to Georgetown, Del today on parole.
Jun 13, 1895.  Discharged recovered.


History and clinical notes:
History: Has been in Sussex County Almshouse four years and was insane when he first went there.  Will not speak unless spoken to; will not work; run away from the Almshouse a number of times; stayed in the woods; practices self-abuse at every opportunity.

Jul 7, 1895.  Sits in one position will not assist in any kind of work.  Seldom speaks when spoken to.
Jul 22.  No improvement.  Sits in one position still.  Will not interest himself in anything.
Aug 3.  No improvement.
Aug 27.  No change.
Sep 29.  Very untidy; will not assist in work on the ward or interest himself in anything; masturbates frequently.
Oct 24.  Mind very feeble, stays down the back hall.  Sits in one position on the bench for hours; will not converse about anything; at times very untidy.
Nov 21.  No change.
Dec 9.  No improvement.
Jan 26, 1896.  Very untidy; eats his own feces.
Mar 8.  No change.
Nov 25.  Health fair; is very untidy and at time refused to go to the dining room.
Dec.  No trouble now.
[Ill.] 12, (1897?).  Very quiet and orderly; at time very untidy.
Oct 8.  Very feeble minded; destroys his clothing and has to be restrained; is untidy at times.
Aug 12, 1901.  Destroys his clothes if not muffed or wearing combination canvas suit.  Habits fairly cleanly.  Health good.  Mental condition imbecilic.
Aug 29, 1903.  No change mentally.  Good health.  Wears a canvas suit to prevent him from tearing his clothing.  Is untidy at night and occasionally soils himself during the day time.
Feb 19, 1904.  Developed a “sore throat” which proved to be a case of diphtheria of very malignant type.  Antitoxin (22000 units) was used, termination favorable.  Both nares were involved.

Additional notes:
Died 11/23/1935.  Buried at DSH, Grave #449.


History and clinical notes:
History:  Officer who brings her knows nothing of her history.

Jul 7, 1895.  Has been very noisy and violent since her admission.  Tears her clothing and resists and fights those that come near her.
Jul 27.  Is much better in every respect.  Appears perfectly rational – works and scrubs in the ward.
Aug 5.  Was allowed to go home today with the man who has the custody of her children.
Oct 16, 1895.  Discharged recovered.


On certificate of:
Drs. David Stewart and R. Raymond Tybout

History and clinical notes:
History: Patient was found out near Farnhurst P.O. (post office) with an old bundle under his arm saying that he was going to imitate John the Baptist; talk incoherent, some excited and a few hours after admission was so noisy and violent that he had to be put in restraints and has been more or less noisy since admission.

Jul 7, 1895.  The restraint removed and is orderly and quiet.
Jul 22.  Restraint reapplied; has been very noisy, untidy, collects all the old rags, stores nails, and etc.; makes then into bundles and then ties them around his waist.
Aug 3.  Is very noisy at times destructable and inclined to be violent; had a fight with attendants this a.m.
Aug 12.  Still very noisy and troublesome.  Has to be restrained almost constantly.
Sep 29.  Still in restraint; is very noisy at times, especially at night and says that John the Baptist tell him to do all the things that he does.
Oct 24.  Is still in restraint although he is not noisy or violent during the day, but collects olds rags, pieces of coal and puts in the hopper if he is not managed in this way.
Nov 10.  Very much improved, restraint removed.
Nov 21.  Is a useful person in the ward, is orderly, no insane remarks, and is apparently well.
Dec 9.  Has been working on wards since last report and is very useful.
Jan 6, 1896.  Patient has recovered.
Apr 4, 1896.  Discharged recovered.


History and clinical notes:
History: Patient fell off table when he was 6 years old and the same evening had a severe epileptic convulsion.  Had no further symptoms of epilepsy until he was 21 years of age.  From this time until the present has had attacks at irregular periods; occasionally has attacks of petit mal several times a day.  Severe epileptic seizures occur about once or twice a month.  Is a temperate, hard working man and although a good mechanic, has had a hard time in holding a position, as his employer always discharges him as soon as he finds that patient is subject to epilepsy.  Lately has [ill.] a great deal and he talked of killing himself on account of his trouble.  Is rational in all other topics.  General health has not suffered.

Jul 22, 1895.  Patient has been very orderly, although has had three convulsions since admission.  
Aug 5.  No improvement.
Oct 16, 1895.  Discharged unimproved.


History and clinical notes:
History: Always had good health previous to marriage.  About 10 years ago was married.  Last baby was born 5 years ago.  Since this time physical health has been very poor and has been steadily failing both physically and mentally.  About two weeks ago husband noticed the first symptoms of insanity was noticed.  Frequently bought things that had had no use for and is constantly talking about dry goods – household goods, etc.  Has been extremely nervous lately.  Has rested fairly well at night.  Appetite is very poor.  Is very fastidious about her food.  Has some uterine trouble, but informant does not know exact cause.

Aug 4, 1895.  Has been more or less troublesome since admission.  At times has torn her clothing, sings a great deal of the time, even after retiring at night.
Aug 10.  Today cut her hair off with a pair of scissors.  No improvement.  Frequently says she is going home tonight.  
Sep 29.  No mental improvement, sings a great deal of the time.  Was examined per vagina a few day ago and the os uteri was found torn in several places.  Vaginal walls very much relaxed and [ill. – procidentia? prolapse?] of uterus 2nd degree.
Oct 16.  No marked change since last note.
Nov 10.  No change.
Dec 8.  No change worthy of note in mental state.  Is gaining flesh rapidly.
Dec 17.  Was visited by brother-in-law today who removed her to spend holidays at home by consent of husband.
May 13, 1896.  Discharged improved.

Additional notes:
Died at Farnhurst 1/28/1898.  Buried at Cathedral Cemetery.  Note dated 12/16/1895.  Addressed to Dr. Hancker, Residence Physician, Farnhurst Asylum.  Dear Sir, The Family of [name redacted], now in your care, would like to have her home for the Hallidays believing it would benefit her physically and mentally if you consider it safe and would grant this request.  Myself and the family would be indebted to you for your kindness.  Yours very respectfully, [name redacted].


History and clinical notes:
History: Symptoms of insanity were first noticed seven years ago.  Her mind became feeble; would get in the street and be very hard to get in the house.  Imagined that people were trying to get her property from her although she has given away a number of things to uninterested people.

Aug 4, 1895.  Patient has to be cared for as a child.  Cannot see on account of double cataracts.  Moans and frets a great deal of the time; last night was very noisy and had to be transferred to rear ward.  
Sep 29.  No change.
Oct 16.  No change.
Nov 10.  Is on front hall.  No change, mind is very feeble.
Dec 8.  No change.
Jan 23, 1896.  No improvement, keeps in her bed most of the time.
Mar 20.  At times very noisy and troublesome.  No improvement in mental state.
Jun 7.  No change of any note.
Jul 12.  No change.
May 30, 1897.  No change.
Aug 12, 1898.  No change in any respect.
April 1899.  Very little change in patient’s condition.  Talks and frets a great part of the time and occasionally becomes very noisy; removes her clothing and is very untidy; frequently bruises herself severely; usually has fairly good appetite.
Jun 15.  No improvement in mental condition, but patients seems somewhat weaker than formerly.  Is often very noisy; mind very feeble.
Jan 15, 1900.  No improvement in patient’s condition.  At times is very noisy and always very untidy and difficult to control.  General health fair.
Mar 19, 1901.  Died, 2 a.m.


History and clinical notes:
History: Patient has been weak minded from birth, and about a year ago he imagined that he was poisoned and believes the same.  History from man who brings him.

Aug 4, 1895.  Is quite feeble; in bed most of the time.  Has all the characteristic symptoms of general paresis in its advanced form.  Hesitates in talking and stammers, when asked how he feels invariably replies “first rate.”  Power of coordination almost destroyed.  At times tears his clothing, bed spreads, etc.
Aug 27.  Gradually getting worse.
Sep 12.  Says he has a number of houses, owns a number of horses, plenty money in bank.  Tears his bed clothes; camisole applied.
Sep 29.  Says he is very wealthy.  Always feels well, when he is asked how he is.  
Oct 24.  Has lost flesh, is very weak.  Cannot get out of bed nor can feed himself without assistance.  When asked how he feels, always replies by saying he’s well.  Imagines that he is worth plenty of money, owns a number of houses in Wilmington.
Nov 21.  No change mentally, gradually getting worse physically.
Dec 9.  Has lost considerable flesh, is very untidy, always says he is well.
Jan 6, 1896.  Is very weak, tears the bed clothing, can’t get out of it nor sit up in bed; mind very feeble.
Jan 26.  Very weak.  Grinds his teeth, untidy, appetite poor.  Very much emaciated and bed sores.
Feb 9, 1896.  Died, 2:30 p.m.


History and clinical notes:
History: Was picked up in streets of Wilmington.  Nothing is [ill.] of history.

Aug 10, 1895.  Has been perfectly rational since he came here.  No indications of insanity.
Aug 12.  Is now working in fire room.  Says he is satisfied to remain here as it is a good home, etc.  
Sep 29.  Has been working in the fire room since a few days after his admission.  No insanity noticeable.
Apr 4, 1896.  Was discharged today.


History and clinical notes:
History: Patient wandered into Police Station today and asked to have a day off.  Spoke of being killed, says they are going to kill him by electricity.  Was locked up at once.  When brought to institution was very silent.

Aug 9, 1895.  Has been extremely violent since admission.  Hyoscine has to be administered hypodermically every night to give him needed rest.  Has taken food well.
Aug 11.  Is much better; all restraint removed.  Is quite rational.  Says he had been drinking very hard for about 3 weeks before coming here and does not remember where he had been to or how he came to Wilmington.
Sep 4.  Patient’s fare was paid to Norristown and he was placed on the train at Wilmington by Mr. Lynch, an attendant.
Oct 16, 1895.  Discharged recovered.

Additional notes:
Accompanying newspaper article.  “A Crazy Man.”  He Wandered Into the Police Station and Was Held to Await His Friends.  Shortly before noon today a wild-looking man walked into the office of Municipal Court Clerk Samuel S. Adams and complained that he was about to be murdered.  Chief Dolan chanced to be near at hand and Mr. Adams referred his visitor to the chief.  The stranger gave his name as [name redacted].  He began on the chief by asking him if he could get off this afternoon.  He stated that he had been working well for a day or two and thought he deserved a vacation.  The chief saw at once that the man was not right and began to question him.  The replies received were unintelligent and not satisfactory and [he] was locked up.  In the cell he raged and kept saying that the officers were going to electrocute him.  He evidently imagined that he was in the electric chair about to be executed and he begged piteously for mercy.  [He] conversed more rationally with Special Officer Dougherty than anyone else.  He spoke of Norristown and Conshohocken and said his home was in Montgomery county, Pa.  The officials of the Norristown insane asylum were telephoned to, but they stated that they knew nothing of [him].  Later it was learned that he has a relative in this city.  Word was sent to the relative, and it is expected he will come to the station house this afternoon and may throw some light on the matter.  It was thought the man had escaped from Norristown asylum along with several others.


On certificate of:
Drs. James R. McCausland and W.B. Reynolds

History and clinical notes:
History: First symptoms were noticed about five years ago.  Began to neglect her usual work about the house.  Became very melancholy and depressed.  Kept by herself and would not associate or have anything to do with her friends or neighbors.  Lately, within the past few months, has been extremely cross with her mother and her father; has been afraid that she would her mother harm.  General health is good.  Sleeps but little at night.  Has a good appetite.  Cause of the trouble is unknown.

Aug 13, 1895.  Patient is very feeble minded.  Works about the ward every day.  At times will not speak when spoken to.
Sep 27.  No change worthy of not.
Oct 16.  No change.
Nov 10.  No change.
Dec 8.  No change, although lately is a little more vicious and has struck patients in hall without provocation.
Jan 23, 1896.  No improvement mentally.  Has gained flesh and strength.  Still at times vicious and hard to control.
Mar 20.  No special change for the better.
Jun 7.  No change.  Is weak minded, very untidy in her personal appearance.
Jul 12.  No change for the better.
Apr 1, 1897.  Very troublesome at times, noisy and inclined to be vicious.  General health not quite as good.
May 1.  General health has steadily failed.  Has had several haemorrhages from the lungs.  Cavities in both lungs.
May 20.  Very weak and feeble, is in bed, friends were here to see her today.  Is failing fast.
May 24, 1897.  Continued to fail and died 8:55 p.m. of Phthisis Pul.


History and clinical notes:
History: Was sent to New Castle Jail for stealing; was whipped and sentenced to 3 months.  Time was up Aug 7.  For past two weeks has been insane.  Very violent at times and language very foul.  About a week ago attempted suicide by hanging.  Is steadily growing worse.

Aug 27, 1895.  Restraint removed; on the hall, much more rational.
Aug 31.  Was visited by cousin today who desired to remove him to Phila.  Was allowed to go on parole.
Oct 16, 1895.  Discharged recovered.


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

History and clinical notes:
History: Patient has always enjoyed good general health.  About eight months ago buried her child and a short time after first symptoms of insanity was noticed.  Had hallucinations of sight and hearing; said she could hear people talking to her through the telephone; talked about reputation.  For past two weeks has been gradually growing worse – has talked of suicide and has threatened to injure others.  Sleeps a great deal of the time; has a good appetite.

Aug 31, 1895.  Has been very quiet and orderly since her admission.  Seldom alludes to her hallucinations.  Works in the ward and is cheerful and contented.
Sep 28.  Was visited by husband today who took her home on parole.
Jun 3, 1896.  Discharged today recovered.


On certificate of:
Drs. Nathan Pratt and George W. Marshall

History and clinical notes:
History: Brother states that patient has suffered severely since childhood with neuralgia and catarrh.  When she was about 23 years of age first symptoms of insanity was noticed.  Was somewhat melancholy at that did – did not associate with her companions and talked and worried a great deal about religious topics.  Last June her father died and since that time has been much worse.  At times becomes very violent and during these attacks has threatened the life of her sister and has repeatedly choked her mother.  Lately has become addicted to morphia habit.  How much she takes is not known.  [Ill.] climacteric occurred about 3 years ago and this also has tended to increase the malady.  General physical health is fair.

Sep 29, 1895.  Has been very quiet since she came here.  Says that there is nothing the matter with her; that her mother and sister always watch he shamefully and that they put her here to get rid of her.  Works in sewing room every day.  Has expressed no delusions nor shown any manifestations of insanity.
Dec 30, 1896.  Left today by herself for Washington, DC to visit her aunt.
May 13, 1896.  Discharged improved.  

Note: One of the above dates must be wrong.  Probably she left on Dec 30, 1895.


On certificate of:
Drs. R. Raymond Tybout and Frank Springer

History and clinical notes:
History: Patient has been in the New Castle Alms House for two weeks and was insane when taken there; has always been weak minded from birth.  Symptoms of insanity noticeable are as follows:  Says someone is after her to kill here; that she did not do what people say she did.  Cries very much, frightened, and etc; rest very poorly at night.

Sep 29, 1895.  Cries a great deal of the time.  Imagines that everyone is talking about her.  Very melancholy and depressed.
Oct 12.  Was so troublesome this morning that she was transferred to Ward B.  Struck several of the patients and resisted attendants.
Nov 10.  Is a little more tractable than formerly; will not take food as voluntarily as formerly.  
Jan 23, 1896.  Takes food much better than formerly.  Mind is very feeble.  Has gained some flesh.
Mar 20.  No change for better.  Walks around with her head bowed down.  Will not speak to anyone.
Jun 7.  Has not improved since last note.
Jul 12.  No change.
Aug 15.  Patient has been in bed continuously since last note, but has steadily grown worse.  This morning was very much weaker.  Failed rapidly since early morning and died at 9:30 a.m. of asthenia.


History and clinical notes:
History: Patient has been very melancholy for some 3 [ill.] past.  Informant states that a young man who was keeping company with her left her and this worried her a great deal and is supposed to have been the enciting cause.

Sep 29, 1895.  Has been extremely depressed and melancholy since admission.  Moaning and rubbing her hands.  Says she is extremely wicked and that she ought to die, etc.
Nov 10.  No improvement.  Very melancholy, cries and moans a great deal of the time.
Dec 8.  No special change.  Melancholia still marked.
Jan 23, 1896.  No improvement, very melancholy.  Agitated most of the time, walking back and forth in room yelling “No” “No”.  At times works a little in dining room.  Says she is very wicked.
Mar 20.  No change for the better.
Jun 7.  No change.
Jul 12.  No improvement in mental state, moans and cries a great deal.  For past month has steadily lost flesh and strength.  Is quite weak.
Nov 12.  Patient has slowly failed since last note.  Has been in bed for past month.  Today is very much weaker; cannot last through the night.
Nov 13.  Died at 3:40 a.m.  Exhaustion from melancholia and [ill. – looks like “Inanition.”]

Final disposition:
Died of exhaustion from melancholia and inanition


History and clinical notes:
History: Symptoms of insanity were first noticed 8 months ago.  A few days ago he left home and was gone all night, never telling where he was.  Then very shortly after he left again and was found at Silverbrook tearing the fences down. 

[No date – sometime between Sep 12 and Sep 29, 1895]  7 p.m.  Very noisy.  Says people are after him to kill him; that they are going to burn him tonight.  Restraint applied.  Says he was poisoned 4 weeks ago by a woman.
Sep 29.  Does not recognize where he is; says he can see his sister every day over the other side and would like to go over and talk to her.  Said he had one hundred and seventy dollars in his pants when he came here.  Has made two or three attempts to get away.
Oct 24.  Is quiet, orderly.
Oct 30.  Is very much improved; works on the ward.  Is orderly.
Nov 21.  Works on ward, orderly, but mind still feeble.
Dec 9.  Mind feeble, appetite good and is very orderly.
Jan 6, 1896.  Patients who room with him stated this morning that patient [name redacted] had a fit and upon examination hi is found to be very stupid, pulling off the buttons on his clothes; did not recognize anyone.
Jan 8.  Has improved since last report and on the ward again.
Jan 26.  Very orderly.  No change mentally.
Mar 8.  Mind feeble.
Mar 20.  Said his mother was on the outside of the Hospital; that he saw her and heard talking.
Mar 30.  Mind very feeble.
Apr 11.  Had three convulsions today.  Hemiplegia of left side, speech not affected.
Nov 25.  Tears his clothes, undresses himself and don’t know what he is doing.  Can’t tell where he is; has convulsions, at time very untidy.
Dec 5.  Has had a number of convulsions today; left side paralyzed.
Jan 30, 1897.  Is in bed.  Hematoma oris of left ear; when asked how he feels says he always fays (good).
Feb 11.  Has had a number of convulsions and is confined to bed.
Feb 24.  Is steadily losing flesh, mind very feeble; has a severe bed sore.
Mar 1.  Very weak, mind blank.
Mar 15.  Has convulsions occasionally.
Mar 30.  Very feeble.
Apr 6, 1897.  Died 6:20 a.m.


History and clinical notes:
History: Patient was admitted to this institution 11.7.1884 from Sussex Co. Alms House where he had been confined for a few months, but was insane four years before he was taken there.  When first admitted here he was worried concerning his business, fearful that he could not support himself and family; religious excitement, went roaming over the fields, alarming the neighbors, threatened to injure his wife.  Was discharged cured 7.11.1892 and employed as fireman until the middle of August and went home.  Complains since his return here of severe headaches.

Sep 29, 1895.  Is very melancholy, wants to be by himself; complains at times with his head.
Oct 24.  Is some improved although melancholy.
Oct 30.  Some depressed and thinks he won’t get well; was rubbing the floor this a.m.
Nov 21.  Very little improved.
Dec.  Not so much depressed, is more cheerful and is on the wards more.
Jan 6, 1896.  Assists on the wards more, composed and cheerful.
Jan 26.  Has not been so well for the past few days, complains of his head and insomnia.  It taking 15 grains of Trional at bad time.
Feb 26.  Says he never will be well; still complains of his head.
Mar 8.  Some improved.
Nov 25.  Cries at times; can’t sleep very well without hypnotics; worries about his family.
Feb 24, 1897.  No improvement.  Seems to be demented, has a severe cough; appetite poor.  
Mar 1.  No change mentally; good health otherwise.
Aug 28.  Very much demented; health good.
Oct 8.  Very much depressed.  Mind feeble; health good.
Aug 12, 1901.  Physical condition rather poor.  Is thrown into a tremor by pointing at or laying hands on him suddenly.  Is lachrymose, keeps to himself, worries a great deal.
Aug 29, 1903.  Weak mentally.  Failing physically.  Depressed.
Jul 1, 1904.  Is a case of Phthisis Pulmonalis.
Jul 21.  Removed to T.B. (tuberculosis ward).
Aug 8, 1909.  Apparent recovery and has been transferred to Ward C.
Jun 15, 1911.  Is losing flesh and is very anemic; has difficulty in retaining food and complains of abdominal distress.
Jul 9.  Rapidly growing worse and unable to take nourishment.
Aug 28, 1911.  Died.  Carcinoma of pancreas.  Autopsy.


History and clinical notes:
History: Wife who brings patient to Hospital states that he has been addicted in use of whiskey and morphia, etc. for some time.  That he has inherited insanity on his mother’s side.  That for some time past he has neglected his business.  That he has threatened his father several times and that although his father has done everything for him, his antipathy to him well masked.  Lately has not taken any narcotics to any extent except Promide, which he has taken in large doses.

Sep 21, 1895.  Is very quiet and orderly.
Sep 23.  Goes down in the amusement hall and plays the piano and banjo every day.
Sep 30.  Is very orderly.
Oct 2.  Was ordered sodium bromide in large doses.
Oct 10.  Says his father is the cause of all his trouble.
Oct 12.  Was given permission to go out walking evenings with [name redacted].  
Oct 17.  Wife took him to Phila.
Jan 4, 1896.  Discharged not insane.


History and clinical notes:
History: Patient was admitted June 5, 1893 and remained here until Jan 1, 1895, when he was taken home by his mother and brother unimproved and remained until a few days ago when he came here saying that he had been walking for three days, that his wife had driven him away from home and they tried to poison him.  During his first stay here he was in bed for a number of months (and) would not eat because the food contained poison and was taken home in this condition.

Sep 29, 1895.  No improvement mentally, but is sick with malarial fever.
Oct 4.  Has recovered from his illness and is working in dining room.
Oct 24.  Is very orderly and continues to work.
Dec.  Sits around by himself when not working and laughs the most of the time.
Jan 26, 1896.  No change since last report.
Mar 8.  No change.
Nov 25.  Works in dining room.
Nov 1.  No improvement.  (Month is probably supposed to be Dec, or else Nov 1 or a subsequent year).
Aug 29, 1903.  No change mentally.  Good health.  Good help in Ward D dining room.
Mar 1, 1911.  Failing physically for past few months and is now confined to bed.
Mar 8.  Rapidly growing worse and refuses nourishment.
Mar 15, 1911.  Died.  Pulmonary gangrene.


History and clinical notes:
History: Was arrested for feloniously toying with a female child and jury having found him insane at the time of committing the act, the court ordered him to be placed in this institution.  Clothes were worn out and lousy and were burned.

Oct 10, 1895.  Has worked in male dining room since two days after his admission; is orderly and quiet.
Oct 24.  Often cries about his family and says he would like very much to go home.  Says he is innocent but in the court house he was so excited that he was not conscious of what he was saying.
Oct 30.  Said he did toy with the girl, but (if) we will only let him go he will never do anything wrong again.
Nov 16.  Is very orderly and desires very much to go home.
Dec 9.  Mind some feeble, but very orderly.
Jan 6, 1896.  No change.
Jan 26.  No change.
Mar 8.  Cries and worries because he can’t go home.
Jun 13, 1896.  Was discharged today by order of the court (order was filed with admission papers) on recommendation of Supt.  Discharged improved.


On certificate of:
Drs. Joseph P. Pyle and Henry R. Spruance

History and clinical notes:
History: Patient has been drinking very hard for the past two weeks; was taken to the Hall Sept. 27th at 4:30 a.m. from his home.  He was noisy, said people to trying to fire his house, said people were going to kill him; sleeps very poorly.  Patient was admitted once before, Aug 29, 1894 and discharged Jan 31, 1895 recovered.

Oct 1, 1895.  Very much improved, restraint removed, quiet, composed, orderly.
Oct 5.  Is quiet, works on the ward.
Oct 9.  Taken home by his wife.
Oct 9, 1895.  Discharged recovered.


History and clinical notes:
History: Was first admitted to this institution 6.8.1891 from Police Station, Wilmington and was discharged 2.25.1892.  Was admitted here from New Castle Alms House where he has been for a number of months and two days before coming cut an employee on the neck, which required eleven stitches to close wound.  Has foolish sayings and actions, believes he is imposed upon and etc.

Oct 24, 1895.  Works in the wards; is orderly and quiet.
Oct 30.  Complains of his head paining him; otherwise well.
Nov 16.  Works on ward and etc.
Dec 9.  Works on wards and is very orderly.
Jan 26, 1896.  No change.
Mar 8.  Works outside.
Mar 25.  Works outside.
Nov 25.  Health very good, works in the halls; no change mentally.
Oct 8 (year not specified).  Works around the center, is very obstinant at times.
Aug 12, 1901.  Works on center; believes he is a [several illegible words] or person.  Prefers whiskey if possible.  Good general health.  
Jan 18, 1902.  Was brought to work on center this a.m. at 10:30.  Was given a small drink of whiskey by [ill., Dr. Van Epps].  Acted normally at dinner.  Returned to work and at about 1:30 p.m. was noticed to be sillily drunk.  Became more talkative and was taken to ward by Dr. Haucker at 3:50 p.m.  Nothing beyond signs of drunkenness noted.  At 4:00 p.m. [an attendant] noticed him lying quietly in room and did not disturb him for supper.  At 6:40 p.m. [an attendant] went to room and found patient dead.  Examination by Dr. H and VE revealed fact of probably death an hour or so before; no signs of injury or corrosive poisoning.  Expression natural.  Pupils = 4.5 mm.
Jan 19.  Post mortem by Coroner physician (Dr. Drake) revealed marked congestion of kidneys, slight venous congestion of spleen and of stomach.  The contents of the [ill. – bottle?] were saturated by whiskey as the odor revealed.  Brain, heart, and lungs showed no gross lesion.  Buried in Grave 94, hospital cemetery.
The whiskey could only have been obtained by climbing the drugstore center railing.  The laboratory was locked and intoxicants had been removed from the surgery.  Patient was always (?) under the watch of someone, we believed, but as now proven, erroneously.  Patient was a careful, competent work man and was quite universally liked in spite of his intermittent “kicking.”


History and clinical notes:
History: Has always enjoyed good health and during the summer of 1894 was overcome by the heat; was unconscious for a few hours and since that time his mind has become feeble.  More noticeable at times than others.  Becomes very dizzy at times; says his head feels very light and has severe pains at times on the top of it.
Oct 10, 1895.  Has a severe cold, is very much bewildered at times and some times gets out of bed and walks around and when stopped and taken to his bed he can’t remember what he has done.
Oct 24.  Is quiet and orderly.
Nov 16.  No improvement.  
Dec 1.  Mind feeble, although very orderly, sometimes takes walks with attendant.
Jan 26, 1896.  No improvement.
Mar 4.  Was struck in the eye by [name redacted] discoloring surrounding tissue very much.
Mar 8.  No improvement mentally; has a number of boils on nates (?) and legs.
Mar 24.  Has been in bed for the past ten days; mind very feeble; two or three days ago was very much frightened, saying he was going to be killed, and cried.
Nov 25.  Mind feeble, health very poor, is in bed most of the time; got out of bed a few nights ago and cut his nose and discolored his left eye.
Jun 15.  Has been confined to bed for the past three months, gradually getting thin; mind very feeble.
Aug 28.  Right eye has been affected for a long time and vitreous and aqueous humors were discharged today.
Sep 15.  Asthenia very pronounced.
Oct 1, 1896.  Died, 8:50 p.m.

Additional notes:
Note:  From people in Lake George, NY.  “Dr. Waples, Dear Sir: If [patient] should pass away while at the “Home,” will you please have them telegraph to [name redacted] of Milford, Delaware, who will take charge of everything.  Respectfully, [name redacted] Lincoln, DE.”  Handwritten on note in different writing: “Send effects to same, telegraph and send body to [name redacted] Milford, DE.”


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

History and clinical notes:
History: Patient has been excited for a week and yesterday morning running up and down the streets of Clayton with a pistol in his hand, crying and hollering.  And this morning he went to his sister’s house and pulled her out and was going to kill her, but was knocked down by a stone by her husband.  Says people were going to kill him, quotes Scripture, and etc.  

Oct 7, 1895.  Restraint was applied shortly after admission and still has it on; is noisy, bites his clothes, excited, and etc.  
Oct 11.  Noisy at times, still in restraint.
Oct 16.  Is very noisy, talks incoherent.
Oct 20.  Is quiet, restraint removed and on the hall.
Oct 30.  Is quiet on the hall but speech some incoherent.
Oct 31.  Was very noisy during the night; destroyed his bed and clothing; is in restraint, talk very incoherent.
Nov 2.  Is very noisy at times.
Nov 16.  Still in restraint, very noisy, untidy, is losing flesh.
Nov 21.  No improvement.  Talks very incoherent.
Dec 9.  In on wards with other patients, although in restraint (wristlets); talks incoherent.
Jan 26, 1896.  Patient still in restraint, tears his clothes at times, is noisy occasionally, conversation very incoherent.
Feb 26.  Is orderly on the hall.
Mar 8.  No change.
Mar 24.  Talks very incoherent at times, sits and cries on religious subjects, some nights destroys his bed.
Apr 15.  Is very noisy, untidy, and destructable.
May 15.  Mind very feeble, incoherent remarks, and untidy.
Jun 20.  No improvement.
Jul.  No change.
Aug 20.  No change.
Sep 24.  9 a.m.  Suddenly became unconscious, stertorus respirations, some convulsed, eyes fixed.
Sep 25.  9 a.m.  No improvement.
Sep 26.  Gradually becoming weaker.  Still unconscious and no change.
Sep 29, 1896.  Died 10:30 a.m.


History and clinical notes:
History: Officer who brings patient says that he is a chronic drinker.

Oct 11, 1895.  Has been quiet and no symptoms of insanity noticed.
Oct 30.  Is very orderly.
Nov 6.  Was allowed to go home today on request of his brother.
Jan 4, 1896.  Discharged not insane.

Newspaper clipping attached to page: “At Farnhurst.  [Name redacted] Committed to the Insane Ward Yesterday.  For some time past there has been trouble between [name redacted] and [patient], and this has culminated in the latter’s being arrested.  Yesterday [patient] was send to Farnhurst, upon the certificates of Drs. Ogle and Fahey, to the effect that he was insane.  [Other person] had [patient] arrested last week on a charge of disorderly conduct.  The examination as to [patient’s] sanity was made at an early hour yesterday, and he was at once sent to the Delaware State Hospital.  His friends are very indignant at what they term the summary and unwarranted method of procedure.  They claim that an arrangement was made with Judge Ball, where he was to have been admitted to bail, pending a trial in municipal court next Tuesday, and that Judge Ball alone had the authority to order an examination made.  They likewise assert that bail was presented at the City Hall yesterday morning, and that then it was learned that [he] had been transferred.  It is also asserted that before Drs. Ogle and Fahey had made their examination, another physician had already visited [him] and pronounced him sane.  These are the claims of [his] friends, and they threaten to make lots of trouble for all concerned.  Dr. Ogle stated to a Star reporter that he was summoned by telephone yesterday morning to call at the City Hall and examine the man, and did so.  This was the course taken in prior cases and was by no means unusual.  He did not know by whose authority the examination was made, nor did he question it.  [Name redacted], a brother of [the patient], when asked relative to the matter, declined talk, and referred the reported to William S. Hilles, Esq., who, he said, was his brother’s attorney, and who is at present out of the city.  Mr. Hilles will return to Wilmington tomorrow, when further developments are looked for.”


History and clinical notes:
History: First symptoms of insanity was noticed about 2 years ago, due, it is thought, by ill health.  Mind has gradually grown more feeble.  Lately does not recognize any of the family.  About one year ago had a “stroke,” fell from his chair and was utterly helpless for 5 minutes, could not speak.  During past few months has been unable to be up and about and has shown desperation and destructiveness so much so that it has been necessary to tie his hands.  Has also been noisy and neighbors have complained to police and they arrested patient, found him insane, and ordered him committed to this Hospital although father was perfectly willing to care for him at home. 

Oct 10, 1895.  Is very much emaciated.  Has two bed sores and confined to bed.  Shortly after admission was very noisy, tearing his clothes, refused to eat, and was fed with tube.
Oct 11.  Was quiet today.  
Oct 24.  Patient has improved physically, cries at times and says people say that he killed some people, which he never did.
Oct 30.  Is very noisy at times, cries, and very hard to control.
Nov 16.  Often cries, very hard to manage, very much improved in health.
Nov 21.  Said that his father was killed and that every thing he owned had been sold.
Nov 25.  [Another patient] states [patient] fell on floor and bruised his face and is very much discolored, more particularly around right eye.
Dec 2.  Patient fell entering the door of infirmary tonight and cut a triangular gash in forehead.  [Another patient] in bed in the infirmary stated to Drs. Haucker and Hammond that he saw him fall and no one was near him.
Dec 9.  No improvement mentally.
Jan 6, 1896.  Patient has been in bed since last report, right arm and leg very weak, cries at times; says people are after him to kill him and he never done anyone any harm.
Jan 26.  Very untidy, mind feeble, cries often.  Health poor.
Feb 23, 1896.  Has had a profuse diarrhea for the past week.  Died this 4 p.m.


History and clinical notes:
History: Informant knows but little of her history.  Has always been a hard worker and a good woman.  First symptoms of insanity was noticed about 3 months ago when she began to neglect her work and keep by herself.  Was very restless for past month; has been unable to obtain a good night’s rest without the aid of hypnotics.  Her appetite has been very good at all times.

Oct 12, 1895.  Was placed in front hall when she first came, but was so restless and annoyed the other patients so much that is was necessary to place her on Ward C.
Nov 9.  Has not improved.  Very melancholy and depressed.  Was visited by her son today, who removed her against the advice of the Supt.
Jan 3, 1896.  Discharged unimproved.

Additional notes:
Page includes Western Union Telegraph dated 11/9/1896.  “[Ill.] write tomorrow how she is.”

Also includes handwritten note from son.  “This is to certify that I am the son of [patient], that I have removed her from the Del. State Hospital against the advice of the Supt.  That he has informed me that she is liable to commit suicide or do some damage and that I remove her knowing these facts.”  [Signature]


On certificate of:
Drs. J.O. Pierce and George A. Pleasanton

History and clinical notes:
History: Patient has used morphia for a number of years for neuralgia of stump of right limb and one year ago his mind has been affected.  Patients talks at random, is extremely nervous at times.  Mind is very feeble.  Agraphia will marked.  

Oct 29, 1895.  10 p.m. was very noisy, said this was his house; thought he was being robbed.
Nov 2.  Destroyed his blanket during the night.
Nov 21.  Cries at times, says they want to kill him, that he has no home, and did not recognize his son-in-law who has only been away from him since his admission here.
Dec 9.  Patient was very untidy this a.m., said he was in Tennessee last night, often cries.
Jan 6, 1896.  No improvement.  Talks very incoherent, urinates in bed.
Jan 26.  Mind feeble.
Feb 26.  No improvement.
Mar 8.  No improvement.
Mar 24.  Patient mind is extremely feeble.  Sometimes can’t tell where his home is and at times says he is in New York, Tennessee, and etc.
Apr 15.  Mind some improved (more rational).
May 15.  Very much improved, reads the daily paper.  
Sep 8.  Allowed to go home.
Feb 11, 1897.  Discharged.


History and clinical notes:
History: Patient was brought here by Mr. Stout, agent for the Society Preventing Cruelty to Children.  Has a number of fits most every night.

Nov 21, 1895.  Is very orderly, contented.
Dec 5.  Black Toby (??!!) struck patient in mouth and knocked tooth out.
Dec 9.  Is orderly.
Jan 6, 1896.  Has convulsions occasionally at night and is very orderly and very good help to the attendants.
Jan 26.  Has convulsions mostly at night.
Feb 26.  On the wards and no change mentally.
Mar 8.  No change.
Mar 25.  Works on wards.
Nov 25.  Has convulsions occasionally.  Was allowed to go home. 8.28.99.
Oct. 8.  Still has convulsions and during the intermissions works on the wards.
Jun 1, 1901.  Working in kitchen; is rather overbearing and irritable.  
Jun 21.  On parole.
Jul 13, 1902.  No improvement since last note.  Patient eloped today.
Dec 27, 1902.  Discharged unimproved.

Additional notes:
Note: The timeline for this patient is very vague and confusing.  He seems to have gone home in August of 1899, and then returned sometime later; likewise, went on parole June of 1901, and then returned.


History and clinical notes:
History: Patient first admitted Mar 26, 1894.  Improved somewhat.  Eloped Aug 13, 1895.  Officer who brings patient knows nothing of her history.  Patient has lost considerable flesh since her elopement.  

Nov 8, 1895.  Patient was very filthy and head was full of pediculi when first admitted.
Dec 8.  No change worth of note.  Sits by herself on ward.  Assists at times in light work.  General health has improved.
Jan 23, 1896.  Very quiet and orderly, mind very feeble.  At times does some work on ward.
Mar 20.  No special change.
Apr 30.  No change.
Jun 7.  No change.
Jul 12.  No change.
May 31, 1897.  No change.  
May 1, 1898.  No change.
Jun 30.  Patient escaped about 10 a.m. while sitting on porch between the two buildings.  Friends were notified as well as the police.
Sep 24, 1898.  Discharged unimproved.


History and clinical notes:
History: Patient has been a drinker of intoxicating liquors for years – Four months ago began to drink incessantly and for past few weeks has been verging on delirium tremens.  Is very nervous.

Nov 15, 1895.  3 p.m. was so delirious and excitable; pounding on the door, tearing his clothes and mitts were applied.  9 p.m. was given a hypodermic of Hyoscine and remained quiet all night.
Nov 16.  7 a.m. Very nervous, still taking the D.T. Mixture.  12 noon, more rational.  5 p.m. so much improved that restraint was removed and patient put on ward.
Nov 17.  8 a.m. On front ward, quiet but some nervous.
Nov 18.  Not so nervous, reads the paper.
Nov 21.  Is quiet, orderly and all symptoms of D.T. disappeared.
Nov 29.  Went home on parole.
Jan 4, 1896.  Discharged, not insane.

Additional notes:
Wikipedia: This is a type of abnormal state associated with alcoholism. Pathological alcohol intoxication is an extraordinary severe response to alcohol, especially to small amounts marked by apparently senseless violent behavior, usually followed by exhaustion, sleep and amnesia for the episode.


History and clinical notes:
History: Senator Pierce who brings patient state that shortly after she came home she again manifested symptoms of insanity.  [Patient left on parole Aug 10, 1895.  Discharged Oct 16, 1895, returned Nov 15, 1895].  That she wandered from home and that frequently they could not find her.  For past two days has been in a stupor.  Does not move a muscle, eyes closed, does not recognize a sound.  Has not taken any food during this time.  

Nov 16, 1895.  When patient was taken from carriage yesterday was limp and motionless.  Would not answer when spoken to.  Eyes closed, temperature somewhat elevated.  This p.m. spoke to attendant and physician.  Talked perfectly rational, said she did not remember coming here.  Said she preferred to remain in bed.  This morning was given an enema with satisfactory results and was fed with nasal tube as she had taken no nourishment since admission.
Nov 17.  Talks rational this morning, ate heartily.  Says she prefers remaining in bed.  Pulse is very rapid and temperature above normal.  Has slept a great deal today.
Dec 8.  Not much change.  Keeps by herself in her room.  Does not seem disposed to talk with anyone, will not go on front ward.  
Jan 23, 1896.  Has been in front hall for about one week.  Is very quiet, says her father treated her very badly while she was home and that she does not want to and will not return to Milford.
Mar 20.  Has steadily improved.
Jul 12.  Helps occasionally in sewing and assists about the ward.  Is well mentally.
Nov 5, 1896.  Patient left by herself for Indiana in answer to a telegram from her mother.
Nov 5, 1896.  Discharged recovered.


History and clinical notes:
History: Has always been peculiar.  Symptoms of insanity were first noticed during the summer of 1894, viz., wanted to buy everything that he admired regardless of price; believed he was very wealthy and in business; would want to buy things in car load lots that the firm had been accustomed to buying in small or medium quantities.  He was so extravagant that his brother with him were trading under the name of [name redacted Bros.] bought his part of business and then became a Life Insurance Agent and said he did a big business, viz., wrote a policy for Mr. [name redacted] of Dover for one hundred thousand dollars, Mr. [name redacted] for ten thousand and a number of more, he said, when he never wrote a single policy and last summer began to drink hard, bought a trap and horse, double harness, and took a trip down the state and took a friend down the state and when near Lewes he made his friend get out and walk to Lewes, telling him he was not going to haul him with him any more.  Wanted to buy a number of bicycles.  Wanted to buy a house, and etc.

Dec 9, 1895.  Has been very orderly since admission, takes walks by himself, says he is a poor man and that if he makes any more money he will take care of it; his speech at time is hesitating and when talking about something he often don’t finish the subject but begins to talk about something else.  
Dec 21.  Went home for the holidays with his brother today.
May 13, 1896.  Discharged improved.


History and clinical notes:
History: Patient was found wandering in the streets of New Castle.  Said he was the Lord Mayor of London and again he was Lord de la Warre.  Said that he owned the most of Delaware and demanded his rights, and that he would make it warm for someone if he did not get his own.  When admitted was quite pale and anemic, wore a suit of clothes similar to that worn at Marine Hospitals and Stations.

Nov 21, 1895.  Patient say he was captured two hundred and forty years ago and that he was forty-two years of age when captured, that this is his castle.  When asked his occupation, replied he was a gentleman.
Nov 22, 1895.  Removed this day by Mr. [name redacted] of Philadelphia.

Note:  Letter attached, dated Nov 22, 1895.  “I, [name redacted] of the city of Philadelphia, PA hereby agree to take charge of [patient] who was committed to the Delaware State Hospital at Farnhurst on Nov 19, and take him out of the state of Delaware and be responsible for his safe keeping fall with (?) that he do no damage to said state.  Signed and witnessed.

Additional notes:
Actually, Philadelphia Inquirer reporter trying to get information on the death of Leon Pisa, a patient supposedly killed by the attendnats.


History and clinical notes:
History: Nothing is known of patient’s history, was admitted on a cot, very untidy, will not speak when spoken to, is quiet, very thin [ill.].

Nov 20, 1895.  Will speak when spoken to, says he feels better.  General anesthesia, more worked on limbs, speech affected.  Paralysis over the entire body, no control over bladder and bowels, very bad bed sores.  Spasms of facial muscles of right side of face.
Dec 9.  No improvement.  Speech very incoherent, can’t get fastened in bed and was so noisy at 10 p.m. that he was given 1/100 gm Hyoscine.
Jan 6, 1896.  So much improved that he is allowed to go in the day room; has gained flesh, very orderly, and often speaks of going home.
Jan 8.  10 a.m. broke the lower sash of day room window with a chair and tried to cut his throat with the glass.  Was strapped in chair.
Jan 26.  No improvement, patient often talks of suicide.
Feb 26.  No improvement mentally.
Mar 8.  Asked for Laudanum and strychnine, said he wanted to kill himself.
Mar 24.  Is very much demented, health good.
Oct 8.  No change, health still good.
Aug 8, 1901.  Is able to get about.  All motions markedly choreiform.  Spends most of time on floor if not strapped to a chair.  Is irritable, profane, incoherent, demented, and untidy.
Jan 23, 1903.  Died.  Dementia and Chorea.


History and clinical notes:
History: Patient was hurt on the head about seven years ago in a steam mill and nothing peculiar was noticed until 3 months ago when he became depressed; would go from place to place, would do things when told, not otherwise.

Dec 6, 1895.  Is orderly, depressed, talks with a low tone, not not make friends with the other patients and wants to stay by himself.
Jan 6, 1896.  No improvement.
Jan 12.  Took patient in room to examine him with another physician and he (patient) refused.
Jan 26.  Some improved, says he would like to go home.  Take more interest in things.
Feb 26.  No change.
Mar 8.  No change.
Mar 24.  Patient will not assist on ward, is very stubborn and at time hard to control.  He hardly speaks when spoken to.
Nov 25.  Will hardly speak when spoken to, is obstinant at times.
Oct 8.  Works on the farm all the time and is very useful at times, very excitable, mind some feeble.
Aug 29, 1903.  Good health, valuable help about the lawn.  Very reticent.  Rarely speaks except to answer questions.

Additional notes:
Died at DSH 8/2/1938.  Buried at DSH, Grave #489.


History and clinical notes:
History: Patient was first admitted Apr 14, 1895, discharged Oct 16, 1895 recovered.  Is very much depressed, says it was all he could do to keep from shooting himself.  Has been very much depressed, complained with his head.

Dec 9.  Is some improved.
Jan 6, 1896.  Very much improved, reads the paper, orderly and very pleasant.
Jan 26.  Is gradually improving.
Feb 26.  No change.
Mar 8.  No change.
Mar 24.  Is very much improved and wants to go away.  Plays cards, reads paper, and is a very nice patient.
Oct 4, 1896.  Discharged recovered.


History and clinical notes:
History: Officer who brings him knows nothing of his history.  Has evidently escaped from an insane asylum as his clothes are marked “Insane Department, No. 1.”  Mr. Brown, an attendant, says they are the clothes furnished at Blockley.

Dec 9, 1895.  Is very orderly; has been in bed with sore feet for a few days past and was allowed to get up this a.m.
Jan 6, 1896.  Is quiet, harmless and orderly.
Jan 26.  No change.
Feb 26.  No change.
Mar 24.  Has good health, no change mentally.
Nov 20.  Was beaten severely by patient [name redacted] in bedroom about 12 a.m.  Eye and body contused.
Aug 29, 1903.  Good general health.  Polishes floor.  Quite demented.  Quiet and good habits.
Dec 1, 1916.  Is depressed memory very poor, is rather feeble and is in T.B. building at present.
May 20, 1917.  No change in mental condition.
Oct 20, 1917.  Patient has been confined to his bed for several days, refuses all food.  Died today of Pulmonary T.B. 3:00 a.m.

Additional notes:
Buried at DSH, Grave #277.  Had escaped from another asylum, Blockley.


History and clinical notes:
History: Patient with her father’s family has held no communication for five years, and has been peculiar for a number of years, more especially the past two.  And a few days ago she became very much worse.  Dec 1st she sent to Mr. [name redacted]’s house for him to come and search her house for burglars.  He went and examined house, result negative.  On Monday morning, she had another party to search her house and later on during the day was walking up and down the streets of Felton with her corsets on the outside of her dress and every person she would meet she asked them to go and drive the people from her home, and stood in the rain for an hour being afraid to enter the house.  Tuesday morning was sitting at the window, naked.  Was asked to dress and admitted here this 5:30 p.m.  Has never been violent.

Dec 8, 1895.  Patient has some symptoms of paranoia, says the people around Felton are persecuting her, and that they are trying to get her property from her.  Is very indignant about her being retained in the institution.  Says she is not insane, nor never was and she is going to make it hot for all who are trying to impose upon her.  
Dec 29.  Not quite as nervous as formerly and does not show the vindictiveness that characterized her case at first.
Jan 3, 1896.  Was visited today by [name redacted], accompanied by [name redacted].  [The first one] demanded her discharge and she was allowed to go on parole.  
[No date] Discharged improved.


History and clinical notes:
History: About five years ago, she began to suffer from headaches and has suffered so much the past year that she has not been able to do anything.  No other symptoms.

Dec 8, 1895.  Since admission has complained constantly of severe pain over and back of right eye, neuralgic in character.  Right eye lid droops considerable and right pupil smaller than left.  And examination per vag (vagina) was made today.  The os uteri was found lacerated, same slightly retroflexed and wall of vagina much relaxed.

Dec 29.  Patient has complained of intense headache for past week, has been placed on specific treatment as syphilitic gumma [soft, non-cancerous growth in the brain seen in tertiary syphilis] of brain was suspected.  Pain in head has subsided and she is much better in every respect.  Has some ptosis of right eye and mouth is drawn to right side.  Galvanization of muscles of face has been resorted to every day with good effect.
Jan 19, 1896.  Was visited by husband today who removed her against advice of supt.
June 13, 1896.  Discharged unimproved.

Additional notes:
From ancestry.com, shows she died on 8/8/1896 from "brain tumor."


History and clinical notes:
History: Symptoms were first noticed about five years ago, viz., loss of memory, insomnia.  Patient on admission stated that she fell from carriage and had bruised her right side.  Attendant found her right side and arm bruised.

Dec 8, 1895.  Patient is very quiet and inoffensive.  Right eye very much diseased, constantly running, sight entirely gone.  
Dec 29.  No change.
Jan 23, 1896.  No change.
Mar 20.  No change.
Apr 30.  No change.
Jun 7.  No change.
Jul 12.  No change.
Dec 20.  Has been in bed for past 2 weeks suffering from consumption.
Jan 26, 1897.  Has been failing slowly since last note.  Is very weak, today was visited by brother today.
Jan 27.  Failed very gradually during the night and died at midnight.
Jan 27, 1897.  Died.  Phthisis Pulm.


History and clinical notes:
History: Patient had a pass from Washington DC to New York.  Was put off train at Wilmington.  Says he has four million dollars and that he has been corresponding with Dr. Parkhurst and that Grover Cleveland will give him all the money he wants.  Attendants were bathing patient when he became very violent and was put in restraint; was noisy once during the night.

Dec 18, 1895.  8 a.m.  Restraint removed, was given a bath, allowed to go on front ward.  4 p.m. was very much excited, beating on the door and saying that his wife was on the outside and he wanted her to come in.  Was told that she was not present.  He became exited and noisy and threatened violence, saying Grover Cleveland would come and take him out, that he had plenty of money in bank, he was going to buy a property and make a summer resort.
Dec 19.  Restraint removed, has been quiet.
Dec 20.  Is orderly.
Dec 29.  Has been quiet and orderly since last note.  Somewhat delusional in his conversation.
Jan 6, 1896.  Some excited, although not enough to be confined.
Jan 12.  Conversation coherent, is quiet and very orderly.
Jan 19, 1896.  Removed to today by friend, very much improved.


History and clinical notes:
History: Officer who brings him knows nothing of his history.

Dec 29, 1895.  Patient has been quiet since he came, until today.  Has been quite depressed.  Kept by himself and asked to go home whenever an employee approached him.  This morning demanded to go home, said he would kill himself, threw himself on the floor and bruised his forehead over left eye – required considerable force from attendants to hold him until he was quiet.
Jan 6, 1896.  Very much improved, takes his meals in dining room and is very orderly.
Jan 21.  Has improved so much that he was allowed to go home today.
Feb 26, 1896.  Discharged improved.  Was allowed to go home Jan 21 on advice of friends and relations to settle up some business affairs.  His body was found yesterday floating in Christiana; see note above.

Additional notes:
2/5/1896 he disappeared from home and was later found dead in the Christiana.  Note attached newspaper clipping: “An Italian’s Mysterious Death: [Name redacted] Found Floating in the Christiana River Opposite Farnhurst.  The dead body of [name redacted], at one time a prosperous Italian fruit merchant, here, was found in the Christiana opposite Farnhurst last night.  Three fishermen who were in a boat saw the body floating in the river.  A rope was thrown over it and the body was towed to the shore.  Deputy Coroner Chandler was notified, and had the remains removed to Farnhurst.  The body had the appearance of having been in the water for about two weeks.  A watch found in the vest pocket was identified by [the patient’s] daughter.  How [he] came to his death is not known.  About two months ago he went insane, it is said, from worry over business troubles.  He was violent and while waiting to be examined by the doctors at the police station tried to escape by breaking several windows.  He was sent to Farnhurst, and in a short time was released.  On February 5 he disappeared from home and his whereabouts were unknown.  It is supposed that he wandered out in the country and fell in the river.  An inquest will be held.”


History and clinical notes:
History: Officer who brings patient state that he has been drinking very hard of late, but does not know particulars of the case.

Dec 29, 1895.  Has been in bed since he came.  Has not ate anything until this morning when he drank a little milk.
Dec 29.  A friend visited him today, who related that patient had always drank more or less.  About one year ago began to drink to excess.  About 3 weeks (?) ago had a severe attack of delirium tremens.  Seven month ago fell down stairs and shortly after his friends noticed that he acted queer, only when he had been drinking.  At other times he is as well as anyone.
Jan 4, 1896.  Discharged Dipsomania.


History and clinical notes:
History: Patient was brought to institution Dec 23 by her husband, father, and family physician and she has been held here until physicians of Delaware could examine her mental state according to law.  Her physician stated that she had always been considered queer and eccentric, even when a little girl.  For past few years has been quite excited at times, mostly on religious topics and has several times threatened to kill her husband.

Dec 29, 1895.  Became very much excited this pm.  Said she had “got religion”, jumped up and down, clapped her hands.  Had to be removed to back ward and Hyoscine administered hypodermically.
Dec 31.  For past two nights, Hyoscine has been given to keep her quiet and give her needed rest. 
Jan 23, 1896.  Has been very much excited since last note and a sedative is necessary every night to give her needed rest.  At times tears her clothing and frequently removed her clothing.  
Mar 20.  No improvement perceptible.  Very noisy and destructive, tears her clothing, and breaks everything she can lay her hands on.
Apr 21.  No improvement.  Still violent and destructive.  Was removed today by sister-in-law and husband against advice of supt.
Apr 23.  Patient was returned today as she was so violent they could not control her.
Jun 7.  No special change.  Is noisy and troublesome to care for.  
Jul 12.  Still very troublesome, has to be kept by herself as she at time strikes other patients and has occasionally broken windows on ward.
Mar 29, 1897.  Was removed today by her husband on parole.
Apr 1.  Was so troublesome at home that she was returned today.
May 30.  No improvement in mental state.
Aug 12, 1898.  No change.
Apr 1899.  Patient is still very noisy at times, but usually sleeps all right without a hypnotic.  Mental power very feeble; talks and acts like a child.
Jun 15.  Very little change in patient’s physical or mental condition; has a good appetite and usually sleeps well, although occasionally noisy at night.
Jan 15, 1900.  Patient about the same as she has been for some time; good general health but no improvement in mental condition.
Jul 25.  On parole.
Feb 14, 1901.  Discharged improved.


History and clinical notes:
History: Always enjoyed good general health until about 6 months ago, when she began to complain of intense head ache beginning back of head and this cephalalgia has continued since, with more or less frequency and intensity.  The past six months has also suffered from menorrhagia.  About six weeks ago first symptoms of insanity was noticed; began to talk strange at times and has gradually grown more feeble until show she stays in bed most of the time.  Very emotional and hysterical at times, cries frequently.  The cause of trouble is supposed to be grief and worry because her husband is unable to secure employment.

Jan 7, 1896.  Has been up and dressed part of each day.  Is very fault finding; complains that she is abused by attendants when the fact is she is treated with the greatest consideration.  Says that when she leaves here she will expose the institution.  Says her husband has been paying attention to nurse in infirmary for years, which explains antipathy to her.  This is a delusion, as the nurse is not acquainted with husband.
Jan 23.  No change.  Delusions are of same character and she is influenced by them to the same extent.
Feb 1.  Has improved very much during the past few days.
Feb 26.  Has steadily improved since last note, appreciates the fact that she has been ill.  Was visited by her husband today who removed her on parole.
May 13, 1896.  Discharged recovered.


History and clinical notes:
History: Patient admitted 11:30 a.m., nothing known of his history.  When examined, we find him delirious, tongue dry and brown in center, fever higher of afternoon and evening than the morning; bowels constipated; pulse very weak.  Was put to bed in infirmary.

Jan 3, 1896.  No improvement, is very restless.
Jan 5.  Very delirious, tongue still dry and brown; got out of bed 9 a.m.
Jan 6.  Letter received today from Dr. Johns stating that the patient showed signs of insanity Dec 16th; was excited, laughing, and etc. and Dec 19th he had a convulsion, which lasted probably 10 minutes.  His parents then called in Dr. Johns who found the patient’s temperature increased, tongue whitish, gradually becoming brown.  Insomnia pronounced, gradually getting more restless until finely (finally) so much so that he could no be controlled home.
Jan 4.  Is very delirious, tongue dry, brown, and parched; pulse from 100 to 120, increased temperature.
Jan 6.  No improvement.  Has to be tied in bed.
Jan 8.  Gradually getting weaker.
Jan 10.  No improvement.
Jan 12.  Very delirious, pulse 120, fever and etc.
Jan 13.  Extremely weak, unconscious.
Jan 20.  Died 6:15 a.m. and remains removed to Seaford on the 8:24 a.m. train.


History and clinical notes:
History: Patient first admitted Dec 29th and discharged 1.4.96.

Jan 10, 1896.  Very nervous, but not delirious; rested well last night; both eyes discolored and nose swollen.  Began drinking as soon as he left the institution.
Jan 12.  Very much improved.
Jan 16, 1896.  Discharged recovered.


Complications:
illegible phrase of abbreviations.  Looks like: Daile Tal Equ Var

History and clinical notes:
History: Patient was delivered with forceps from mother in Eclampsia and the occipital bone was dented in to such an extent that a walnut could be placed in the depression, and in one hour after the child was born was taken with convulsions and lasted about ten days with intervals varying from one half to one hour, and has had them ever since.  Convulsions are not so frequent as last one she had was two weeks ago, but they are harder.  Can’t talk, does not understand anything that is said to her; limbs and ankles deformed, muscles very small, patient can’t walk.  

Mar 20, 1896.  Has been in bed since admission, is utterly helpless.  Cannot walk or stand, mind appraised to be a perfect blank.  Nothing will attract her attention.
Apr 30.  No change.
Jun 7.  No change.
Jul 12.  Is much stronger, sits up in bed and takes some notice of objects.  Is much stronger.
May 30, 1897.  Sits up on the seat and is stronger.  Takes food in sufficient quantities and is brighter than she was when admitted.
Aug 12, 1898.  Is not as strong as she was and has had more convulsions than formerly.  Has lost flesh.
Mar 1899.  Patient sits up and lies on one of the benches in the hall most of the day, but takes very little notice of what is going on around her.  Eats fairly well, but is thin, with very poor circulation.
Jun 15.  Patient has had more convulsions lately and has been kept in bed all the time for the last month or so; has lost considerable flesh and does not appear to take any notice of surroundings.
Apr 4, 1900.  Died.  Status Epilepticus.

Additional notes:
Was severely brain damaged at birth by improper use of forceps.  Medical malpractice.


History and clinical notes:
History: When patient was 18 months old, fell down stairs and fractured his skull; for 37 hours was unconscious; when he regained consciousness was 3 days in convulsions and these continued every day or so for several months.  On the 27th of last March, Dr. William White trephined over left parietal region.  The operation has no effect whatever; the convulsions continued.

Mar 20, 1896.  Patient condition has not changed since admission.
Apr 30.  No change.
Jun 7.  No change.
Jul 12.  No change.
Feb 8, 1897.  Has had several attacks of status epilepticus, which have always been controlled by a rectal injection of 20 gm Chloral.  This p.m. (1) had another attack, had in the neighborhood of 40 convulsions before chloral controlled the [ill.]. 8 p.m. patient is unconscious, stertorus respirations, head turned to right side.
Feb 9, 1897.  Has not regained consciousness; pulse very weak this a.m.  Continued to fail and died at noon today.


On certificate of:
Drs. Robert G. Ellegood and Edward Fowler

History and clinical notes:
History: Thirty-nine years ago was violently insane and murdered one of his children.  Was taken to Georgetown and tried by court, acquitted and confined to the county asylum and recovered.**  Two years ago he had La Grippe and has been very peculiar since.  Has not been violent, talks on religion, finding money, young girls, and etc.  Says he is the richest man in the world, and he is an Addicks man (see glossary).  Feb 7, 1896.  7 a.m. Patient disturbed the other patients who roomed with him and received a bruised forehead and black eye.  He had all of the beds in the room against the door.  Att Valinder (?) went in the room and was struck two blows, one in the eye by patient.  Mr. Sullivan took the patient to lock ward and restraint applied; was very much excited, noisy, violent, and etc.  9 a.m.  Patient quiet, restraint removed.
Feb 26.  Has been orderly since last report.  Says he has found Blackbeard’s money pot; that he plowed the ground with a rooster and harrowed it with the hen.
Mar 8.  Is quiet, mind feeble, associated with delusions.
Mar 24.  Is very orderly.
Apr 25.  No improvement.
May 23.  8 a.m. Has a severe black eye and upon inquiry [name redacted] did it.
Nov 25.  Has been in bed for the past three months, feeble health, mind blank.
Dec 25.  Health poor, mind feeble.
Jan 15, 1897.  Does not recognize his friends.
Feb 15.  Mind feeble, health poor.
Mar 15.  No improvement.
May 15.  Mind very feeble.
Jun.  Patient confined to bed (diarrhea severe).
Jul.  Very much emaciated.
Aug.  No improvement.
Sep 19, 1897.  Died 1:40 a.m.

Additional notes:
Murdered one of his children as a sacrifice to God.


History and clinical notes:
History: None.

Mar 20, 1896.  Very feeble minded and childish; untidy and difficult to care for.
Apr 30.  No change since admission.
May 30, 1897.  No change since her admission.
Aug 12, 1898.  No change.  Very untidy, has to be cared for as a child.  Has gradually lost flesh since last report.
Jun 23, 1899.  Died.  Tuberculosis pulmonary.


History and clinical notes:
History: Patient is very good and orderly, can say some words so that he can be understood; has had one convulsion since admission.

Feb 25, 1896.  Has convulsions occasionally.
Mar 24.  Is a very good boy.  Had a convulsion Mar 22nd.
Apr 9.  Had three convulsions today.
Nov 25.  Has convulsions very often, is untidy and mind very feeble.
Aug 12 (year?).  Health gradually failing.
Oct 10.  All symptoms of tuberculosis.
Nov 10.  Very week, losing flesh very fast.
Jan 10, 1899.  Very thin and emaciated, diarrhea profuse.
Feb 12.  Terrible untidy and in weak condition.
Feb 23 (year).  10:30 p.m.  Died.

Final disposition:
Died in 1899.  Buried in Spiral Cemetery #67.

Additional notes:
Year unclear, may have been later than 1897.  5X8 card says he died in 1896.


History and clinical notes:
Mar 20, 1896.  Has been in bed most of the time since admission; one side is paralyzed.  Cannot talk, when spoken to invariably says “Can’t say no.”  Has a good appetite.  Is untidy.  
Apr 30.  Has failed very perceptibly during past few weeks.  Has lost flesh and has a valvular lesion of heart.  Pulse extremely irregular.
Jun 26.  Has been in bed in infirmary since last note.  At time suffered from difficulty of breathing and during these attacks became cyanotic.  This morning had a severe spell and gradually failed and died at 4 p.m.  Remains buried at institution cemetery at request of daughter.
Jun 26, 1896.  Died.


History and clinical notes:
Mar 20, 1896.  Patient is very feeble minded; will not talk and has to be cared for as a child; is very untidy.  
Apr 30.  No change.
May 30.  No change since her admission.
Aug 18, 1897.  Has been slowly failing for last week or two.  Is now in bed.  Appetite is failing.
Sep 19.  She has been in bed since last note.  Has gradually failed during this time and has wasted away rapidly.  Yesterday refused to take her usual quantity of milk.  During the night sank rapidly and died of inanition at 10:30 p.m. Sept. 18, 1897.


History and clinical notes:
History: Patient is harmless, can’t talk, very untidy, never will improve mentally.

Feb 28, 1896.  Is very untidy 
Mar 24.  Is still untidy.
Nov 25.  Does not know anything; has to be restrained to prevent him from throwing his shoes and socks out the window; also destroys his clothes.
Aug 28.  [No entry.]
Oct 8.  Still feeble minded, has many convulsions; appetite good.
Aug 29, 1903.  Not destructive at present.  In good general health, frequent epileptic seizures.  Very low grade imbecile.  Is untidy night and day.
Mar 18, 1908.  Tuberculosis (pulmonary).  [Note: assume they mean he died this day, but Cemetery Book says he died 4/8/1908.]


History and clinical notes:
History: Patient brought by officer, has been quiet since admission.  Says he is Joseph, that he has all the trades that God can give.  Was found sitting on the bank of the Christiana Creek.

Feb 16, 1896.  Has been orderly since admission.
Feb 26.  Has been working in dining room and says he will go in April.
Mar 8.  Is very orderly.
Mar 25.  Works in the dining room.
Nov 25.  Imagines that he controls all of the electrical machines in the world.
Aug 28, 18**.  Says he owns the lights in this building and wants his pay and if he don’t get it will turn the lights out.
Aug 12, 1901.  Works in dining room; is brusk (brusque); easily excited.
Aug 29, 1903.  General health good except for furunculosis for past 4 months.  Says he is a great inventor or electrical appliances.  Works in dining room, orderly and respectful.


History and clinical notes:
History: Office who brings patient states that he (the patient) has been insane for two years.  At that time spoke of owning a great number of farms and horses and these grand delusions have continued up to the present time.  Does not know particulars of the trouble.

Feb 17, 1896.  11 p.m. Very noisy and violent; was put in restraint and given hyoscine.
Feb 18.  9 a.m. restraint removed and allowed to go on hall.  9 p.m. very noisy, restraint applied.
Feb 19.  8 a.m. restraint removed.
Feb 25.  Is restrained every night and last night was so noisy at 12 m. that he was given 1/30 gm. H.
Feb 26.  a.m.  Tore his clothes, very violent, talks mostly on single tax and religion; says he has considerable property.
Mar 8.  Has been in restraint since last report.  Very noisy and violent and every evening has been given Hyoscine.  Has been fed with tube.
Mar 11.  Still in restraint.  Has a very good appetite now and eats his food; has lost flesh.
Mar 18.  Still in restraint, very noisy, hyoscine used every night to quiet him.
Mar 25.  Is very thin, noisy, and in restraint.
Apr 10.  Very noisy, in restraint, is very thin.
May 10.  No improvement.
Jul 12.  Very thin, chronic cough with offensive expectorant.  Diarrhea for the past two weeks.  No improvement mentally.  Fell out of window in restraint and fractured outer third of clavicle.
Jul 21.  Is extremely weak, very emaciated, terrible cough and profuse diarrhea.
Jul 22, 1896.  Died, 5 p.m.


History and clinical notes:
History: Patient was admitted into this hospital Jul 14, 1894 and was discharged at request of friends Dec 4, 1894.  Has always been feeble minded.  Lately will not stay around his house and wanders away and his people cannot care for him any longer.

Mar 24, 1896.  Has been quiet and orderly since admission.  Is an imbecile and of course can’t recover.
Nov 25.  Very orderly, health good.
Oct 17, 1897.  Discharged unimproved.
Jun 27, 1903.  Splendid health.  Very feeble minded.  Paroled in care of brother Jun 27, 1903.
Jul 11, 1903.  Returned.
Jan 3, 1907.  Paroled.
Feb 2.  Returned
Aug 24.  Paroled.
Aug 31, 1907.  Returned.


On certificate of:
Drs. I.S. Vallandingham and E.F. Nowland

History and clinical notes:
History: Was admitted June 27, 1895 and removed by wife and son July 10, 1896.  Has never been well since leaving the institution; wanders away from home and about two months ago was taken to New Castle Jail; was there three weeks; after he returned home was as bad as ever.  His wife had to leave house and [he] has threatened to injure her.  Lately has steadily grown worse, so that neighbors are afraid of him.  When brought to institution was handcuffed.

Mar 24, 1896.  Has been sick for a few days with coated tongue, aching bones, fever, and is in bed.
Mar 25.  10 a.m.  Expectorated about 4 oz. of blood.
Mar 26.  Very sick, appetite poor.
Apr 10.  Some improved.  
Apr 15.  Is on the hall and very much improved physically.
Apr 24.  Very much excited; says he has killed his wife and family and etc.  3 p.m. became very much excited, said his son was being killed; he broke screen from the window and Att. Stigers wasn’t in his room; he was struck by patient and took two other attendants to loose his hold on att. Clothes.
Sep.  Some improved.
Oct 11.  Some time during the night he was beat by other patients who roomed with him; he received a cut head, bruised face, and is in considerable pain.
Oct 12.  Patients who room with him say that he fell out of bed.
Oct 13.  Patient is unable to walk; the cut on head is on right side and the left side of head and face very much swollen, speech and motion of right side very much affected.
Oct 14.  Very weak.
Oct 20.  No improvement.  Gradually losing flesh.
Oct 22.  [No entry.]
Oct 24.  Is very weak, has erysipelas of right hand and arm.
Oct 26.  Hand and arm very much swollen and painful.
Oct 27.  A number of incisions were made in the arm this a.m. and considerable pus discharged; arm was syringed with peroxide; patient is very weak.
Oct 28.  Arm some improved and patient little stronger.
Oct 30.  No pus in arm and patient some improved.  Patient removed against wishes of Supt.
Nov 9, 1896.  Discharged unimproved.

Additional notes:
Note: Handwritten note included.  Dated Oct 30th, 1896.  “I hereby removed Mr. [name redacted] from the Del. State Hospt. at Farnhurst against the advice of the Superintendent.  He the Supt. has informed me that owing to the paralysis from which he is suffering and the enfeebled condition he is in, that removing him from his present surroundings is extremely detrimental to his health.  Knowing these facts I assume all responsibility and remove him against the protestations of the authorities of the Hospt.  [Name redacted.]
 J.H. Hammond [physician/supt.]


History and clinical notes:
History: Patient has always been a hard drinker, drinking more or less every day.  Last Sunday a week drank very hard and the next day complained of his head a great deal and there was loss of speech and hearing for two days.  Has talked more or less irrational since that time; says he has been drugged.  Has severe delusions of persecution.  Has not drunk anything since present attack began.  Aphasia very pronounced.

Apr 9, 1896.  Became very noisy, tore his clothes and was put on back hall of Ward D.
Apr 12.  Does not realize anything, will not eat; has to be fed with tube; lost lost flesh very fast, is extremely weak.
Apr 15.  Still confined in [ill.]; very untidy; still refuses to eat; does not know where he is.
Apr 21.  Very week, respirations stertorus, pulse rapid, amnesia very pronounced.
Apr 23.   Is in dieing condition.
Apr 24, 1896.  10:15 p.m. Died.


History and clinical notes:
History: Patient has never had a serious illness.  About five years ago became very nervous.  These attacks come on at irregular intervals.  Lately has become very violent, breaking up furniture, and has threatened to kill or injure his father or mother.  Parents have been unable to take care of him at home.  Has suffered from vertigo to a great extent.  The trouble seems to have been [ill.] by masturbation.  Patient has always been very stout.  When he was 8 years old weighed 110 lbs.  

Apr 10, 1896.  Is very much improved, cheerful, orderly, likes it here very much.
May 28.  Was playing checkers with patient [name redacted] and his feelings were very much hurt and he went to back hall of Ward C and [another patient] began cursing him.  He asked the attendants to stop him.  They told him to go away from [other patient] and his reply was that he would go when he got ready – that he had as good a right there as they had; then he was told to go again.  When he refused and he was taken to the hall he became very much excited; cried for a number of hours; was very nervous.
Jun 6, 1896.  Was allowed to go home.
Oct 4, 1896.  Discharged.

Additional notes:
Died 8/18/1940.  Buried in Laurel, Sussex County, Delaware.


On certificate of:
Drs. William R. Bullock and James H. Morgan

History and clinical notes:
History: First symptoms manifested about two years ago; became melancholy, neglected her household duties.  Has been more or less depressed since that time although there has been periods when she was apparently rational and well.  Lately has been very much worse.  Has delusions in regard to several subjects; imagines that men want to have connection with her.  Has steadily gained flesh and strength.

Apr 30, 1896.  Has given but little trouble since admission.  Says that men have connection with her every night and that during the day they secretly push foreign substances up her vagina.  Is very silly at times and laughs almost hysterically without apparent cause.
May 10.  Has not improved.  This morning began swearing and cursing all men and using very vulgar language; was necessary to transfer her to rear ward.
Jun 7.  Has been more quiet since last note; not quite so abusive.  Is inclined to control herself for fear of being placed on back ward.
Jun 26.  Was removed to Camden, NJ by her husband on parole.
Oct 4, 1896.  Discharged improved.


Insane Relatives:
sister died in asylum; Father and brother

On certificate of:
Drs. O.D. Robinson and Robert G. Ellegood

History and clinical notes:
History: Patient has been peculiar for one year and about a week ago he became noisy, violent, tried to kill his wife, left his home and was found in the woods a few days after.  Speech very incoherent, singing, praying, cursing, and etc.  12 m. very noisy, was given 1/100 Hyoscine.  

Apr 17, 1896.  So violent that he had to be restrained.
Apr 23.  Has been very noisy, violent, incoherent, talking mostly on religion until this a.m.  P.m. restraint removed and allowed to go on hall.
May 28.  Works in the dining room; likes it here very much and is very easily excited on religion.
Jun 15.  Was so excited this a.m. on religion that he had to be removed from dining room to Ward C.
Jul 15.  Patient’s face is very much congested and will hardly speak when spoken to.
Aug 15.  No improvement.  
Sep 15.  No change.
Oct 15.  Will not speak when spoken to, nor do any work.
Oct 30.  Is very much depressed, pulse very feeble, extremities cold, vasomotor disturbance very pronounced.  
Nov 12.  Has been in bed for the past 10 days; was allowed to sit up today.
Nov 25.  Has been talking very good for the past three or four days.
Dec 9.  Became so noisy and violent that he had to be restrained.
Dec 18.  No improvement.
Dec 31.  Still restrained, very noisy, talks incoherent and extremely untidy.
Jan 15, 1897.  No change.
Jan 30.  No change.
Feb 14.  Still restrained, noisy and untidy; ate his feces this a.m. 
Mar 1.  Restraint removed; is very untidy, talk incoherent on various subjects and is very easy controlled.
Aug 25.  Same as above reported.
Apr 1, 1900.  No improvement.
Jun 2.  Fell on the floor some time during the night and fractured left humerus at middle third.
Oct 8.  At times noisy, untidy, mind feeble and talks incoherent, health good.
Aug 27, 1903.  Good health.  Garrulous.  Does a good deal of work on the ward.  Silly in conversation.
Jan 29, 1904.  Had a fit today, epileptiform in character.
Jan 31.  Had another fit today.
Nov 1912.  No changes, is usually noisy and violent.
Jan 20, 1913.  Has developed erysipelas (idiopathic) involving face and neck.
Feb 1, 1913.  Died – Erysipelas (idiopathic).


History and clinical notes:
History: Officer who brings patient to Hospital knows nothing of her history.  Patient was discharged recovered Oct 16, 1895.

Apr 30, 1896.  Has been very violent since admission and requires restraint most of the time.  
May 14.  Has not improved.  Is very violent and vicious.  Is necessary to keep her in restraint constantly.
Jun 7.  No improvement.  Has been in restraint more or less since last note.  Is very vicious and has frequently struck patients and attendants who have come near her.  
Jul 12.  Has been in restraint ever since admission.  Is very violent, profane, and extremely vicious at all times.
Nov 7.  Has gained considerable flesh and is quite stout.  No very marked change in mental state although not quite as vicious as formerly.
Jan 7, 1897.  Has gradually improved since last note and was allowed to leave today on parole.
Jun 17, 1897.  Discharged recovered.


History and clinical notes:
History: Has had attacks for the past fifteen years which lasted from two or three days to a week; was noisy, talked incoherent, destroying everything he had his hands on, but was always kept home.  During Christmas he had attack which lasted four weeks, and recovered, and two weeks ago his brother died and since the day after he has been noisy, violent, and a constant desire to go from place to place.

Apr 24, 1896.  Conversation somewhat incoherent, although orderly.
May 28.  Is very much improved; has written a number of letters to his family and often asks when he can go home.  Was allowed to leave on parole June 8th and was only home a few hours before he was so noisy and violent and going from place to place that he returned June 13th, and since admission talks incoherent and is at times noisy.
Jul 1.  Very much improved.
Jul 15.  Very orderly.
Aug 15.  Works in male dining room.
Sep 8.  Allowed to go home.
Feb 11, 1897.  Discharged recovered.


History and clinical notes:
History: Parties who brought patient to Hospital know but little of her history.  She has been an epileptic for years and was always more or less weak minded.

Apr 30, 1896.  Patient has no mind whatever; is unsteady and has four or five convulsions a week.
Jun 7.  No change in any particular since admission.  Is subject to violent epileptic seizures and after these attacks is quite vicious.
Jul 12.  No improvement.
Nov 7.  No change.
May 30, 1897.  Mind more feeble; frequent epileptic seizures.
Aug 12, 1898.  No change.
Mar 1899.  Condition remains about the same; mind very feeble; patient seldom speaks, and when she does speak is often quite incoherent.  Still has frequent epileptic seizures.
Jun 15.  No change.  Physical health fair; is often very cross and irritable, striking at the patients or anyone who comes near her; still has frequent epileptic convulsions; regains consciousness quickly after these, but is usually vicious for some time afterwards.
Jun 23.  Patient does not appear well, eats very little and vomits frequently; irritable and restless.
Jun 24.  Had a hemorrhage, apparently from the lungs, blood bright red and raised by coughing.  Continued to spit blood in mouthfuls throughout the day.
Jun 25.  Patient has high temperature and rapid pulse; looks pale.  Respirations hurried and shallow.  Large moist rales all over chest on left side.  Cavernous (?) breathing over large area, lower portion of upper lobe on left side; expectoration free, brownish colored, very disagreeable odor.
Jun 27.  Patient will not eat, temperature and pulse rate remains high, expectoration continues, profuse, gangrenous odor.  Patient in semi-comatose condition.
Jun 28, 1899.  Patient died this p.m.


History and clinical notes:
History: Patient makes the following statement in regard to his condition.  About 4 years ago had an acute attack of meningitis cerebral – that after he recovered, began to have attacks of petit mal and that during past two years attacks are becoming more severe.  Suffers some from cephalalgia.

May 28, 1896.  Has very much improved; says he has not had a convulsion since his admission.  Has not shown any symptoms of insanity since his admission.
Oct 4, 1896.  Discharged.  Not insane.


History and clinical notes:
History: Officers who bring patient know nothing of her history.  She is very noisy and violent.  Struck several attendants when bathing her.  Patient was very filthy and head filled with lice.  Body was and limbs were covered with bruises.

May 4, 1896.  Husband visited her today, states that she has had epilepsy for the past two years.  Some attacks were very severe and they came on at irregular intervals.  Sometimes would have 2 or 3 attacks a day.  Has at times talked irrational, for past 2 or 3 weeks.
May 14.  Is much better in every respect, is on front ward and is quite cheerful.
May 21.  Was removed by husband today on parole.
Oct 4, 1896.  Discharged recovered.


History and clinical notes:
History: Was admitted first time 2.27.94 with acute mania.  Made a good recovery and discharged 4.7.94.  Since leaving the institution she married and has a baby three weeks old.  One week after delivery of child symptoms of insanity were noticed, viz. incoherence of speech, noisy, violent, and talking on various subjects.

May 14, 1896.  Has been very incoherent in her conversation since admission and as she removes all her clothing it is necessary to keep her in restraints.  For past week has been fed with nasal tube twice daily, as she has refused all food.
Jun 7.  Has improved somewhat, not quite so incoherent in conversation.  Is more tidy in her habits.
Jul 12.  But little change since last note.  Has been suffering for past week with diarrhea.  Is up and about today.  At times incoherent in her conversation.  Has picked up physically.
Aug 12.  Has improved rapidly since last note.  Was visited by husband today who removed her on parole.
Oct 4, 1896.  Discharged recovered.


History and clinical notes:
History: Was first admitted 2.8.1892 and discharged cured.  Has been peculiar for the past year and is a very hard drinker and when under the influence of liquor is very dangerous.

May 28, 1896.  Is very much depressed, will hardly speak when spoken to, has suicidal and homicidal thoughts.
May 30.  Is more cheerful and talks to other patients.
Jun 16.  Is very orderly and some depressed; sleeps much of the day.
Aug 8.  Some improved.
Sep 8.  Very much improved; is excellent help in dining room.
Oct 4, 1896.  Discharged recovered.


On certificate of:
Drs. Robert G. Ellegood and O.D. Robinson

History and clinical notes:
History: Four years ago symptoms of insanity were first noticed.  He became irritable, had a number of quarrels with people; would leave his home and go from place to place.  Some months ago he chased his brother with a swingle tree.  [See note on old Dell computer].  Says he has a plenty of money and two weeks ago, and two weeks ago he beat his wife – said she is not true to him.  And a few days later he became so violent that he was taken to Georgetown Jail, where he tore his clothes, talked incoherent, is very noisy and violent.  Upon examination, patient is found bruised on right arm from shoulder to elbow and right wrist inflamed and swollen, forehead scratched.  4 p.m. tore his clothes and was muffed.  1/100 gms Hyoscine given 9 a.m.  

May 8, 1896.  Muffs removed and wristlets put on.  Dr. Hammond visited him and set on side of bed with patient and was kicked back of head.  5 p.m. Spit his false teeth and the floor and mashed them; also got wristlets off and tore his clothes to pieces.  Attendants Ledent, Jones, and Kenny and Dr. Hammond went in his room and he struck Ledent in the breast and Kenny in the face.  Put a shirt on him, was muffed and ankle straps applied.
May 12.  7:30 p.m. Still in restraint, both hands and feet, and were ordered removed by Dr. Hammond.  As soon as removed he struck Dr. Hammond in stomach and spit in his face.  Also Att. Ledent.
May 28.  Still in restraint; is very noisy at times, very abusive, says he owns this building, that his brother has taken his wife away from him; is very untidy.  
Jun 16.  Is still restrained, untidy, very violent at times, incoherent conversations.
Aug 8.  No improvement, still in restraint, very untidy, noisy and at times violent.
Aug 21.  Attempted to destroy himself by forcing his eyes out with his fingers.
Oct 15.  Not so noisy as he formerly was, but is still in restraint.
Nov 12.  Slipped and fell on the floor this a.m., cutting his forehead and injuring his nose.
Nov 29.  Still in restraint and very hard to control.
Nov 29.  Fought two attendants and received black eye.
Dec 29.  Has been restrained a number of times since last report.
Jan 20, 1897.  No change.
Feb 12.  Is restrained, noisy, and untidy. (See page 189).
Feb 20, 1899.  Has been very quiet and orderly for the past few weeks; work on the wards and reads the papers.  Health good.
Jan 1, 1901.  Removed on parole.
Feb 14, 1901.  Discharged recovered.


On certificate of:
Drs. Joseph A. Hopkins and Robert Hopkins

History and clinical notes:
History: Has had convulsions since birth, is very hard to control at times, mind feeble.  

May 28, 1896.  Physical health very good.  Is hard to manage.
Aug 8.  Patient is very obstinate and hard to manage; mind very weak.  
Oct 30.  General health good; is on hall most of the time.
Nov 25.  No change.
Feb 26, 1899.  Health not so good; still has convulsions; mind very feeble; is very untidy and irritable at times.
Aug 28.  Same as above reported.
Sep 20.  No improvement mentally.
Oct 20.  Mind very feeble; convulsions as usual; health very poor.
Nov 20.  Losing flesh very fast.
Dec 1.  Has been in bed for past few days.  No improvement.
Dec 10.  Gradually getting weaker.
Dec 20.  All symptoms of tuberculosis.  Rapid (?).
Jan 3, 1900.  Died 10 p.m.

Final disposition:
Died of tuberculosis.  5X8 card says he died 1/3/1897.


History and clinical notes:
Has had epilepsy since birth, treated by a number of physicians without success; mind some feeble.  Has a fit last night, face bruised and sore from the fall.

May 11, 1896.  Was removed by his mother.
Jun 13, 1896.  Discharged unimproved.


History and clinical notes:
History: Patient was admitted Feb 27, 1893 with a history as follows: Staggering gait for the past two months, has an idea that worms are crawling on him and he is constantly trying to pick them off and he has thought this for 2 years prior to being admitted here.  He is very much emaciated, cannot stand alone, wrist drop and mind very feeble.  Has a severe bed sore, is very weak and emaciated.

May 18, 1896.  Pulse very feeble; patient is extremely restless.
May 22, 1896.  4:30 a.m. died.


History and clinical notes:
History: Has a number of attacks of Rec Mania (recurrent mania) which lasts for a few weeks and during the time he is noisy, restless, talks incoherent, shows a tendency to fight, is very noisy at night, has been so noisy that he was in back hall.

May 21, 1896.  Removed to front hall.
May 28.  Has been on quiet hall since last report.  Is quiet, orderly, and . . .
Jul 30.  Not so well.
Aug 8.  Is orderly and anxious to get home.
Oct 4, 1896.  Discharged recovered.


On certificate of:
Drs. J.G. Elbert and H. Clay Stevens (?)

History and clinical notes:
History: Officers who bring patient know nothing of her history.  First symptoms of insanity were first manifested about 4 days ago.  She has been perfectly healthy and no special cause could be assigned for the trouble.  Wandered away from home to Kennett Square last Sunday; why she left her house is not known.  When found, her mind was wandering and she was inclined to be boisterous and troublesome.  Has been attending church very steadily for past month or two and has talked a great deal about religion and her pius (?).  

Jun 1, 1896.  Has been very violent and disturbed since her admission.  Has steadily lost flesh and strength and is slowly failing.
Jun 7.  Has been in bed since last note.  Is slowly growing more feeble; very restless, so much so as to necessitate tying her in bed to prevent her injuring herself.
Jul 12.  No improvement.  Is very noisy and troublesome at all times and it is necessary occasionally to give her Hyoscine to give her needed rest.  Has lost flesh and strength.
Jul 27.  Has been very noisy and restless since last visit.  Has gradually failed physically and has rapidly lost flesh.
Jul 27, 1896.  Died this 9 a.m. from exhaustion.


History and clinical notes:
History: Officer who brings patient to Hospital states that patient has always been considered weak-minded and that he has been addicted to the habit of drinking intoxicants for years.  He goes on periodical sprees and lately has been quite disturbed at times.  In office is full of delusions.  Says that he has lots of fish; that he hatches them by cutting them in small pieces and each piece will become a new fish.  They are called Nile fish and he has millions of them.  Has some features of General Paresis, hesitating speech and a slight (problem with?) coordination in walking.  Has steadily lost flesh and strength.  Was so noisy that he had to be restrained.

May 31, 1896.  At 2 a.m. was given Hyoscine.
Jun 1.  Is very nervous, though not so noisy.
Jun 2.  Is improved, restraint removed.
Jun 3.  On quiet hall.
Oct 4, 1896.  Discharged recovered.


History and clinical notes:
History: Patient has suffered for years from neuralgia of head.  Has been treated with no effect.  About 4 weeks ago patient began to become suspicious of his relatives; imagined that they were trying to stop him visiting a lady friend and that they had other designs on him.  He left his relatives and rented a private room but his neighbors were the ones who were down on him.  Last night became very violent and attacked his brother, who was sleeping with him.  Since then has been very quiet at times, but there are periods lasting a few hours when he becomes very violent.  Was taken to Stn. Hall this morning at 5 o’clock and has been quite disturbed since then.  For past 4 weeks has steadily lost flesh (about 15 pounds).  Has a reputation for going with fast women.

May 31, 1896.  On examination patient is found bruised over right shoulder, left hand swollen and back of head very much bruised.  10 a.m. Pushed his thumbs in his eyes and forced the eye balls out; tore a considerable (amount) of the tissue around the eyeballs and was given Hyoscine.  6 p.m. Very noisy and restless, was put in bed saddle.  12 m. So noisy that he was given Hyoscine.  7 a.m. Very noisy, is getting weaker.  1 p.m. Very noisy, in constant motion, was fed with tube – milk and liquid Peptonoids.  12 m. Very noisy, given Hyoscine.
Jun 2.  8 a.m. Fed with tube, milk and whiskey, very restless though very weak.  1 p.m. fed with milk and whiskey.  Extremities cold, respiration increased, features pinched sores (?) on teeth, tongue dry and hard.  Has been very restless since admission and died about 4:30 p.m.


History and clinical notes:
History: Two years ago patient became depressed, saying there was something running in his head and that poison was in his shoulders.  Talks in a low tone; has lost considerable flesh, imagines that he has a number of diseases.  Says that he is going to be killed.

Jun 3, 1896.  Used battery on head and shoulders of patient.
Jul 12.  No change.
Aug 8.  Sits in one position all day long, will not speak unless spoken to, is very much depressed.
Oct 30.  No improvement.
Nov 25.  Health some improved; mind no change.
Apr 10, 1897.  Was allowed to go with brother.
Oct 17, 1897.  Discharged improved.


History and clinical notes:
History: At times she is very much excited; complains of a ball in her throat.  She believes there is something growing inside of her and anything that worries her produces an attack.  Has palpitations of heart and some dyspeptic symptoms.

Jun 24, 1896.  Was removed today by her son on parole against the advice of the Supt.
Oct 4, 1896.  Discharged unimproved.

Additional notes:
Note:  Handwritten note on letterhead of Dr. Wm. H. Hancker.  At top notes that visiting hours are Mondays, Wednesdays, and Saturdays, 2 to 5 p.m.  “This is to certify that I remove [patient] from the Del. State Hospt. at Farnhurst against the advice of the Superintendent.  That I will hold myself responsible for her safe care and maintenance and will exonerate the Officers of the Del. State Hospt. from any harm or damages arising from any act or indiscretion on the part of the said [patient].  [Signature]


History and clinical notes:
History: Patient was discharged improved Sept. 11, 1893.  

Jul 12, 1896.  Has been quiet and orderly since admission, works on the ward.
Nov 7.  No improvement.  Talks very incoherently at times; says she owes a great deal of money; still works at times on ward.
Mar 7, 1897.  No change.
May 30.  No change.
Aug 12, 1898.  No change.
Aug 27, 1903.  No change mentally.  Good physical condition.
Feb 27, 1904.  Has had bilious attack.  Out (?) in bed several days.  Is now fully recovered.  
Nov 1, 1910.  Patient up and about the ward since last note.  No very marked change.  Today abscess tubercular was noticed on buttocks.
Nov 20.  Other abscesses have formed about gluteal and perineum regions.
Dec 20.  Is in bed, very weak; abscesses [ill. – innumeral?] around vagina, hips, etc.  
Jan 1, 1911.  Extremely weak, abscesses discharging thin yellow fluid.
Jan 15.  Very weak; has lost flesh, etc.
Jan 16.  Has failed rapidly since yesterday and died at 11:30 a.m.
Jan 16, 1911.  Died, general tuberculosis.


History and clinical notes:
History: Patient has drank steadily for 17 or 18 years, but not to excess until the past two years when he began to drink incessantly.  For past two months has been drinking so much that his mind became affected, and two weeks ago had at attack of delirium tremens and was taken to Almshouse, and tonight from there here.  Right arm from shoulder to wrist very much bruised; has had convulsions beginning three months ago.

Jul 12, 1896.  Discharged.


History and clinical notes:
History: Has been drinking for the past week very hard and was beat severely about the head a few days ago.  Complained of pain and butted his head against the wall in the City Hall and was very violent; when admitted would hardly speak when spoken to.

Jul 6, 1896.  6 p.m. [inst. ?] will not speak nor eat and was feed with tube
Jul 7.  7 a.m. ate his breakfast.
Jul 12.  Restraint removed, allowed to go on front hall and is very much improved.
Aug 8.  Is very much improved; says he likes it here very much.  Has a good appetite, sleeps well and talks very good.
Oct 4, 1896.  Discharged recovered.

Additional notes:
Died at NCCH/Almhouse 1/19/1919.  Buried at Cathedral Cemetery.


History and clinical notes:
History: Has been peculiar for a number of years, wanders from place to place, her relatives could not control her; mind feeble.

Jul 7, 1896.  Patients’ relatives did not know that she was to be brought to this institution and would not leave her here; said that they wanted her placed in Almshouse.  They procured the necessary order and removed her to that institution this morning.
Jul 12, 1896.  Discharged unimproved.
Was removed to New Castle County Alms House by her friends, July 7, 1896.

Final disposition:
Taken to NCC Almshouse by friends, who didn't want her to be in the asylum


History and clinical notes:
History: About two years ago she left her husband, who had been dissipated for years.  He neglected to support her and at times abused her.  She came to Wilmington about 18 months ago to live with her son-in-law.  She worried a great deal over her separation.  About 6 months ago, friends noticed that she was peculiar at times; spoke about going back to her husband; acted peculiar; wandered about the house aimlessly at times.  About 4 weeks ago became very much worse, talked incoherently, dress and undressed herself a number of times a day; slept but little.  She’s had a number of spasms resembling epilepsy.  Has lost strength and flesh.  

Sep 1, 1896.  Has improved considerably since admission.  Talks more rationally and has also improved physically.
Sep 12.  Was visited by daughter today, who removed her on parole.
Feb 11, 1897.  Was today discharged recovered.


History and clinical notes:
History: Patient was admitted Nov 15, 1895 with delirium tremens and discharged Jan 4, 1896.  Has not drank anything until two or three weeks ago and has been drinking very hard since that time.  He is very nervous, excitable.

Jul 16, 1896.  Very much improved, quiet, orderly and on hall.
Oct 4, 1896.  Discharged recovered.


History and clinical notes:
History: Patient has had poor health for the last several weeks and a few days ago, symptoms of insanity were first noticed.  He would travel from place to place, broke a lot of dishes this morning, repeats one thing over and over.  

Jul 25.  Patient has been quiet and orderly until 2 p.m. today, when he became very noisy, violent, tried to strangle himself and a few minutes later he was cold and clamid, pulse very slow and weak, pupils contracted.  Urine drawn from patient.  Was given hypodermic of whiskey strychnia, hot bath, and etc.  Died 1 p.m. Jul 26, 1896.
Jul 26, 1896.  Died.

Additional notes:
Buried at DSH, Grave #44.  Note:  “Whiskey strychnia” was often given to people who were suffering from shock or who were unconscious, to ‘jump-start’ their systems and try to reanimate them.


History and clinical notes:
History: On 1st of March last had a stroke of paralysis; after recovering from the same became [ill.] incoherent in her talk and at times lately has been very violent and troublesome.

Aug 19, 1896.  Has been quiet and orderly, but very untidy since her admission.  Mind is very feeble.  At noon today had a stroke of right sided hemiplegia, speech very much affected.
Sep 17.  Has improved physically and is now up and about the ward.  There has been no change in her mental state.  Very feeble minded, untidy, and difficult to care for.
Oct 28.  Had another stroke of hemiplegia (right) and had a number of convulsions, which were controlled by means of 30 grains of chloral.
Nov 4.  Is better and is able to sit up a little.
Dec 22.  Had another attack of apoplexy last night.
Jan 3, 1897.  Still in bed and is unable to articulate sufficient clear to understand.
Mar 7.  Had been in bed most of the time since last note.  Is quite feeble and unable to care for herself in any particular.
Mar 26, 1897.  Has slowly failed since last note and died this 5:15 p.m.


History and clinical notes:
History: First symptoms manifested two years ago, became very much depressed, refused at times to eat, said that her relatives were trying to poison her food; would not sleep without aid of narcotics.  This attack lasted about one month when she became better but never has entirely recovered.  About one week ago began to get much worse, walked around the house, would not sleep.  Has to be watched constantly to prevent her from wandering from home.  Is very anaemic and has steadily lost flesh and strength.  Cause is supposed to be [ill.] climacteric.

Aug 19, 1896.  Mind feeble.  Sits by herself and speaks and answers questions in an undertone.  For past few days has assisted in light work about the ward.
Sep 17.  Has improved.  Is more bright and cheerful, still assists in light work about the ward.
Nov 7.  But little change mentally since last note.  Assists in light work.
Jan 3, 1897.  No change of any importance.
Mar 7.  No change.
May 30.  No change.
Aug 12, 1898.  No change.
Jun 15, 1899.  Patient’s condition unchanged.  Assists in light work about the ward.  Very quiet, seldom speaking to anyone, remains standing all the time unless made to sit down; appetite poor, has to be coaxed to eat anything; very thin and somewhat anaemic; sleeps fairly well, seldom requiring a hypnotic.
Jan 15, 1900.  No change in patient’s condition since last note.  Still remains very thin and somewhat anaemic; appetite slightly better; sleeps well and assists in light work about the ward; almost never speaks unless directly addressed and then only in monosyllables.
Aug 2, 1902.  Works on ward or in kitchen; very quiet and peaceable; very slow in her movements; seldom speaks unless spoken to and then answers in a whisper.  On the whole, very little change in the last year and a half.
Oct 27.  Paroled.
Feb 6, 1903.  Returned.
Aug 14, 1909.  Patient has given us no trouble since her return.  Has worked a great deal of the time at Supt. residence.
Aug 14, 1909.  Was removed by sister today.
Jun 10, 1910.  Discharged recovered.


On certificate of:
Drs. James A. Hopkins and Robert B. Hopkins

History and clinical notes:
History: Symptoms of insanity were first noticed about five months ago; has been very violent, tears her clothing, raves on various subjects.

Aug 19, 1896.  Very untidy, tears her clothing and interferes with other patients.  Undresses herself; conversation very incoherent.
Sep 17.  No change.  Very weak mentally and very untidy and difficult to care for.
Oct 3, 1896.  Has been slowly failing for past 2 or 3 weeks, this morning very feeble, continues to fail and died of inanition 3 p.m.


History and clinical notes:
History: Patient masturbates at every opportunity; prefers to be by himself; will seldom speak when spoken to and lately has refused to eat.  Looks (as) if he has always been feeble minded.

Aug 8, 1896.  Will seldom speak when spoken to; won’t assist on the hall.  Sits in one position every day.
Sep 1.  No improvement.
Oct 16.  Is very obstinate and very hard to control; was asked to get shaved this a.m. by attendants; he refused and was taken to the chair when he struck Att. Lyons in the face and blacked his eye.
Oct 20.  As patients were going to dinner [patient] struck [another patient].  Harry Lyons, an attendant, separated the patients and was taking [this patient] to lock him in room.  He turned on the attendant, scratched his face, and bit his thumb severely.
Nov 12.  Will seldom speak when spoken to, will not do any work on ward.
Nov 25.  Is very obstinant, will not speak when spoken to.
Dec 1.  Has coated tongue, rapid pulse, and increased temperature and removed to the Infirmary.
Dec 4.  No change.
Dec 8.  Temperature higher afternoon and evening, tongue dry and brown, [ill.] in teeth;  some delusions.
Dec 14.  No improvement.
Feb 26, 1899.  Very stupid, untidy, and masturbates at every opportunity.
Aug 28.  Same as above report.
Oct 8.  No change since last report.
Jun 12, 1901.  Mother states boy was like other children and went to school until 12 years of age.  Was given a watch as a scholarship prize.  At twelve years of age he was put to work and shortly afterwards, as mother looks back, the boy began to seclude himself and be very quiet with occasional outbursts of temper.  He continued working at different things until 6 months before admission, when symptoms became more marked.  Is stupid.  Will talk or do nothing.  Resisting all attempts to arouse.
Aug 12.  Ditto to last note.
Aug 27, 1903.  Quite demented.  Never speaks.  Sits all day long in one position taking no notice of surroundings.  Is cateleptoid.  Good health.  Obeys orders.  
Oct 15, 1904.  Has been confined to bed for past two weeks; is losing flesh rapidly and cannot eat solid foods.
Nov 7, 1904.  Continues to grow worse; breathing impaired, lungs oedematous.


History and clinical notes:
History: Daughter states that she has always been a hard-working woman.  About a month or six weeks ago began to break down physically, supposed to be due to hard work.  About two weeks ago, first symptoms of insanity was noticed; that she began to talk very simple and at times manifested a desire to injure others.  Threatened to kill a man by the name of Lewis because he told her that she was crazy.

Aug 10, 1896.  Has been very violent and noisy since admission.  Has refused to eat.  Has been fed with tube, but vomits everything that is fed to her.  Is slowing failing in flesh.
Aug 12.  Much weaker; has been fed via rectum for past two days.  Sleeps a little more than she did.  Is much weaker.
Aug 15.  Is much weaker, pulse very feeble.  Took a little oyster juice.  Is more rational as she grows weaker.
Aug 16, 1896.  Gradually failed and died at 2 a.m.  Death caused by exhaustion from Acute Mania.


History and clinical notes:
History: Officers who bring patient to hospital knew nothing of his history.  Was picked up in streets.

Aug 11, 1896.  Patient was very feeble and was immediately placed in bed.  Pulse 120, temp 102.  There was [ill.] in teeth – tongue very much coated.  Is in a typhoid condition.
Aug 12.  No improvement.  Temp this a.m. lower, tonight rose to 102.5.  Has been fed at frequent intervals with sterilized milk.  Is very weak and feeble.  Does not speak but at times appears to understand what is said to him.
Aug 15.  Is somewhat stronger.  Urine has to be drawn by aid of catheter.  Is nourished every hour.  Is taking milk and whiskey.
Aug 19.  Still very feeble, pulse weak.  Takes but little nourishment.  Whiskey and milk has to be administered in small quantities and at frequent intervals.
Aug 22, 1896.  Has gradually failed and died 10 a.m.  Typhoid fever.


On certificate of:
Drs. George W. Marshall and John L. Pratt

History and clinical notes:
History: Constable who bring patient to Hospital knows nothing of his history.

Aug 19, 1896.  Seldom answers when spoken to.  Sits by himself.  Is very destructive, especially at night.
Aug 30.  Has been very quiet since his admission.
Sep 15.  Is depressed, likes to be by himself, speaks in a very low tone.
Sep 30.  Works now in dining room and when not working sits by himself.
Oct 30.  No change.
Nov 15.  Appears to be some little better.
Nov 25.  Likes to be by himself.
Dec 14.  No improvement.
Feb 26, 1899.  Very much demented.  Does not talk unless talked to; will not notice any thing; at times untidy and (etc.).
Aug 28.  Is very stupid and untidy; health good.
Jul 7.  Is confined to bed, tongue coated, rise of temperature, increased respirations and pulse rate.
Jul 12.  Very high temperature.
Jul 13.  9:30 a.m. died, heart failure.


On certificate of:
Drs. Howard Ogle and H. Clay Stevens (?)

History and clinical notes:
History: Patient has been a porter on trains for years.  About three years ago his eyes became diseased and he gradually lost the sight of both eyes.  Went to Wills Eye Hospital (in Philadelphia, see glossary) about 4 months ago, but they could bring him no relief.  This worried him a great deal and to this cause is assigned his insanity.  First symptoms of insanity was noticed about 3 months ago.  Began to talk of having plenty of money, when in reality he was poor.  Since this time has occasionally been somewhat turbulent and a few days ago choked his mother and threatened to kill her.  General health failing.  Does not eat as much as formerly.

Sep 1, 1896.  Refuses to eat at times, saying the food is poisoned and that people are throwing (a) ball at him; is very obstinant and abusive.
Sep 12. Very noisy at times, says this building is his, that people are talking about him, refuses to eat at times.
Sep 23.  Removed today by his mother, who is going to take him to Nebraska.
Sep 23, 1896.  Discharged unimproved.


History and clinical notes:
History: Officer who brings patient to Hospital knows nothing of his history.  Patient has had two sunstrokes and the [word missing?] time was two summers ago and since that time has been very peculiar; left home a week before ago and was found at Greenbank, hungry and dirty.  Has been wandering from place to place.

Sep 1, 1896.  Has been quiet since admission.  Complains of pains in his head at times.
Sep 20.  Patient is quiet, often asks for his wife; is very orderly, assists on the ward and is a very good patient.
Oct 4.  9 a.m. was very much frightened, saying that he was to be burned to death and asked to be protected; was also crying.
Nov 25.  Some improved.
Dec 14.  Some improved.
Jan 12, 1897.  Says he is going to be killed, that he can hear people making plots.
Feb.  Is very much depressed and says he is going to be killed.
Mar 20.  No change.
Apr 15.  Refused to eat, saying that he was only to eat at certain times, that the Lord had told him.
Apr 25.  Has good appetite now and is gaining flesh.  Mind clear and composed.
Oct 8, 1898.  Went with wife on parole.
Mar 5, 1899.  Discharged recovered.


History and clinical notes:
History: Has been feeble minded from birth.  Clean habits, is very quiet and orderly although at times is hard to control if irritated.  

Sep 1, 1896.  Is very noisy at night and often beats on the door.
Sep 15.  [No entry.]
Oct 15.  Is quiet and easily controlled.
Nov 16.  No change.
Dec 14.  No change, health good.
Jun 17, 1897.  Discharged unimproved.


History and clinical notes:
History: Patient was removed from this institution against advice of Supt. Oct 17, 1892.  Uncle who brings her to Hospital states that she was never perfectly well since she left here, although she was able to help about the house.  About 3 years ago symptoms of insanity returned and she has been quite troublesome at times since then.  About 3 weeks ago had several hemorrhages from the lungs.  This increased her trouble and she has been so disturbed that they could not retain her at home.  Her conversation is very incoherent and she talks a great deal about bastards and about being seduced.

Sep 17, 1896.  Is not quite as restless as at time of admission, although conversation is still very irrational, speaks of people seducing her.  Is very anaemic.  Lungs are quite feeble and has had one or two slight haemorrhages.  In past two days will not eat unless persuaded.
Nov 7.  Appetite is now good.  Has gained flesh and strength.  Anaemia that was well marked at time of admission has disappeared.  No change in mental state.
Jan 3, 1897.  No improvement.  Constantly attempts to escape and her one cry is to go home.
Mar 7.  No change.
Mar 30.  No improvement mentally.  Physical health not quite so good.  Has been in bed for past few days.  Very much jaundiced.  Liver enlarged and torpid.
Jul 1.  Has failed since last note.  Still jaundiced.  Liver very much enlarged.  All mucous membranes of body are yellow.
Oct 30.  Has been in bed steadily since last note and has slowly failed.  The icterus has continued and there has been considerable tenderness over liver, which is enlarged.  Vomiting and diarrhea lately has been profuse.  This morning after having a passage from her bowels lay down in bed and died very quietly, apparently without pain.
Oct 30, 1897.  Died.


History and clinical notes:
History: Patient has always been peculiar and was very much depressed when her mother died about five years ago.  Six weeks ago a relative of hers died suddenly and since then she believes that she poisoned him.  She wants to go from place to place.  Says her relatives talk about and want to injure her.

Sep 17, 1896.  Will not speak or answer questions, walks up and down the ward in a listless manner.  Will not eat and when fed with spoon throws the food out of her mouth as fast as it is put in.  Does not sleep very well at night.
Nov 7.  Has not improved since last note, wanders aimlessly about the ward and will not talk or answer questions.  While her aunt was visiting her today began to talk and cry.  Her conversation was hysterical and at times incoherent.
Jan 1, 1897.  For past 2 weeks has been very noisy and violent; unless restrained or constantly watched.  Strikes those around her and frequently removes her clothing.  Cries and moans and at times sings; very restless at all time and a hypnotic is required at times to produce a sufficient amount of sleep.
Mar 7.  Has gained flesh and strength; no improvement mentally, very noisy, troublesome and destructive.
May 30.  No improvement; still at times noisy, troublesome and destructive.
Aug 12, 1898.  No change.  Very troublesome at times.
Jan 23, 1899.  There has been but little change.  Very troublesome and destructive; has suicidal tendencies.  Swallowed a hair pin today and says she will kill herself the first change she gets; says she will harm herself.
Apr.  Patient continues to be very destructive and mischievous, destroying her clothing and picking to pieces anything upon which she had lay her hands.  Swallowed a finger ring with stone settings which was passed “via naturalis” in the course of a week.
Jun 15.  Patient occasionally becomes very noisy and destructive; wears a [ill. – looks like ‘cauras’] dress constantly and wristlets and occasionally has to be strapped into a chair.  Has become very untidy; physical health very good.
Jan 15, 1900.  Condition just about the same as at time of last note.  General health still very good.
Sep 15.  Has been complaining for several days of diarrhea and feeling bad but did not seem ill enough [many illegible words].  This afternoon found in a pool of blood and clots and very weak.  [Ill. words.]  Pulse good and temp 102 at 4:30 p.m. [Several lines of illegible writing.]  Friends visited her at 10:30 p.m.  Typhoid fever.
Aug 8, 1902.  Patient much quieter since her illness, sits by the window most of the day, smiling and humming at herself.  Has not been in restraints since illness.  Eats on ward and is very biddable.  Seldom talks except to whisper nonsense.
Sep 27, 1904.  Condition the same.  Sometimes sings Methodist hymns.  Replies to all questions “I do not know.”
Sep 21, 1909.  Patient failing physically, very much emaciated, appetite poor; doesn’t sleep well.  Coughs, has diarrhea frequently, impaired resonance over both lungs; rales heard over chest interiorly.
Sep 27, 1909.  Very weak.  Died 7:15 p.m. Phthisis Pulmonalis.


On certificate of:
Drs. William E. Sherwood and Peter Cooper

History and clinical notes:
History: Patient’s husband has not lived with her for 9 years, he is now a pauper in New Castle Co. Almshouse.  About 3 weeks ago began to suffer from rheumatism more particularly of joints and left knee at time of admission very much swollen.  The pain was so severe that she could not sleep and has slept but little for past 3 weeks.  About 2 weeks ago first symptoms of insanity was noticed; began to talk irrational, sang hymns, and at time would have hysterical attacks of crying.  General health is poor and she is failing.

Sep 17, 1896.  Has been in bed since admission.  For past 2 nights has slept about 4 hours per night.  Says rheumatism is somewhat better.  Is very hysterical at times and is inclined to be noisy during these attacks.  Pulse has been very rapid, but is gradually subsiding.
Oct 17.  All mental disturbance has gradually disappeared since last note.  Rheumatism is better, left knee still somewhat swollen, but not as bad nor as painful as at time of admission.  Was removed by her father today on parole.
Feb 11, 1897.  Discharged this a.m. recovered.


History and clinical notes:
History: Officer who brings patient to Hospital knows nothing of his history.  Says he has lived in Wilmington for years and is a laborer.

Sep 30, 1896.  Patient is very weak minded and untidy.  Is very easily excited and frightened.
Oct 15.  No improvement.
Nov 12.  Is losing flesh very fast, conversation with patient [ill. – looks like ‘nihil’].  Mind very weak; does not know enough to eat; can’t tell his name.  
Dec 14.  Is very stupid, untidy, and does not know what is said to him.  
Dec 20.  Is very weak.  No improvement mentally.
Dec 30.  Very untidy, stupid; will not go to table to eat.
Jan 10, 1897.  Has lost flesh very fast and ordered to Infirmary.
Jan 16, 1897.  Died, 7:20 a.m.


History and clinical notes:
History: Has had severe headaches for the past three months and at times would be unconscious for a number of hours during an attack and gradually becoming worse; and about five weeks ago symptoms of insanity were first noticed.  Said he saw men hiding in the corners of his room and they were kept by his wife to kill him.  Dr. Hughes says twelve years ago patient had syphilis and a few weeks ago the pupils were unequal.  Under specific treatment they became equal but head aches still continue.

Sep 20, 1896.  Patient believes that he is in a steam boat and that his wife is dead.
Sep 22.  Says Mr. Vallendes, the nurse, stole two hundred dollars from him.
Oct 1.  Is gaining strength.
Oct 5.  Has a terrible diarrhea with considerable pain.  Also complains of severe headaches.
Oct 12.  Bowels some improved, pain still persistent in head, so much so at times that he cries.
Oct 25.  Has improved considerable; has been over to New Castle with the Supt.  
Nov 10.  Not so well; has had a number (of) severe attacks of headache, accompanied with sick stomach and constipation and at times is so dizzy that he falls.
Nov 14.  4:40 a.m. Patient was found unconscious by night watch.  Dr. Hammond was called and could not arouse him; had evidently vomited, as floor was soiled; had urinated in bed; left side was slightly paralysis, mouth and side of face drawn, also grinding his teeth.  8 a.m. could talk and said he had severe frontal pains and felt very weak.
Nov 16.  Very much improved.
Dec 7.  Improved so much that he was allowed to go home on parole.
Jun 17, 1897.  Discharged recovered.


History and clinical notes:
History: First symptoms occurred about six months ago; talks mostly about (single tax), talks about going in army.  Wants to be a soldier.  Very cross and irritable at times.  And about two weeks ago was very violent.  Prefers to sleep late of morning; wanders from place to place, walks the floor at night, has lost flesh and is very pale.  Complains of headache.

Oct 15, 1896.  Has been very orderly since admission, complains of pains in his head and bowels.
No 12.  Will hardly speak when spoken to, is very obstinate, kicked supervisor a few days ago in stomach; was restrained for a few days.
Nov 18.  3 p.m. Patient had a severe convulsion; bit his tongue and was very much exhausted.
Nov 19.  Has a fever, pulse 110; severe cold and coated tongue.  Was removed to the Infirmary this a.m. with a dry brown tongue, sucks on teeth, pulse 110, increased temperature, some delusions with diarrhea.
Nov 20.  Has all symptoms of typhoid fever and is very weak.
Dec 1.  Very weak; fever running its course.
Dec 6.  Is very weak and delirious, tongue still coated.
Dec 16.  Has been very sick since last report – delusions, diarrhea, increased temperature during afternoon and evening and etc.  
Dec 20.  Some improved.
Dec 25.  Temperature normal, appetite some improved.  Patient very thin.
Jan 5, 1897.  Patient sits in day room and is gaining flesh.
Jan 20.  Is improving very rapidly.  Mind also better.
Feb 1.  Is very fleshy and good patient.
Feb 26.  No improvement, health good.
Aug 28.  No improvement, very demented, does not speak unless spoken to.  Health good.
Oct 8.  Same as last report.
Sep 30, 1897.  Discharged unimproved.


On certificate of:
Drs. John Palmer, Jr. and William C. Pierce

History and clinical notes:
History: Patient was discharged from this institution improved Oct 2, 1892.  Was fairly well but at times incoherent until her child was born in July 1893 when she recovered rapidly.  Another child was born last April; this had no apparent effect upon her mind.  First symptoms of return of her malady occurred about the middle of June.  Mind and memory began to fail and she neglected her household duties.  About two weeks ago became rapidly worse; threatened to kill herself and said the children out (ought?) to be out of the way.  Has failed physically lately and does not eat as much as formerly.  Has become anaemic.

Nov 7, 1896.  Has steadily improved since admission.  Is more cheerful and has gained considerable flesh.  Says that she prefers to remain here and does not want to go home.
Dec 5.  Has improved very much; was removed by her husband today on parole.
Mar 2, 1897.  Was returned today by husband who stated that for past few weeks has not been as well.  
Feb 7. [Note data out of order.] Very quiet, talks to herself a great deal.  Patient is pregnant, about 8 months.  Attendants has heard her talking to herself saying “I must kill it when it is born; it ought not to live.  I must kill it before it is born,” etc. etc.  
Apr 29.  No special change since last note.  Has always claimed that she would kill her baby on this account it was not deemed advisable to send her home to be confined.  Pain started it at 5 a.m. this morning and a male child was born at 7 a.m.  No complications.
May 17.  Child was removed today by [husband/father].  Mother is in fairly [ill.] health.  Still mutters to herself.  Very little improvement mentally.
Nov 13.  Left on parole today.
Feb 12, 1898.  Discharged improved.


History and clinical notes:
History: Patient was admitted July 24, 1896 to New Castle Almshouse and shortly after admission symptoms of insanity were noticed when she began to believe she would be killed by students.  She says she sees them most every night.  About three weeks ago she attempted to jump from second story window and two weeks ago she did jump from first story window without injuring herself.  At times she is noisy and destructable.

Nov 7, 1896.  Has been no trouble since admission. Does some work on ward.
Jan 3, 1897.  At times is quite noisy and troublesome.  Imagined that people are going to injure her and frequently begs of attendants to protect her.
Feb 7.  No change.
Mar 30.  No change.
Jun 5.  In bed this morning, quite weak.  Some time during night had a “stroke” – right side hemiplegia.
Jun 7.  Is much weaker; only takes liquid food; is gradually failing.  Hemiplegia much more marked both sensory and motor.
Jun 16, 1897.  Condition remained the same until this a.m., when there was a rapid change for the worse.  Died, 8 p.m.


History and clinical notes:
History: Patient was removed from here Sep 20 by his mother; was to take him west, but he was so violent that she could not go with him and was compelled to return him here.

Nov 12, 1896.  He believes that worms are in his food and he crumbles his bread so much that it falls out of his hands; is very obstinant, curses and is very noisy at times.
Dec 16.  No change.
Jan 15, 1897.  Very much demented, untidy, and etc.
Mar 15.  No change.
May 15.  Had a number of convulsions today and has been unconscious since.
May 16.  No change.  Pulse very weak.
May 17.  Very weak.
May 18, 1898.  Died 2:30 p.m.


History and clinical notes:
History: Symptoms of insanity were first noticed two years ago.  Patient believes that he was drugged by [name redacted] of Dover and still has some delusions.  He also believes that he is a clairvoyance (clairvoyant); will not receive a letter from the post office for fear of being poisoned.  Only last Monday he attempted to kill his wife with a hammer and would of succeeded only for his son.  Has had homicidal thoughts for the past two years.

Oct 30, 1896.  Is very orderly; says that he feels very happy at times which comes on him suddenly and that he can hardly control himself from shouting at times; he also feels like killing someone.
Nov 16.  No improvement.
Nov 30.  Says the same feelings comes upon him at times.  
Dec 14.  No improvement.
Jan 1, 1897.  Says he is still under the influence of a clairvoyance and at times he can hardly control himself from hurting someone.
Feb 1.  No change.
Mar 1.  No change.
Mar 13.  Says that [name redacted], a patient who was admitted a few days ago was sent here by a clairvoyance to watch him and he felt (as) if someone was inside of him; a he swallowed tobacco to kill the person; he experienced this feeling once before when he was riding a horseback.
Mar 30.  No improvement.
Apr 25.  Continues to believe that he is under the influence of a clairvoyance.
Aug 28.  All symptoms of paranoia.  Health good.
Oct 8.  Same as above report.
Aug 12, 1901.  Ditto to last report.
Aug 29, 1903.  Fair physical condition.  Mentally the same.

Additional notes:
Died at DSH 11/4/1925 of strangulated inguinal hernia, following operation.  Buried in Barretts Chapel Cemetery.


Insane Relatives:
maternal uncle insane and blind; grandfather blind

Complications:
hemiplegia; left cerebral [ill.]; blind in both eyes

History and clinical notes:
History: Patient has been in poor health for past five years.  About 5 years ago had 3 convulsions; after these attacks patient’s mind seemed to be a little more feeble, although she attended (to) her household duty.  Her last child was born 19 months and 2 months before child was born patient lost her sight.  Has been examined by oculists who state that there is no help for her.  Her mind has gradually become more feeble.  For past year patient has been untidy and very difficult to care for.  Suffers from leucorrhea; odor from this discharge is very offensive.

Nov 7, 1896.  Leucorrhea has improved under treatment.  Has a bed sore but this is somewhat better than at time of admission.  Mind is very feeble, seldom speaks.  For past two days has not spoken to anyone.  Has all indications pointing to tumor of brain, probably in vicinity of optic thalami.  All sphincters paralyzed.
Nov 9, 1896.  Became much worse last night and failed rapidly and died at noon today.


History and clinical notes:
History: Has been very peculiar for the past 4 years and he began to go from place to place; did not care for home, and two weeks ago he said his family wanted to poison him and that people were stealing things from him; and talks incoherent on various subjects.

Nov 16, 1896.  Has not been noisy or violent since admission; talks incoherent on various subjects.
Nov 30.  Has gained flesh very rapidly, mind some little improved.
Dec 16.  Some improved.
Jan 20, 1897.  Works on the wards and is very useful help to the attendants.
Feb 20.  Is well enough to go home.
Mar 20.  Same as above reported.
Apr 20.  Works on the farm.  Was allowed to go on parole 8.14.97 and returned 8.29.97.  
[No date].  This morning attacked Father Kelly in church, is very noisy and confined in room.
Dec 26, 1898.  [Another patient] struck his feet with mop block (?) knocking his feet from under him and fracturing his arm; left humerus.
Jan 20, 1899.  Is getting along very well with broken arm.  
Feb 20.  Fracture is all right and getting along nicely.
Aug 28.  Works in the dining room; health good; mind some impaired.
Feb 3, 1900.  Has been very orderly and working in the dining room since last report, until this a.m. when he was suddenly taken with a convulsion; became unconscious, fell on the floor, cut the outer canthus of the right eye; hemiplegia of right side.  Was put to bed and gradually improved.  Notion and sensation returned to affected side in a few hours.
Feb 4.  Still confined to bed, some stupid.
Feb 5, 1900.  7 p.m. taken home by son.
Sep 20, 1900.  Discharged improved.


On certificate of:
Drs. Tayler S. Mitchell and L. Heisler Ball (?)

History and clinical notes:
History: Last Sunday symptoms of insanity came on suddenly and on Monday morning at 5 a.m. threatened to kill his wife and others; wants to travel from place to place and buy everything he sees.

Nov 16., 1896.  Has been quiet since his admission; wrote a letter home a few days ago.
Nov 30.  Is orderly; has not been necessary to restrain him during this attack although has been some excited at different times.
Dec 14.  Is very anxious to go home.
Dec 25.  Is quiet and orderly.
Jan 10, 1897.  Has gained flesh and is some improved.
Jan 28.  Is not so well; had a Bible in his hand this a.m. saying that he was god and that he could take the sins away from any one.
Feb 15.  Some improved.
Mar 15.  Still improving.
Apr 15.  Is very desirous of going home.
Apr 30.  Is not so well as he was a few days ago.
May 10.  Is more composed.  
May 20.  Very much improved.
Jun 5.  Very anxious to go home.
Jun 20.  Very gentlemanly and orderly.  
Jun 26, 1897.  Went home.
Oct 16, 1897.  Patient was returned to the Hospital this day.  He (patient) states that he had been drinking lately; that he had not been well for 2 or 3 weeks.  Patient was returned on new papers, as he was on parole.  The new papers were filed with his old admission papers.  Hospt. No. 829.
Jul 4, 1898.  Was removed on parole today.
Jul 5.  Was returned by his son today who states that after he left here [ill.] much worse and they could not keep him home.
Feb 26, 1899.  Health good.  Is orderly and occasionally talks incoherent on subjects about his home.
Jun 24, 1899.  Allowed to go home.
Sep 15, 1899.  Discharged recovered.


History and clinical notes:
History: Mr. [name redacted] who brings patient to Hospital knows nothing of her history.  Says that she was formerly a slave.  About 7 or 8 years ago was sunstruck and since then her mind has been more or less affected.  Lately has been at times hard to control; wandered from her home (Alms House).  Has no friends or relatives.  Is a good worker.

Nov 7, 1896.  Has been quiet since admission.  Mind is feeble.
Jan 3, 1897.  Is much more cheerful.  Works in dining room and is quite cheerful and rational.  
Mar 7.  Very cheerful.  Still works in dining room.
May 30.  No change since last note; still remains quite cheerful and works daily in dining room.
Jan 25, 1899.  Very quiet and orderly; still works in dining room.
Jun 15.  Patient still work in dining room and seems very quiet and orderly; gives no trouble whatever and is in good physical health except complains of her feet paining her a great deal [ill. Words – looks like “having to corns on them.”]  Has good appetite and sleeps well.
Jan 15, 1900.  Just about the same as at time of last note; quiet and orderly.  Still assists in work of patients’ dining room.
Aug 2, 1902.  Mentally and physically unchanged.
Jul 2, 1903.  For past few days has been very much excited and restless; will not take nourishment – says she is sanctified and that she does not have to eat.
Jul 10.  Still excited.  Body gradually became much worse.  When physician was called found her unconscious; right side paralyzed; twitching on left side of face.
Jul 13.  Has not regained consciousness.  Very much weaker; gradually failing.
Jul 14, 1903.  Died 1 a.m., cerebral embolism.

Additional notes:
Buried at DSH, Grave #116.  Name given as Hannah on ledger entry, but Caroline in Cemetery Records.  Two notes attached to page.  First is a note from Dr. Hancker to Mr. J. Heart Bye or Fredericka, dated July 14, 1903.  “Dear Sir, [Patient’s name] who was admitted to this institution Oct 30, 1896, died this morning and will be buried in our cemetery.  Very respectfully, Wm. W. Hancker.”  Second note is from the Darlington Seminary of West Chester, PA.  Dated July 16, 1903, and addressed to Dr. Hancker.  “Dear Sir;- Your favor enclosed has been forwarded to us by the Post- Office of Frederica.  I do not know who was made trustee to fill the vacancy caused by the death of the late J.H. Bye in 1899, or I would have forwarded your notice to him.  Very truly yours, F.P. Bye.”


History and clinical notes:
History: Patient who brings his own certificate states that he has always enjoyed good health until last Sunday 4 weeks when some parties unknown began to “put electricity through him” and since that time he has been unable to do any work.  Who the parties are that are annoying him he does not know.  It makes him feel bad.  He say his appetite is gone and he has lost all ambition and feels very much depressed.

Nov 7, 1896.  Was visited by cousin today who state that mental trouble was caused by severe attack of malaria lasting for 2 months and that since that time his mind has been affected.
Nov 12.  Says the electricity does not bother him now and he feels very much better.
Dec 14.  Some depressed; says that electricity is still working on him.
Dec 17.  3 p.m. because exhausted because he says that electricity is killing him.
Dec 18.  Says he will died from the effects of electricity as he feels it all over his body.
Jan 15, 1897.  No improvement.
Feb 15.  Very much depressed.
Mar 12.  No change.
Apr 12.  Same as last report.
Feb 26, 1899.  Is very orderly and tidy, appetite good and health excellent; at times expresses his delusions which are principally on electricity.
Aug 28.  Still has delusions; thinks electricity runs through him.  At times believes that he will die from it; mind is some feeble now.  Health is good.
Oct 8.  Same as above report.
May 15, 1901.  Dirty ulcer involving lower half of R cornea.  [Several illegible words – looks like “P4 Atropine.  Heart.”]  AgNO3 CHJ3.**
Jul 1.  Leucoma** at site of ulcer.  Patient denies seeing with eye.
Aug 12.  Very depressed.  Fair physical condition.
Apr 19, 1903.  Patient has been in bed for the last two months.  About two months ago complained continuously of vertigo and occipital headache.  No vomiting.  About one month ago had a paralytic stroke affecting the right side of face and body.  The loss of power in right limbs was not complete.  Since the stroke he has had considerable difficulty in swallowing and his speech was much affected.  Has failed gradually and died last night.  Delusions persisted till death.  
Apr 18, 1903.  Died 10 p.m. Exhaustion from cerebral apoplexy.

Additional notes:
Note: P4 stands for progesterone.  AgNO3 is silver nitrate.  Sounds like they gave him P4 and atropine for his heart, and some type of silver nitrate solution for his eye.  Leucoma and Albugo are both words used to refer to a white opacity of the cornea.


History and clinical notes:
History: Officer who comes with patient knows nothing of his history.  Patient states himself that he has been a drinking whiskey for years.  His hands and feet are swollen, stomach very much distended, face puffed, especially under the eyes; diarrhea; a very weak and irritable stomach; has asked frequently for for ginger which he has received; rested well all night.

Nov 10, 1896.  Says he slept very well but vomited a number of times during the night.  10 a.m. resting good, pulse weak.  1 p.m. said he felt fair and asked for ginger, which he received.  3 p.m. resting good.  4 p.m. Attendant Kenney went in his room and reported to the office, patient dead; said that he was in the room only a few minutes before and patient looked all right.  Deputy Coroner Chandler was notified; came over (11th) and took charge of the body and said it was not necessary to hold an inquest; remains removed, Nov 12, 10 a.m.


History and clinical notes:
History: Officers who bring patient know nothing of his history.  Patient’s wife died about 4.5 months ago.  Patient states that shortly after this he began to feel queer in his head.  He married again about 7 weeks ago and his present wife states that on the 3rd of Nov. he was taken sick while at the pools (?).  Complained of pain in bowels and stomach.  She also states that he was in the habit of drinking a great deal of gin and blackberry and patient states that he drank usually about 40 to 50 glasses of beer a day.  Was allowed to go home 11.15.96.
Feb 11, 1897.  Discharged recovered.


History and clinical notes:
History: First symptoms of disease was manifested about 1 year ago.  Mind began to become feeble, wandered from house and could not find his way back.  Began to talk incoherently.  Has enjoyed good health.  All indications point to senile dementia.

Nov 30, 1896.  Is very feeble, talks incoherent, does not recognize what is said to him.
Dec 14.  Has been in bed since above report; is very weak.  
Dec 24.  No improvement mentally; is very weak.  Right arm near elbow was severely swollen; was opened and washed with hydrogen peroxide.
Dec 28, 1896.  Was taken home today.
Feb 11, 1897.  Discharged unimproved.


History and clinical notes:
History: Patient admitted to “Friends Asylum” Aug 20, 1883.  History at that time always of a mild disposition.  [Ill.] after marriage was for a short time peculiar.  Real breakdown came in Feb. 1883 by her refusing to eat or enter into conversation with anyone; no assignable cause for the trouble.  During 13 years residence in Friends Asylum has always enjoyed good physical health but has steadily failed mentally.  Frequently refuses food, is destructive and untidy and has marked homicidal tendencies.  Very violent in actions and language.

Jan 3, 1897.  Has been very cross and irritable since her admission.  On account of her disposition to injure others wristlets are kept on her wrists constantly, as she has several times attempted to injure those around her.
Mar 7.  No change.  Very violent and profane and vulgar in her talk and dangerous to those around her.
May 30.  No change.  Very violent and noisy at time; profane and vulgar in her talk.
Aug 12, 1898.  No improvement in any respect.
Jan 28, 1899.  No change since last note.  If very profane in her language and very violent at times.
Jun 15.  Patient’s condition remains unchanged; is often very noisy using vile language and attempting to spit upon those who come near her.  Physical health appears to be very good.
Jan 15, 1900.  No improvement in mental condition since last note.  Patient eats and sleeps well as a rule and appears to be in excellent physical health.
Feb 1, 1901.  No change in condition mentally.  Kept constantly in wristlets – at times noisy and profane.  Has a curious habit of gritting her teeth all the time; noise made sufficient to be heard at considerable distance from patient.  Enjoys excellent physical health.
Aug 2, 1902.  Mentally and physically stationary.
Aug 27, 1903.  Condition the same.  Almost totally demented.

Additional notes:
13 years in one asylum, then 7 years + in DSH


History and clinical notes:
History: Patient has been insane three times previous to this attack; was employed as teamster and is very quiet and orderly generally.  On last Wednesday he run his team through the streets of the town and has been very noisy, excitable and violent since last Friday evening he tried to destroy his child and a few hours later attempted to burn his house.

Nov 25, 1896.  Has been noisy, talking about the bible and various other things but is some improved now.  
Dec 6.  Is very useful, works on the wards and is gaining flesh very fast.
Dec 14.  Works on the hall; is very polite and orderly and is very anxious to go home.
Feb 11, 1897.  Discharged recovered.


History and clinical notes:
History: Was admitted first time July 5, 1896; cause of insanity alcohol and a severe injury to head.  Was discharged 10.4.96 recovered, see 3186….  Has been drinking very hard for some time past; was arrested a day or so ago and taken to station house in a delirium.

Nov 21, 1896.  Was put in restraints this a.m. for chasing Dr. Hancker and [ill.] Mullen.
Nov 27.  Restraint removed and patient is getting along nicely.
Dec 14.  Is very quiet and does not disturb anyone.
Dec 16, 1898 [says 98, but clearly they mean 96].  Left on parole today.
Feb 11, 1897.  Was discharged recovered today.


History and clinical notes:
History: Patient was discharged from this institution March 1893 recovered.  Was here about five weeks.  About 2 years ago had an attack of melancholia but recovered in a short time, not necessary to take her to Hospital.  About 1 week ago first symptoms of present attack manifested itself.  2nd attack occurred 8 weeks after birth of child and present attack began 8 weeks after birth of last child.  Became very melancholy, would not eat, refused all medicine and will not speak to any one.  In office, patient pulse is 120, will not speak, is very constipated.

Dec 20, 1896.  At first very melancholy, would not speak to anyone, but gradually became better and now talks quite rationally.  Is troubled a great deal with constipation.
Jan 3, 1897.  Is not quite as well.  Accosts nearly every man that comes on the ward as “her man.”  Is unnaturally cheerful.  Is better physically.
Jan 19.  Although patient has not recovered, she having pronounced delusions, her husband visited her today and removed her against the advice of Supt.
Jun 17, 1897.  Discharged recovered.

Final disposition:
Discharged recovered (although removed AMA)

Additional notes:
Husband Amand.  Buried in Cathedral Cemetery, died 1951.  Note attached, dated Jan 18, 1897.  “I hereby remove from the Delaware State Hospital at Farnhurst my wife [name redacted] against the advice of the Supt., who informed me that it would be detrimental to her health and that her mental state had not improved sufficiently to be cared for at home.  Knowing these facts I assume all responsibility in the said removal.”  [Signed by husband, witnessed by J.H. Hammond].


History and clinical notes:
History: Patient has been admitted here twice before and recovered both times; was discharged last time 1.30.94.  About two months ago symptoms of insanity returned; she became noisy, at times violent, talking about various things, mostly religion, and etc.

Dec 25, 1896.  Has not improved much.  Is very restless and at times somewhat excited.  Curses the men during their periods (??) and at times is quite profane.
Jan 3, 1897.  Is not quite as restless.  Is stronger physically.
Mar 7.  Condition about the same.  Very restless at times.  General health has improved.
May 30.  Very little change since last note.  General health continues good.
Jan 22, 1898.  Has improved since last note very materially.  Was visited by her son today who removed her on parole.
Jun 12, 1898.  Discharged recovered.


History and clinical notes:
History: Symptoms of insanity were noticed three weeks ago.  She became noisy, talked on various subjects, somewhat violent at times, appetite poor and occasionally refuses food, bowels constipated, rests very poorly at night.  On admission patient had bruises on lower limbs.

Dec 12, 1896.  Has been very violent since admission.  Was placed in protection sheet; will not eat voluntarily, has to be fed with nasal tube.  Is much weaker.
Dec 16.  For past few days has taken food better.  Is a little stronger.  
Dec 18.  Is a little weaker today.  Talks incoherently.
Dec 19.  Is failing rapidly.  Husband was telegraphed for this a.m.
Dec 20.  Has gradually failed.  Husband and sister has been with her since 7 p.m. Dec 19.
Dec 20, 1896.  Died 3:30 p.m.


History and clinical notes:
History: About eight years ago fell off of moving train and received injury to his head and since that time has been very peculiar.  Says people are after him and that they want to take him to Blackwall’s Island**; that there is a few over in Wilmington that is after him.  Patient has been drinking very hard for the last two weeks.  When patient was injured a number of years ago was taken to Penn. Hospital and a diagnosis made of fracture of skull.  Was in this hospital only a few minutes when he assaulted a patient saying that he was the man that was trying to kill him.  He was restrained at once.

Dec 9, 1896.  Restraint removed.
Dec 16.  Is quiet and orderly, says people are talking about him.
Jan 1, 1897.  Wants to go home.
Jan 13.  Was allowed to go home.
Jan 16.  Returned himself saying that he could not rest home that people were talking about him.
Jan 21.  Has same delusions.
Jan 30.  No change.
Feb 12.  7 p.m. became very noisy, violent, delirious, sucks on teeth, was restrained.
Feb 13.  No improvement.
Feb 14.  Was given large dose sulphate magnesium 9 a.m.  9 p.m. very noisy, given hyoscine.
Feb 21.  Some improved.
Feb 28.  Restraint removed and put on ward D during the day.
Mar 10.  Some improved.
Mar 30.  Talks incoherently but not noisy.
Apr 15.  Some improvement since last report.
Feb 13 [1898, presumably].  11 a.m. suddenly became unconscious, rapid respiration, unequal pupils.  Probably cerebral embolism, cold and clammy. 12 midnight, gradually improving.
Feb 14.  Very much improved.
Feb 20.  Goes about the ward, is pale and thin.
Feb 26.  Has to be restrained at night to prevent self-abuse.  Talks incoherent at times and is very excitable.
Aug 28.  Very noisy at times; is controlled by his delusions and is restrained.
Aug 27, 1903.  Is becoming very stupid.  Failing physically.  Scarcely ever speaks.

Additional notes:
Note: Blackwall’s Island is an island today known as Roosevelt Island, in the East River between Manhattan and Queens.  At various times it has been the home of a “Lunatic Asylum,” as well as a prison and a smallpox hospital.  The asylum on Blackwall’s Island was where Nellie Bly went undercover for 10 days to see what went on behind the doors.]


History and clinical notes:
History: Patient gave birth to child about one year ago and since that time mind has been affected; is very quiet, will seldom speak when spoken to, says her husband is not true to her; wanders away from home; refuses to eat at times.

Dec 20, 1896.  Has been very quiet and melancholy.  At first had but little to say to anyone.  Lately has improved and is more cheerful.
Jan 3, 1897.  Has improved considerably.  Is cheerful now, works about the ward and assists in sewing, etc.  Is much better in every respect.
Feb 18, 1897.  Was removed today by husband for parole.
Jun 17, 1897.  Discharged recovered.

Additional notes:
Died 1930.  Buried in Old Drawyers Church Cemetery, Odessa.


History and clinical notes:
History: Was admitted to this Hospital 10.27.93 and was removed by friends 12.4.96.  Is violent at times and hard to control, wanders from place to place, is cleanly in his habits.

Jan 25, 1897.  No change mentally; health good.
Apr 25.  Good health.
Feb 26 (1898?).  Is very quiet and orderly.  Never speaks unless spoken to, is tidy, appetite fair, health good.
Aug 28.  Mind very feeble at times untidy, appetite good.
Aug 12, 1901.  Cleanly.  Health fair; quiet.
Aug 27, 1903.  Good health; quite demented.
Nov 20, 1912.  Is very feeble and more demented; had a convulsion and remained in “Status” for 24 hours.
Jan 6, 1914.  Condition remains unchanged.
Nov 12, 1914.  Confined to bed suffering with sub-acute gastritis.
May 2, 1915.  Had a convulsion today and is in a condition of Status.
May 3, 1915.  Died.  Status Epilepticus.

Additional notes:
Mentally retarded from birth; admitted to hospital at age 50, died there from seizure after 19 years, at age 69.


Form:
psychosis with [ill.] psychopathic inferiority

History and clinical notes:
History: Insanity was first noticed three weeks ago – saying that she was being burned up; that her room was full of gas.  Said her food was poisoned and at time she was violent, noisy, tearing her clothes, saying that devils were in her room and cursing her husband and mother.  Husband says he has noticed that his wife has been peculiar for the past six or eight months.

Jan 3, 1896 (probably mean 1897).  Very quiet, seldom speaks to anyone, keeps by herself, eats and sleeps good.
Mar 7, 1897.  Has improved a little during past two weeks.  Is more cheerful and occasionally talks a little, but never speaks of her home or friends.
May 29.  No change.  Last night resisted when attendant attempted to put her to bed and became so violent that she broke a pane of glass with her fist; was placed upon Ward B.
Aug 12, 1898.  No change.
Nov 3, 1898.  Was removed by her husband today against the advice of the Supt (on parole).
Nov 16.  Was returned to Hospital today; while at home broke her mother’s dishes and ruled the house; nothing could be done with her.
Jun 15, 1899.  Very little change in patient’s condition.  She is usually quiet during the day time, but very childish, speaking very little and then in babyish way, but at night she is usually noisy for an hour or so after going to her room; sometimes requiring restraints to quiet her.  Has rather poor appetite.
Jan 15, 1900.  Physical health good; no improvement in mental condition.
Aug 2, 1902.  Mentally and physically stationary.
Aug 27, 1903.  Failing mentally.  At present has phegetucular ('follicular' is the correct spelling) xeratosis of left eye.
Feb 27, 1904.  Very silly.  Laughs immoderately and stands in corner most of the time.
Oct, 1919.  Patient had an attack of epidemic influenza.
Jan, 1920.  Mentally and physically getting worse.
May 2, 1920.  Patient is very weak.
Jun 3, 1920.  Patient died this morning at 6:30 a.m.  Chronic interstitial nephritis.

Final disposition:
Died of chronic interstitial nephritis of 4 years history


History and clinical notes:
History: For history see (page 36).  About three weeks ago symptoms of insanity were noticed.  He became very restless, traveling from place to place, neglected his work and last night was very violent, destructable, noisy, talking on various subjects.  Was admitted 1:30 a.m. and given Hyoscine.

Dec 27, 1896.  7 a.m. is quiet and orderly.
Dec 28.  Is very much improved; on the front hall.
Jan 1, 1897.  Is noisy, at times.
Jan 8.  9:15 p.m. Very noisy and violent; was restrained and given 1/50 grains of Hyoscine Hypodermically.  Was visited today by brother who complained about him sleeping with other patients, saying that he was hurt by them.  [The patient] denies before Dr. Hancker, Mrs. McMullen and Dr. Hammond that he was ever hurt by patients, but he was up using the pot and fell and slightly hurt his head.
Jan 20.  Was very noisy last night.
Jan 31.  Is easily excited and a constant desire to be moving.
Feb 7.  Is very orderly, talks rational and desires to go home.
Feb 14.  Same as last reported.
Feb 24.  Was allowed to go home today.
Jun 17, 1897.  Discharged recovered.


History and clinical notes:
History: First attack occurred about 10 years ago.  Did not know what she was doing.  Was taken to Homeopathic Hospital.  This attack lasted about six months.  Last October a year had an attack of Typhoid Fever and has never entirely recovered.  Suffers a great deal from gastritis – Typhoid Liver, etc. and has been constantly under the Doctor’s care.  First symptoms of insanity was noticed about two weeks ago; began to talk incoherently.  Has been very melancholic, slaps her hands and head.  Has steadily lost flesh and strength.  Has not taken much food.  Bowels very constipated.  For past two days has been very violent.

Jan 3, 1896 (1897 is correct date).  Moans and cries a great deal of the time.  Says she is burning up, that her throat and stomach pain her.  Imagines that her food does not digest, consequently does not eat as much as she should.  At times is very noisy.
Mar 7, 1897.  Has not improved; still moans and cries in a loud voice “Oh, I can’t get well.”  Frequently says that she is burning up.  Is noisy at night.  Has lost some flesh.
May 30.  Has not improved.  Is extremely noisy and troublesome to care for.  Is constantly saying that she is cold and is freezing.  Has lost some flesh.
Feb 25, 1898.  Has been but little change since last note.  At times is quiet and cheerful while again she is violent, noisy and difficult to control.  For past week or two has been more than usually noisy.  It has been necessary to keep her tied in bed and in a jacket.  At 12 o’clock today ate a hearty dinner from the hands of Miss Muller the head attendant.  At 1:10 she was heard to make the usual noise and she was told to stop by Miss Myers, another attendant.  At 1:20 head attendant went into to see her and found her dead.  The Asst. Phy. Dr. Hammond was immediately sent for and her found her dead.  Face and hands were very much cyanosed.
Feb 25, 1898.  Died.


Insane Relatives:
mother nervous; uncle and granduncle insane

History and clinical notes:
History: Patient has been admitted to this Hospital twice before and has always been feeble minded from birth.  Occasionally he has a convulsion; he imagines that he is very wealthy and that the ladies are all very fond of him.  Generally he is of a mild disposition and clean in his habits.

Jan 31, 1897.  Never any change for the better mentally; health good.
Feb 24.  No improvement mentally; health good.
Mar 24.  Good health, never improves mentally.
Apr 24.  Same as previous report.
Feb 26, 1899.  Works in the kitchen, health fair, mind feeble.
Aug 28.  All symptoms of congenital imbecility; works in the kitchen and dining room; health good.
Oct 8.  Same as above report.
Aug 12, 1901.  Cleanly, quiet, good worker in kitchen.
Aug 27, 1903.  Good worked in Ward D. dining room.  Very weak minded.  Good health.  Goes home for a day or two occasionally in care of his sister.
Oct 27, 1905.  Paroled.
Sep 27, 1906.  Discharged unimproved.


History and clinical notes:
History: Patient was first admitted to this institution June 15, 1895 and became very ill in June 1896 and was removed by his friends June 13, 1896.  Patient has always been very feeble minded, wandered from home, etc.  

Jan 20, 1897.  Has had severe cold for the past few days, but is much improved now.
Jan 30.  Mind never will be improved.
Apr 28.  Health good, is untidy at times.  Removed by sister on parole 12.7.97.
Feb 12, 1898.  Discharged unimproved.


History and clinical notes:
History: Patient has been drinking since he was a boy and very steady for the past five years.  Has convulsions occasionally, the first one in 1892.  Is very nervous.  Was given 1/100 Hyoscine at 8 a.m. (No delirium).

Jan 12, 1897.  Patient feels very much better.
Jan 14.  Has recovered.
Jan 20.  Wants to work with engineer and is valuable asst. to him.
Feb 8.  Has been working until this a.m. when he was allowed to go home.
Feb 8, 1897.  Discharged recovered.


On certificate of:
Drs. Willard Springer and E.G. Shortlidge

History and clinical notes:
History: Officer who bring patient knows nothing of his history.

Jan 20, 1897.  Was very violent; so much so that he had to be restrained.
Jan 21.  Refuses to talk.
Jan 25.  No change.
Jan 26.  Restraint removed.
Jan 30.  Will seldom speak when spoken to, desires to be by himself.
Feb 15.  Is orderly and seems depressed; health good.
Mar 10.  Is very orderly, although depressed.  Desires to be by himself.
Mar 20.  Has to be restrained to prevent him from masturbation.
Mar 30.  Has to be confined in room.
Apr 7.  Is very hard to control; tried to choke himself with bread a few days ago.
Apr 21.  Still restrained and hard to manage.  
Apr 28.  Refused to eat and is fed twice daily with nasal tube.
May 3.  Same as last report.
May 16.  Has been fed with a nasal tube until this p.m.  Is very restless and untidy; will not talk or notice anyone.
May 30.  No improvement.
Jun 8.  Has a habit of running from one corner of the room to the other, which he does for hours at a time.  
Jun 20.  Still in restraint and very hard to control.
Jul 3.  Refuses to eat and is fed with tube.
Dec 3.  Patient has been in bed since last report; fed twice daily with nasal tube; never get out of bed to attend to nature; waits until this a.m. when he suddenly asked for his clothes and something to eat.  He has been on ward all day, going to the dining room for his meals.
Feb 26, 1899.  Appetite poor; is very hard to control at times; often strikes other patients and attendants.
Aug 28.  Is very obstinant and hard to control at times.
Oct 8.  Was transferred to Ward 6 and has been very orderly and good patient since the transfer.
Aug 27, 1903.  Quite demented.  Wears canvas mittens to keep him from picking at his face and ears; never speaks; eats well.
Apr 16, 1905.  Health is failing, appetite poor, has a cough.
Apr 20.  Removed to infirmary – no improvement.
May 22.  Rapidly growing weaker.
May 23, 1905.  Died.  Pulmonary Gangrene.


History and clinical notes:
History: When patient was about 13 years old she had sunstroke and has complained of pains in her head at times since the sunstroke.  Had attack of melancholia about ten years ago which lasted for three months and has had several attacks of short duration; was always treated by the family physician.  About 3 weeks ago she became depressed; will seldom talk and [ill.] to wander from place to place; wants to read the bible; has attempted to hurt her very best friends.

Feb 10, 1897.  Was very violent today on front hall, resisted the attendants, spat in their faces and fought and scratched those that came near her; was removed to Ward B.  
Mar 7.  Has not been violent since last attack.  Is weak minded, pins fancy-colored papers and cloth to her dress and dresses and arranges (?) herself in an incongruous manner.
May 30.  Is very quiet and orderly and generally cheerful.  Has been assisting in sewing room for some time.
Jun 29, 1897.  Was removed on parole.
Oct 16, 1897.  Was discharged today improved.


History and clinical notes:
History: Has been peculiar for years; says people are talking about him; says he hears (flying whispers).  Three days before admission he attacked his brother-in-law and hurt him very severely.

Feb 24, 1897.  Is orderly, talks about his millions and lawyers.  
Mar 10.  Has some delusions and hallucinations.
Mar 20.  No improvement.
Mar 30.  Works on the ward.
Apr 5.  No change mentally.
Apr 12.  No change.
Apr 26.  No change.
May 26.  Still hears flying whispers; is a very good worker.
Feb 26, 1899.  Is a very useful patient; works on the farm, health good, has delusions; mind some feeble at times; has been seen in the act of self abuse.
Aug 28.  Still hears flying whispers.  Mind feeble; health good; is excellent worker on the farm.  Same as above report.
Aug 27, 1903.  Very quiet.  Never talks except to answer questions.  Good and trusty worker about the farm.  Good health.

Additional notes:
Died 9/25/1933, buried at DSH, Grave #422.


History and clinical notes:
History:  Symptoms of insanity were first noticed three weeks ago; incoherency in conversation, loss of memory and on the 14th of this month he quit work and went home, saying that he had ruined all the cars on the road and that he had lost his job and the Railroad Company was going to have him arrested and take his property from him.  Last Sunday night became violent, attempted to strike his son and was necessary to restrain him.  He tried to commit suicide by attempting to jump down stairs; has steadily lost flesh.

Mar 6, 1897.  Is very much improved and asked this a.m. to see his family.
Mar 10.  Still improving; went to New Castle with Dr. Hancker yesterday morning.
Mar 13.  Is very much improved; has liberty of grounds.
Mar 20.  Still improving.  
Mar 26, 1897.  Was allowed to go home this p.m.
Jun 17, 1897.  Discharged recovered.


History and clinical notes:
History: Was arrested in Wilmington for trespass and sent to jail for sixty days.  Shortly after his admission there he refused to eat, tore his clothes and was seen masturbating several times.

Mar 10, 1897.  Eats good.  Is very orderly and talk very intelligent.
Mar 17.  Is very good patient and is apparently all right.
Mar 25.  Works in the kitchen now and is good help.
Apr 25.  Still in the kitchen.
Apr 25, 1898.  Was allowed to leave for Atlantic City today.
May 31.  Returned voluntarily today.  Mind is much more feeble and he has lost flesh and strength.
Jun 20.  Mind feeble; tremelous tongue, peculiar speech, loss of flesh.
Jul 20.  No improvement.
Aug 18.  No change.
Oct 10.  Gradually getting weaker, delirious at times, tears his clothes and very untidy.
Nov 15.  Same as last report.
Dec 10.  Lost considerable flesh; tremelous tongue; ataxia very much marked.
Jan 10, 1898.  Confined to bed; gradually wasting.
Feb.  Very weak; several bed sores; does not recognize anyone.
Feb 19.  Extremely weak; confined to bed.  4 p.m. pulse very weak and unconscious.
Feb 20, 1898.  Died 3:30 a.m.

Additional notes:
Buried at DSH, Grave #66.  Note: Tremelous doesn’t seem to be a word; tremulous means “affected by trembling.”


History and clinical notes:
History: Patient was first admitted July 5, 1895.  Acute mania.  Discharged 4.4.96.  Shortly after patient left this Hospital symptoms of dementia developed.  He has stole a number of articles and was convicted and whipped and two weeks ago he was arrested with clothing, but not any owner could be found.  Patient mind is feeble.

Mar 14, 1897.  Was sent to work in the kitchen and is very good help.
Mar 21.  Still works in the kitchen.
Mar 30.  No change mentally.
Apr 15.  No change.  Eloped.
Oct 17, 1897.  Discharged improved.


Insane Relatives:
brother resident here; two maternal aunts

On certificate of:
Drs. John W. Fooks and E.H.T. Farlow (?)

History and clinical notes:
History: First symptoms of disease was manifested about 5 years ago.  Neglected her work, became very irritable and cross – nervous and excitable.  Mind has become quite feeble.  Physical health has failed and she has lost flesh and strength.  Very restless and her movements and actions are almost choreic – very jerky and clonic.  Is suffering from persistent constipation as she has done for years.  Has a complete rupture of perineum extending from vagina to rectum.

Apr 12, 1897.  Has been very quiet and orderly since her admission.  Has talked rational at all times.  Has shown no indications of insanity.  Choreic movements has been well marked.  Was visited by her son today who requested to remove her on parole.  She was allowed to go.
Jun 17, 1897.  Discharged recovered.

Additional notes:
Probably not mentally ill.  ag'itans or agita'ta, melancholia accompanied by great restlessness


History and clinical notes:
History: Was picked up in the streets on Sunday; officer who brings patient knows nothing of his history.  Patient has stated that he is a sail maker from Baltimore.  Since being in jail tore his clothing up.  Has all symptoms of general paresis (syphilis); tottering gait, hesitating in speech, etc.  

Mar 16, 1897.  Is confined to his bed in the Infirmary.  Appetite poor.
Mar 30.  Has slight convulsions at times.
Mar 30 (again). Is gradually becoming helpless and very untidy.
Apr 6.  Was removed to back hall because he was too noisy and untidy.
Apr 14.  Is very weak and can scarcely talk.
Mar 20 (odd date).  Has been speechless for the past two or three days, also hemiplegia of right side.
Apr 28.  No improvement mentally, gradually getting very weak.
May 1, 1897.  Died 11:30 a.m.


On certificate of:
Drs. Frank E. Sansone and William Marshall

History and clinical notes:
History: Patient had an attack lasting about one month, a year and half ago and about 4 months ago symptoms of insanity returned.  She has been very much depressed and attempted to commit suicide a number of times by jumping down stairs, getting on railroad track, and etc.  She believes she is in hell and that she has done so bad that the Lord will not have any thing to do with her.  Has a burn on chest due to an attempt at suicide day before yesterday.  She attempted to shoot herself with a gun but the cartridge burst and the burn was the only damage done.

Mar 31, 1897.  Has been in restraint sheet since her admission as she threatens repeatedly to kill herself and has been very restless.  Says the devil is inside of her.  This p.m. became very violent, tore her restraint sheet and a muff was necessary to restrain her.  Hyoscine was administered hypodermically but with little effect.
Apr 1.  Slept about 2 hours last night and is quiet this morning, although her delusions are the same.  Will not take solid food and milk and whiskey is administered.
Apr 17.  Has slowly improved since last note.  Is more quiet and rational; eats better.  Is still necessary to keep her in restraint sheet at night.
May 9.  Yesterday again became so restless that she had to be restrained.  Refused food and was fed twice daily with nasal tube.
May 10.  Is much weaker.  Husband was written to that she was failing.  Says she will not eat as she wants to die.
May 14.  Has been steadily fed and nourished with nasal tube since last note.  Has failed very rapidly.  Yesterday husband was with her all day.  Continued to fail rapidly during the night a died at 6:30 this a.m.


History and clinical notes:
History: Relative or friend who brings patient to Hospital drove off while patient was being carried up stairs and a history could not be obtained t this time.  Was very weak and untidy, also some bed sores.  Mind very feeble; has cough.

Apr 6, 1897.  No improvement.
Apr 10.  Very weak this a.m.
Apr 12.  Died 8:15 p.m.

Additional notes:
Probably not mentally ill.  Buried at DSH, Grave #54.


History and clinical notes:
History: Patient has practiced self abuse for the past eighteen years, complains of severe headaches and etc.

Apr 8, 1896.  Is not so nervous as he was when admitted; is restrained at night and takes Bromide through the day.
Apr 27.  Says his head does not hurt so much as it did a few days ago.
May 12.  Has been treated since admission for cephalalgia with Phenacctine and etc.  Is restrained at night to prevent self abuse.
May 20.  Is some improved.  
May 30.  Is very orderly and has a little chorea.
Feb 26, 1899.  Health good, assists on the wards, mind some feeble; is orderly and tidy.
Oct 8.  Mind feeble and at times untidy; works on the wards.
Aug 27, 1903.  Condition the same mentally and physically.  Contented.  Good worker on ward.
Jan 8, 1916.  Ha been in T.B. (Ward) for past 5 years and his disease has been arrested.
Jan 8, 1916.  Has developed Lobar Pneumonia.

Final disposition:
Still in hospital.  Has TB and Lobar pneumonia.   Died 7/1/1942.


History and clinical notes:
History: Patient has been working in Diamond Match Factory in Wilmington previous to its removal for five years.  As a result has suffered from necrosis of both maxillary bones.  First symptoms of insanity first manifested about 6 months ago; began to speak of suicide.  For past 2 months insanity more pronounced; very hysterical at times.  For past three weeks has been much worse.  Homicidal propensities have become more marked; tried to strike his wife and has several times threatened to kill her.  Has gradually lost flesh and strength.  Is very weak, but when excited requires considerable help to restrain him.  Temperature for past two weeks has been about 101; complains of severe headache and this symptoms has been marked for past year.

Apr 17, 1897.  Is in the Infirmary, cries and moans, has to be restrained at night.
Apr 27.  Is more composed.  Talks very good and set in a chair during the day.
Apr 29.  Improving very fast.
May 2.  Goes around the wards.
May 6.  Has liberty of grounds.
May 12.  Went home today with wife.
Oct 17, 1897.  Discharged recovered.


History and clinical notes:
History: Patient eloped from this institution Dec 4th, 1894.  Has been living quietly with his sister since he left here until Feb last when he began to attend revival meetings and began to talk about religion, etc.  Wandered away from home and stayed away until yesterday.  Patient states that he has wandered all over the state and that he has been in poor houses and jails.  Is very garrulous in office and talks incessantly about religion and allied topics.  General health is good.

Apr 28, 1897.  Is very excitable, untidy, and talks on various subjects of nonsense.
May 15.  Is some improved, not so restless.  At times he has to be restrained for a short time.
May 30.  Still improving slowly.
Feb 26, 1899.  Health good, works on the wards and is very useful.  Mind some impaired.
Aug 28.  No improvement, masturbates at all times, although orderly; health fair.
Oct 8.  Same as above report.
Aug 12, 1901.  Works in dining room; is garrulous but not troublesome.
Aug 24, 1903.  Good general health;  Good worker on wards.  Weak mentally.  Has to be watched as he will fill his pockets and clothing with sticks and dirt.  Filthy about his habits and person.
Jan 5, 1913.  Conditions remains the same as when last reported.
Oct 23, 1914.  Did not eat today, seems rather stupid, has difficulty in articulating, was placed in bed.
Oct 26.  Failing rapidly, is in a comatose state, has had a “stroke” affecting right side.
Oct 27.  Patient remained in comatose state and died at 2:40 p.m.
Oct 27, 1914.  Died.  Cerebral apoplexy.


History and clinical notes:
History: Has been taking morphia and cocaine for the past three years, taking as much as a drachma of each during twenty-four hours; has spent all his money for the drugs.  Lately has become very troublesome to those around him, has threatened to injure his family for not buying him the drugs.

Apr 28, 1897.  Is very much improved; has done several repair jobs for Dr. Hancker on the electric lights.
May 15.  Morphine has been reduced to only a few grains a day; has liberty to go where he pleases and has been to Wilmington a number of times.
May 30.  Very much improved.
Feb 18, 1898.  Patient has had all the liberties of an institution; frequently went to Wilmington and recently was suspected by the Supt. of drinking.  This morning patient was found with his face cut over right eye; face bloody, and very stupid.  Upon further investigation and also admission of patient about two-thirds of a pint of Chloral mixture was drank.
Mar 11.  9 a.m. was under influence of Chloral; he picked the lock on door of Attendants Williams and Kelly’s room.
Mar 30, 1898.  Very much improved.
Apr 20, 1898.  Discharged recovered.


History and clinical notes:
History: Has a [grand]son who is a very hard drinker and has cost his mother all her property, which is supposed to cause her insanity, which began about 6 months ago.  She neglected her work, wandered carelessly from place to place, and lately symptoms have become more pronounced; is very restless at night and lost flesh.  Patient has a sore and black and blue marks on lower extremities; saying that Charlie struck her in the face.  Cries and moans a great deal of the time and is constantly talking about the loss of her property and her clothing, etc.

Apr 29, 1897.  Has been quite cross and irritable at times since her admission.  Frequently says that she does not get anything to eat – that we are trying to starve her, when the opposite is known.  Supt. has seen her eat a hearty dinner and she has told him in the afternoon that she had no dinner and nothing to eat that day.  Today was very violent and struck and resisted the attendants; was put in a room but pounded on the door until it was necessary to place her in a loose camisole.
May 1.  Was visited by her relatives today who removed her on parole.
Oct 27.  Patient has been much worse for past month and her friends could do nothing for her; was returned this a.m.
Jan 1, 1898.  Is very cross and irritable since her admission.  Noisy most of the time; says that she is ill treated and that everyone abuses her and strikes her.
Jan 2.  Has been failing for past week; is in bed; is much more quiet.  Takes nothing but liquid nourishment.  Is slowly failing.
Jan 24.  Was visited by her daughter [name redacted] today, who removed her on parole.
Jun 12, 1898.  Discharged unimproved.


History and clinical notes:
History: Officers who bring patient state that they know nothing of his history except that he is a hard drinker and has been for years.  Has sore legs from both knees to ankles; was very nervous and excitable.  Delirious, extremely weak, began having convulsions during the night and died at 4:20 a.m.   Was so weak when admitted that he was carried to Ward D in a chair.


History and clinical notes:
History: Patient was first admitted to this institution in 1887.  Was discharged Jan 1, 1892 as cured.  Officer who brings patient knows nothing of his history.

May 15, 1897.  Is very quiet, seldom talks to anyone and then in a very low tone.  Is much emaciated.
May 30.  No improvement mentally.
Jun 8.  Still depressed and desires to be by himself.
Nov 1.  No change mentally, health good.
Oct, 1898.  Patient remains quiet, orderly, mind feeble and harmless.  
Sep 30, 1898.  Was allowed to go home on parole.
Mar 5, 1899.  Discharged improved.


History and clinical notes:
History: When patient was about 25 years old he was thrown by an ox on his head and a few days after he had a convulsion and they have continued since that time.  He is hard to control, wanders from place to place and cannot be kept home.  Health good, mind feeble.

May 15, 1897.  Mind feeble; has convulsions at times.
May 30.  Patient can never improve.
Jun 8.  No improvement mentally, physical health good.
Sep 2.  While out walking today with other patients eluded the vigilance of attendants and escaped.
Sep 4.  Patient was returned to the Hospital this a.m. by Mr. Landers, who found him in a corn field.
Sep 6.  Was visited by brother today who desired to remove him; was placed on parole list.
Feb 12, 1898.  Discharged improved.


History and clinical notes:
History: About January last her school teacher noticed that she was very nervous and excitable and was not keeping up with her studies and was absent minded and would not obey her, and she is gradually getting worse.  She has an aunt here, and a sister at Elwyn.

May 9, 1897.  Very noisy and violent since admission, strikes and bites those that come near her; tears her clothing.
May 11.  Is more quiet and rational.
May 30.  Since last note has caused us no trouble.  Keeps herself neat and tidy and assists in sewing and other light work on ward.  Is now on Ward A.
Aug 12, 1898.  Is much worse than formerly.  Is very mischievous and troublesome; is in restraints most of the time.  
Mar, 1899.  As a rule, patient is quiet, though occasionally destructive and hits at those around her, appears very nervous; picks her fingers and lips until they are all raw and bleeding.
Jun 15.  Patient is difficult to manage; as she is very mischievous and destructive; at times is noisy and has to be put in restraints; also addicted to self abuse.  Physical health very good.
Jan 15, 1900.  Patient has improved somewhat lately, seems much quieter and more rational in her conversation.  Physical health good, assists in work of the ward and has not had to have any restraints for some time.
Aug 2, 1902.  Little change in condition mentally and physically during past year; very erotic, masturbates excessively at times.  Good worker on the wards and is always willing to do all she can to help the attendants.
Aug 24, 1903.  No change physically or mentally.  Very weak minded.  Good health.  Willing worker.
Sep 1910.  Patient does not show any improvement; at times very disagreeable.
Sep 1918.  No change in patient’s mental condition.
Jan 7, 1919.  Patient died at 4 a.m.  Acute gastroenteritis.


Insane Relatives:
uncle here now; father and (another) uncle died insane

History and clinical notes:
History:  First symptoms of insanity was noticed about 5 weeks ago.  Went to Philadelphia about that time to obtain work and shortly after arriving there told her friends that she thought people were talking about her and looking down on her; began to get melancholy and depressed.  This condition continued until last Tuesday when she became very much worse; began to cry and moan and occasionally scream.  Said that she was afraid that someone was going to kill her.  At times is very noisy and troublesome while again she will sing out loud.  Appetite is very poor and she has slept but little.  Has steadily lost flesh and strength.  Has had fairly good health although last winter had an attack of La Grippe.

May 20, 1897.  Very melancholy and depressed.  Is somewhat untidy, especially about her personal appearance.  Seldom speaks to anyone, frequently cries.
May 30.  Is a little more cheerful and for the past few days takes a little more interest in her surroundings.  Talks a little and is not quite as anaemic as at time of admission.
Mar 11, 1898.  Has steadily improved since last note and is working in dining room of attendants.  Was allowed to leave the institution today on parole.
Jun 12, 1898.  Was discharged today recovered.


History and clinical notes:
History: About fourteen months ago she began going in the streets praying and she has gradually become so bad that she can’t be kept in the house.  She is very obstinate and extremely hard to control.

May 30, 1897.  Has given no trouble since admission, works daily in the dining room.  Reads her Bible a great deal and talks about religion.  General health quite good.
Sep 11.  For past week or two has been very noisy and inclined to be vicious.  This a.m. attendant attempted to take a bucket from her room and patient attacked her and kicked her in the sides and bit her finger nearly to bone.  Supt. was in Hall at time and he and other attendants restrained her.  Patient fought and attempted to kick and hit those around her.
Sep 12.  Patient has a black eye this morning, says she did it herself by falling against the bed.  Is may been done accidentally during the trouble yesterday.
Aug 12, 1898.  No change.
Jun 15, 1899.  Patient is usually quiet and orderly; does light work about the ward but usually keeps to her room most of the time.  Occasionally fights with one of the patients is she is allowed to come near her, but with anyone else appears very friendly.  Physical health fairly good.
Jan 15, 1900.  Patient seems more irritable lately and frequently attempts to fight with those around her.  General health very good.
Jan 6, 1902.  Died 11 p.m. of anaemia.  Had failed for past six weeks, remaining considerable time in bed, refused to take medicine and at times refused nourishment.  Very quiet and peaceable towards the last of her days.  Remaining by herself a good deal of the time up to a week before death.


On certificate of:
Drs. John Palmer, Jr., and William C. Pierce

History and clinical notes:
History: Patient has always been very feeble minded; was unable to learn much at school.  About 8 years ago was seduced and had a child.  When about 3 months pregnant patient had an epileptic convulsion.  Had them at various intervals sometimes once a week and again they would not reappear for a month or two.  After child was born, convulsions became much more frequent, having them frequently and much more severe.  Her mind is gradually failing and lately after her epileptic seizures has been at times very violent and has frequently threatened to kill herself or injure others.  Has steadily lost flesh and strength.  Her brother-in-law seduced her 3 months previous to the death of his own wife (patient’s sister).

May 30, 1897.  Is quite feeble minded, has had second epileptic seizure since her admission.
Aug 12, 1898.  Still subject to epileptic seizures.  No change in any respect.
Jun 15, 1899.  Condition remains about the same; mind very feeble; still has frequent epileptic convulsions from which however she recovers quite quickly.  Is thin and says she cannot eat well on account of her poor teeth.  Works around the ward every day and is usually bright and cheerful.
Jan 15, 1900.  Epileptic convulsions still occur at frequent intervals but as a rule they are not very severe and patient recovers consciousness quickly.  Appetite rather poor and complains lately of not sleeping well at night.
Aug 2, 1902.  Mentally and physically unchanged.
Aug 24, 1903.  General health good.  Frequent epileptic seizures.  Occasionally quite vicious.  Very irritable if crossed.  Works in ward.
Feb 27, 1904.  Has very frequent fits, very noisy at times.  Suffers recently from toothache.  Teeth extracted by Dr. Hancker.
Jun 1, 1907.  Patient growing feeble.  Has afternoon temperature.  Right lung consolidated abscess cavity right apex; appetite good.
Jun 10.  Patient much emaciated.  Growing weaker.  Lung much broken down.  Coughs, but swallows sputum.  Eats fairly well.
Jun 25.  Weaker, cannot talk much, coughs a great deal.
Jul 1, 1907.  Died 12:20 a.m. Phthisis Pulmonalis.

Additional notes:
This is the patient whose brother-in-law raped her and made her pregnant.  I tried without success to pin down who the child was.   Perhaps Jennie Proud living with Phebe Clark (aunt) in later years?


History and clinical notes:
History: Officers who bring patient to Hospital know nothing of particulars of case.

May 23, 1897.  Is very quiet and would set in one position a long time with his fingers to his mouth as if smoking a cigar or cigarette.
May 30.  Has stopped this habit and is more cheerful. 
Jun 8.  Works on the wards and is very cheerful and says he likes it here very much.
Jul 3, 1897.  Was allowed to go on parole.
Oct 17, 1897.  Discharged recovered.


On certificate of:
Drs. James A. Draper and William R. Bullock

History and clinical notes:
History: Has always been a hard worker.  Went through Goldey College and began to work in a pattern shop.  He was much interested in patents and was working on five patents and they were all used by someone else and this surprised him so much that his friends noticed that he became melancholy about 3 months ago.  Worries about his work and would frequently get up in the night and go to the shop and see if he had done his day’s work correctly.  Lately has worried a great deal about being wicked; read his Bible a great deal and attended church regularly and is constantly talking about religious matters.  Has a good appetite and has not lost flesh.  But has suffered to a great deal from insomnia.  Shortly after admission he became very violent, broke one of the benches and was restrained.

May 27, 1897.  Restraint removed.
Jun 1.  Is very much depressed, will seldom speak when spoken to, appetite very poor.
Jun 8.  No improvement.
Jul 15.  Is very violent at times and is restrained all the time.   Believes he is the Pope.  Is very religious but at times curses.
Sep 15.  No improvement mentally.
Oct 15.  No change.  Still believes he is the Pope.
Nov 1.  Is very violent at times.
Feb 26, 1898.  Is very thin, health some impaired; very seldom speaks; is untidy and desires to resist the attendants and occasionally will hit patients that are near him.
Aug 28.  Very demented; will not speak to anyone; is very untidy; health very bad; has lost flesh.
Oct 8.  No improvement.  Very untidy and health poor; will not talk to anyone.
Aug 12, 1901.  Is gaining in flesh; eats well.  Urine dribbles constantly. Nurse exam negative.  Patient resistive; must be restrained.  Very demented; at times legs below knees become much swollen and very blue.
Dec 1, 1901.  Is getting thinner.  No other change.
Feb 1, 1902.  Eats very little.
Feb 4.  Feeding by nasal tube necessary.  Is able to repeatedly force tube back through mouth.  Is undoubtedly failing in weight.
Feb 11.  On parole to family who have been warned of his condition.
Feb 18, 1902.  Discharged unimproved.


History and clinical notes:
History: Patient was first admitted July 11, 1893 from Kent County Jail.  Discharged 10.11.94, was sent to New Castle County Alms House last Saturday and was so noisy and violent that he was admitted here.  He talks mostly on religion; is hard to control.

Jun 1, 1897.  Has been quiet and composed; restraint removed.
Jun 8.  Complains of pains in his stomach and works on the wards and takes care of the little colored boys.
Feb 26, 1899.  Health good and is very useful patient; at times he is a little obstinant.  
Aug 28.  Some improved; is orderly, assists in the wards, health good.
Oct 8.  Same as above report.
Aug 12, 1901.  Good helper on ward.  Usually in good temper.  Health good.
Aug 24, 1903.  Good health.  Obedient and respectful.  Has occasional periods during which he is vicious and restraint is necessary.  Good and willing worker.
Feb 19, 1904.  While standing in wash room he “butted” a patient with his head, producing a wound over superciliary ridge of patient [name redacted], requiring 3 sutures.  
Jan 8, 1911.  Confined to bed, cough and profuse expectoration, losing flesh.
Jul 12.  Gradually growing weaker, sleeps well, but has a poor appetite.
Dec 8, 1911.  Rapidly sinking and takes but little nourishment.
Dec 25, 1911.  Died.  Phthisis Pulm.

Additional notes:
" . . . Works on the wards and takes care of the little colored boys."  Buried at DSH, Grave #213.


History and clinical notes:
History: Patient has been in poor health for past year and has been in bed most of that time.  About 1 month ago first symptoms of insanity were noticed; began to be become depressed and melancholy.  At times refused food and turned against her husband and her best friends; would not eat at times, said that they were trying to poison her.  Has steadily lost flesh and strength and when brought to Hospital had to be carried in on a chair.  Pulse very feeble, due to want of proper nourishment.

May 30, 1897.  Is a little stronger, but has been in bed since her admission.  Takes food in sufficient quantities; says she feels much better.
Jun 24.  Was removed today on parole.
Oct 16, 1897.  Was discharged this day, improved.


History and clinical notes:
History: Has had considerable domestic trouble ever since he was married (about 3 years ago).  Wife ran around with other men and continuously neglected her household duties.  This has been the cause of his troubles.  He has frequently spoken to his friends about it.  About 2 months ago first symptoms of insanity was noticed.  Began to neglect his work and was at times despondent.  Has gradually become much worse; talking about getting married and once or twice threatened to kill his mother.  Lately has said that he was the coming Christ and began to have religious delusions.  Has lost flesh and strength and lately has slept but little.

Jun 21, 1897.  Has been working on ward, but has religious delusions.
Jun 28.  3 a.m. was hit on head by [another patient] and received wounds of scalp, which were stitched.
Jul 10.  Is very quiet, work on the wards, but is very religious.
Jul 20.  Same as last report.
July 31.  5:30 a.m. attendant found patient unconscious and called Dr. H (Hancker) to see him.  Upon examination the patient has very rapid pulse, respirations about 32 to a minute, delirious, and eyes turned to the left.  6 p.m.  No change.
Aug 1.  Very weak, still unconscious.  6 p.m. some little better.  
Aug 2.  6 a.m. talks some although delirious.  6 p.m. some stronger.
Aug 3.  Gradually getting weaker.
Aug 5.  Delirious, pulse 140 per minute, cold and clammy.
Aug 6, 1897.  2:50 a.m. died.


History and clinical notes:
History: Patient has been intemperate for years.  Mind has become affected and his friends have noticed that he acted peculiar some 2 or 3 years ago.  Lately his eye sight has been poor and lately he can hardly see to get around.  Has been in Soldiers Home in Va off and on for past 2 years, but his wife has taken him away from time to time and his mother states that she did it in order to get his pension.  Last Saturday night he came to his mother’s house in a cab.  He says he came from Glenolden (?).  Has lost flesh and strength.  His pension amounts to $12.00 per month.  Mother knows little of his condition for past year or two.

Nov 1, 1897.  Has been in bed for some time past; is very untidy and very thin.  Memory very poor; has to be restrained to keep him in bed.
Nov 10.  Very weak.  When raised up in bed has no control over his head, falling to either side or backwards; can’t talk, eats but little, diet liquid, is very untidy.
Nov 20.  Gradually sinking; does not recognize anyone.
Dec 2, 1897.  Died.

Final disposition:
Died -- death certificate (from ancestry.com) says from general paresis

Additional notes:
Was a veteran of the Civil War.  Had poor eyesight.  Lived for a time in U.S. National Homes for Disabled Volunteer Soldiers, 1866-1938 in Hampton, Virginia (Roseburg Branch).  Buried in Riverview Cemetery, unmarked grave (Tedd Cocker working on this), although did find him listed in pension rolls, both for his own disability and then by his wife after he died.  Find a grave now has more info.


History and clinical notes:
History: Has been married about 8 years and has always had more or less domestic trouble.  Husband abused her and maltreated her without provocation.  Last Jan they separated and have not been living together since a month or two before separation – first symptoms of insanity was noticed – was melancholy at first but quickly manifested a disposition to break furniture and etc.  The parties who brought patient know but little of the minutia of the case.  Patient worries a great deal about her boy as her husband took him when they separated.  Has lost flesh and strength lately.

Jul 16, 1897.  Has improved very much since admission.  Is more cheerful, not as nervous.  Has improved also physically; says her head does not pain her as much as formerly and that she feels that she is much better in every respect.
Aug 12, 1898.  No change.  Still controlled by her delusions.
Mar, 1899.  Patient still has some delusions; still somewhat nervous, but helps about the ward at times and seems in better general health.
May 25.  Patient was untidy and gave impudence to some of the attendants, so was removed to Ward B.  Mental and physical condition about the same.
Jun 16.  Very little change in patient’s condition.  General health very good but mentally there is little or no improvement.
Jan 15, 1900.  Very little if any improvement since last note – physical health fairly good.
Aug 2, 1902.  Mentally and physically unchanged.
Feb 27, 1904.  Very helpful in dining room.  Has delusions, but is quiet.  Recently had bad cold – recovered. 
Aug 1905.  Unchanged mentally, physically in good condition.
Aug 19, 1905.  Allowed to go home.  Paroled.
May 7, 1906.  Discharged improved.


History and clinical notes:
History: Patient has shown symptoms of insanity for past 3 days.  Wandered away from home and day before yesterday was found by two men in the woods and she was intoxicated.  Since then has been quite violent at times and has destroyed her clothing and broke furniture.  Sings a great deal of the time.  Says she has got religion etc.

Jul 16, 1897.  Patient has been very violent and disturbed since her admission.  Tears her clothing and if not restrained resists and strikes every one that comes near her.  Is so noisy at times that it is necessary to administer a hypo of Hyoscine. 
May 4, 1898.  Has been slowly gaining (?) for past few months.  Is not as noisy as she formerly was and has been working in ward.  Was allowed to go home today with mother on parole.
Jun 12, 1898.  Was discharged today improved.


History and clinical notes:
History: Patient was brought to Hospital June 23, 1897 without papers and has been kept in Hospital awaiting the certificates.  About three years ago had La Grippe and symptoms of insanity developed shortly after.  Has talked of suicide and wanders from place to place, grieves and moans most all the time and desires to be by himself.

Jul 25, 1897.  No improvement; complains of his head, stomach, and bowels.  
Oct 2, 1897.  Was allowed to go with sister on parole.
Feb 12, 1898.  Discharged improved.


History and clinical notes:
History: Last February had apoplexy and mind has been affected since.  Is very much depressed and believes that his children are trying to kill him.  Cries and moans, saying that he can’t get anything to eat, and wanders from place to place.  Mind feeble.

Jul 15, 1897.  No improvement, cries and moans at times, speech affected.
Jul 24.  Is so weak that he is in bed; apparently has had another stroke.
Jul 26.  Pulse 130, respirations 26, and very weak.
Jul 30.  No improvement.
Aug 1.  Had another stroke.
Aug 2.  Unconscious, cold and clammy.  
Aug 4, 1897.  Died 9 a.m.


History and clinical notes:
History: Mr. Stewart who brings patient knows nothing of her history.

Jul 16, 1897.  Has given no trouble since admission.  At times is somewhat restless.  Complains of severe headache and says that people, especially her friends, are against her.
Jan 29, 1897 (should be 1898).  Has been very quiet and orderly since last note.  Does not express her delusions as much as formerly, although her voice is thick – her speech hesitating.  Was visited by her husband today who removed her on parole.
Jun 12, 1898.  Discharged improved.


History and clinical notes:
History: Had a severe attack of Typhoid Fever two years ago and about the same time lost his wife.  Since that time his friends have noticed that he at times acted peculiarly, but nothing serious occurred sufficient to keep a watch on him until about 4 weeks ago when he went away from home.  Before he left he threatened to kill his daughter and the man she was engaged to be married to.  Yesterday morning he returned about 3 o’clock and since then he has threatened to kill his daughter and himself.  Talks incoherently at times and occasionally very restless.  Has lost about 30 lbs. flesh in 4 weeks.

Aug 1, 1897.  Has been quite cheerful since admission, works on the ward and has shown no indications of insanity whatever.
Aug 21.  Has been working outside for two weeks.  Was visited by brother today who removed him on parole.
Oct 17, 1897.  Discharged improved.

Additional notes:
Note attached: Dated Aug 20, 1897.  “I hereby remove my brother [name redacted] from the Del. State Hospt. at Farnhurst against the advice of the Supt. and will be responsible for the safe care of the said [patient] and will exonerate the Trustees of the said Hospital in case [patient] should do himself or others violent injury.  His” [X for signature].  Witness: Geo. H. Swain, Wm. H. Hancker.


History and clinical notes:
History: Patient has always enjoyed good general health.  Four months ago last child was born – no special complications noticed.  About four weeks ago first symptoms of insanity were noticed.  Complained constantly of severe pain in her head.  About 8 days ago got up about 3 o’clock in the morning and left her home with only her night dress on.  Since that time talks constantly about religion and wants to see the priests.  Neglects her children and her baby, imagines that her friends are trying to poison her.  Is steadily growing worse.  Does not sleep at night.

Jul 16, 1897.  Has slept fairly well ever since she came here and takes her food in sufficient quantities and voluntarily.  Says that her people at home and everyone here is “putting things on her.”  That everyone is trying to drag her down, that she has no friends, that electricity is being placed about her.
Jul 24.  Has changed but little; still thoroughly controlled by her delusions and at times will not eat.  Has been fed with nasal tube almost daily.  Was visited by her sister today, who removed her against the advice of the Supt. as per certificate attached.
Oct 16, 1897.  Was discharged today unimproved.

Additional notes:
Note attached: Dated July 24, 1897.  “I, Mrs. [name redacted], the sister of [patient] hereby remove her from the Del State Hospt. at Farnhurst with the consent of the husband of [patient] hereby attached.  I do this against the advice of the Supt. who informs me that it is necessary at times to feed [patient] as she will not eat and that her removal may retard her recovery.  Knowing these facts, I take the responsibility in my own hands.” [Signature]/
Second note attached: “Wilmington, Del. July 23, 1897.  To Mr. Dr. Hancker, Dear Sir, with my permission my wife [name redacted] can be removed to her sister’s residence at [address redacted].”  Signed with an X, and witnessed by another person [name redacted].


History and clinical notes:
History: Officer who brings patient to hospital states that he (patient) has always been a hard working man.  About 2 years ago married a young girl and since that time, she has defrauded him of what little property he had saved up and lately she turned him out of doors.  This is supposed to be the cause of his illness.

Jul 27, 1897.  Very orderly until late in the afternoons when he becomes restless and wants to go drive his horses and etc.
Sep 15.  The mind feeble, although is able to be on the hall and do some little work.
Oct 15.  Became restless toward evening and wants to go away.
Nov 1.  No change.
Feb 26, 1898.  Health good; is very orderly, mind feeble and has occasionally delusions.
Aug 28.  All symptoms of senile dementia; health good; assists at times on the wards.
Oct 8.  Same as above report.
May 5, 1902.  Has been gradually failing for some time past, from senility.  Died today and was buried in our cemetery.


History and clinical notes:
History: Patient has always been a healthy woman, although she has been of a nervous temperament.  Has always been a sober and hardworking woman.  No history of heredity.  No complications in previous pregnancies.  Present confinement easy and no serious complications of any kind.  First symptoms occurred about 5 days ago; became very nervous and in about 36 hours delusions started in and eventually became very violent and has continued so.  Lactation ceased when mania first manifested itself.  All remedies have proved of but little benefit.  Is steadily losing flesh and strength.  Refuses medicines and nourishment.  Urine scanty.  Lochia light.

Jul 14, 1897.  When patient was received there was found the beginning of bed sores over both buttocks.  Hair was mattened together.  Temperature 105.  Was put in protective sheet at once.  This morning was fed with nasal tube and Magnes Sul (Magnesium Sulfate) and Phenacctine administered in same manner.
Jul 15.  At midnight patient showed signs of dissolution.  Phys. Administered whiskey and other remedies without avail.  At 2:30 temperature was 106.  Husband at Wilmington was telephoned to and arrived at 4 a.m.  At 7:00 a.m. patient was removed to her house in Ambulance of the County.  Husband assuming all responsibility in case she died on the way.
Jul 15, 1897.  Discharged unimproved.

Additional notes:
According to death certificate, she was actually 31 years old, and she died on 7/15/1897, the same day she was sent home from DSH.


History and clinical notes:
History: Patient was admitted Apr 30, 1896.  Allowed to go home on parole with husband May 25, 1896 and was eventually discharged recovered Oct 4, 1896.  Officer who brings patient to Hospital knows nothing of her history.

Jul 14, 1897.  Mother-in-law stated today that she had been fairly well mentally since she left here although she is still subject to epileptic attacks.  Lately, they have become much more frequent.  About 1 month ago became worse; and has gradually grown very nervous and irritable and at times noisy.  Talks incoherent, lately has been drinking a great deal.
Jul 16.  Has been very noisy and disturbed since she came here until today.  Her language has been both profane and vulgar.  Says today that she does not remember coming here and does not know why they brought her here.  Realizes her condition today to some extent.
Aug 29.  Has steadily improved and was removed this day on parole by her husband.
Oct 16, 1897.  Was discharged today recovered.


On certificate of:
Drs. George M. Pleasanton and J.O. Pierce

History and clinical notes:
History: Officer who brings patient to Hospital knows nothing of patient’s history.  He states that patient draws a pension of $6.00 per month.

Jul 27, 1896.  Mind very feeble; talks incoherent; is in infirmary and very untidy.
Sep 15.  Is on back ward of D, confined to bed; gradually losing flesh.  Mind very feeble and extremely untidy.
Oct 15.  Does not know enough to eat when food is offered to him.  
Nov 1.  Gradually getting weaker.
Nov 8.  Does not recognize anyone; very thin and extremely weak.
Nov 15.  Refuses to eat and lives on milk, whiskey, and etc.
Nov 23, 1896.  Died 10:25 p.m.


History and clinical notes:
History:  Patient was brought to hospital July 13th with papers illegal.  Has had number of attacks of paralysis.

Jul 20, 1897.  Mind some feeble and very difficult for patient to walk.
Jul 27.  No improvement.
Sep 10.  Patient had a stroke and can not speak; sensation and motor both affected.
Sep 15.  Some stronger; does not recognize anyone.
Sep 22.  Had a convulsion this afternoon; gradually losing flesh and strength.
Sep 23.  Very week, unconscious.
Sep 24.  No improvement.
Sep 27.  Still unconscious; pulse weak, respirations difficult.
Sep 27, 1896.  Died at 10:20 p.m.


History and clinical notes:
History: Officers who bring patient to Hospital knows nothing of his history.

Jul 27, 1897.  Believes he has a number of enemies and that they are trying to injure him and that everybody calls him a cur.
Aug 6.  Says he don’t hear anyone calling him a cur now and is very desirous of going home.
Aug 25.  Allowed to go on parole.
Oct 17, 1897.  Discharged improved.


On certificate of:
Drs. Thomas C. Moore and John W. Cliffier (?)

History and clinical notes:
History: First symptoms of insanity was noticed about 2 years ago.  Has suffered for past 2 or 3 years with dyspepsia.  Has for past 3 or 4 years been more or less despondent; that is, he would keep by himself and did not want to see company or associate with any one.  About 6 weeks ago began to wander from home, neglected his work, abused his family and yesterday threatened his wife and said he would kill her.  Patient’s left arm is fractured at the wrist.  He states that it occurred about 2 weeks ago.  Is was done by his son in a scuffle who was holding him during his violence, but it was not known that it was fractured although a physician stated to [name redacted, not patient] that it was fractured.  But that patient would not allow any one to dress it.

Jul 23, 1897.  Talks some incoherent, but orderly.
Jul 27.  Is very quiet and orderly.
Sep 15.  Is noisy at times, talks incoherent and often cries.
Oct 15.  Is on Ward 2.  No improvement mentally and seems to be worse after being visited by wife.
Nov 2.  No change mentally.
Nov 11.  Very much improved and was allowed to go home with his wife.
Mar 5, 1899.  Discharged improved.


History and clinical notes:
History: About two weeks ago had sunstroke and was taken to the Delaware Hospital.  He tears his clothes, talks incoherent, wanders around from place to place and could not be kept in the Hospital.

Jul 24, 1897.  Has been delirious since admission; is catheterized three times daily; forehead very hot, temperature 101 to 103, pulse 110 to 130, tongue dry.
Jul 27.  Is very weak, extremities cold 6 p.m.
Jul 28.  Still unconscious, very weak.
Jul 30.  No change.  Died at 1 a.m.


History and clinical notes:
History: Patient was discharged from this institution June 24, 1895, improved (see page 82).  Officers who bring patient state that he talk about the infidelity of his wife and that he talk rational on other topics.

Jul 27, 1897.  Believes that he is persecuted and that people are trying to injure him.
Sep 15.  No improvement.  
Oct 15.  No change.
Nov 2.  No change.
Feb 26, 1898.  Health good; works on the ward; is very useful help but has not spoken a word to anyone for months.
Mar 5.  Works on the ward but will not speak to anyone.
Mar 30.  No change.  
Apr 10.  Appetite poor.  Losing flesh.
Apr 25.  No change.
May 1.  Losing flesh; still refuses to talk.
May 5.  No improvement.
May 12.  Transferred to Ward D to the infirmary with increase pulse rate; rise of temperature; coated tongue and some dullness over right lung and liver and tympanitis.
May 13.  No improvement.
May 14.  Has been given large doses of quinine and Phenacctine without any apparent effect.  Abdomen and chest bathed with turpentine and linseed oil being covered with cotton.
May 15.  Pulse very rapid; temperature still high, respirations increased.
May 16.  Gradually losing flesh and strength.  Stimular (?) to milk and etc. of no use.
May 17.  Respiration 26, pulse 120, temperature very high.  Patient still refuses to talk.
May 18.  Extremely weak, fed with tube, milk, whiskey, and digitalis.  10 p.m. hand and feet cold and clammy; was given more whiskey and hypo of strychnine.  Died 11 p.m.

Additional notes:
Note in margin: “In case of death or illness notify undertaker S.V.B. Carty, 1007 French Road, Telephone 734.”


History and clinical notes:
History: Patient was discharged recovered October 4, 1896.  (See page 136).  Complains of pains in his head; is very depressed; prefers to be by himself and will not talk much.  Is very much run down physically.

Sep 9, 1897.  Has been very much excited for past week.  Has threatened other patients and also the attendants.  Imagines that there is a spy after him who watches all his movements.  This a.m. was much worse.  Is in a muff.  Was transferred to Ward C a few days ago.
Oct 4.  Was very noisy last night and sent to Ward C this a.m.  
Oct 6.  9 a.m. patient told Dr. Hammond that he was visited in his room last night by God, the supreme being, and that his maker told him that all things shall be removed in ten days (after the disaster).  Also said that Dr. Hancker has William W. Worrell here from California as a spy at a salary of fifteen dollars per week.
Oct 15.  Today struck [a patient] without provocation and blacked patient’s eye.
Nov 2.  a.m. Told Dr. Hammond that there was a steam engine on the hall last night and he heard it make three blows which indicated destruction.
Apr 30, 1898.  Has improved mentally; is more quiet, but is losing flesh lately.  Has been in bed for some days.
Jun 1.  Still in bed; has some cough; appetite poor.  Is failing physically.
Aug 18.  Still in bed, cannot eat; pulse rapid.  Sputum examined a few days ago and tubercular bacilli found in large numbers.
Oct 10.  Was visited by his aunt today who removed him by the consent of his guardian, Mr. Pennypacker.  Has been failing very rapidly and is weak and feeble; consumption is making rapid headway.  Patient did not want to go with aunt; said he preferred to stay here as he would be better cared for here than at home.  Parole.
Nov 23.  Patient discharged from books today but at time of leaving had improved mentally although very thin and weak from Phthisis, which he died at the home of his aunts, October 27, 1898.

Final disposition:
Died at the home of his aunts, from phthisis


Insane Relatives:
father and sister died insane; brother and another sister at DHS

On certificate of:
Drs. Thomas O. Clements and J.M. Wilkinson

History and clinical notes:
History: Patient was discharged from this Hospt Feb 25, 1892 as recovered.  Has continued in fairly good health until about 2 weeks ago when he again showed signs of mental impairment.  Last Friday he harnessed up his team and drove off with his two little children without any ostensible object in view.  At times he would get up in the night and wander off in the fields and yell at the top of his voice; became so much of a nuisance that neighbors became frightened and complained of him.

Aug 4, 1897.  Sings hymns most of his time.
Aug 6.  Was restrained.
Aug 13.  Has been very noisy until this a.m.; restraints removed.
Sep 15.  Some improved, although little noisy at times.
Oct 23.  6:15 a.m. was restrained last night and when he was let out of room this a.m. he run out on hall and slipped and fractured tibia at lower third.,
Oct 25.  Patient removed his dressing and was restrained; is very noisy, especially at night.
Nov 2.  Plaster Paris dressing applied this a.m.
Nov 30.  Dressing removed; very much improved mentally.
Dec 10.  Works on the wards, rests well at night and is very anxious to go home.
Jan 12, 1898.  Allowed to go home.
Jun 12, 1898.  Discharged recovered.


History and clinical notes:
History: Patient was brought up well by his parents (both dead now), but has always been a wayward boy.  Drinking and carousing at all times.  Some time ago was in the Alms House through drink, and while there Mr. McCoy, the Supt., noticed that he acted peculiarly and could not tell anything about himself.  He escaped from there and was picked up and placed in the Bayview Asylum in B.  There he told officers he was from Delaware and had been in Almshouse.  He was then brought to Wilmington.

Aug 15, 1897.  No symptoms of insanity since patient was admitted here.  Is a very good worker on the wards and dining room.
Oct 13.  Was allowed to go this am.  
Oct 21.  Came back voluntarily today; has been drinking and says his head is wrong and that he might not to have left.
Oct 29.  Refused to assist on Ward C this a.m. and was compelled to leave the Hospital.
Feb 12, 1898.  Discharged recovered.

Additional notes:
Not insane; allowed to stay while he sobered up, and as long as he would help on wards, but when he refused to do any more work, they kicked him out!


History and clinical notes:
History: Officers who brings patient state that he tried to drown himself yesterday afternoon in the Christina Creek at Fourth Street wharf.  He was arrested and taken to City Hall.  While patient was taking a bath here he tried to drown himself in the tub by holding his head under water.  He was restrained.

Sep 11, 1897.  For past few days patient has been very much excited and restless.  So much so that it has been necessary to keep him in restraint.
Sep 16.  Very restless, noisy, and a very irritable stomach, pulse very rapid.
Sep 17.  Gradually getting weaker and died 5 a.m. September 18, 1897.


History and clinical notes:
History: Masturbates frequently and has influenced a number of younger boys to do the same.  Patient states that his father drove him away from home about two months ago and that he has been sleeping in shacks and barns.

Aug 25, 1897.  No special change since his admission.  Today while out walking eluded the vigilance of his attendants and escaped.
Feb 12, 1898.  Discharged unimproved.

Additional notes:
Not insane?  Never married, served in military, worked all his life, lived with his mother til she died, died in 1942, buried in Lombardy.


History and clinical notes:
History: Officer who brings patient to Hospital is ignorant of her history, residence, etc.

Sep 17, 1897.  Has been quiet and orderly since her admission and has occasioned no trouble whatever.  Is a good help on the wards and assists the attendants.
Aug 12, 1898.  No change.
Mar, 1899.  Patient is inclined to get into trouble with the others when on the hall, so remains in her ward the most of the time.  Is an excellent worker but at times becomes very cross and irritable.
Apr, 1899.  Became very much excited a short time ago and before she could be restrained broke several panes of glass.  Had to be kept in close restraints for several days.
May, 1899.  Patient is now quiet and orderly again, but at times is very irritable.  General health very good.
Jun 16.  Condition remains about the same as at last note.
Jan 15, 1900.  Patient has been quiet and orderly now for several months, although at times she is cross with some of the other patients.  Has suffered a great deal with very much enlarged glands extending all along the side of her face and neck.  One of these suppurated and broke discharging into the mouth.  Has also suffered from severe toothache.  Is now considerably better and is about her usual health; eats and sleeps well.  Does all the work of the dormitory in which she sleeps.
Nov 23, 1901.  Since last Wednesday has been confined to bed; complains of head a great deal; finally grew unconscious; had marked convulsions; incontinence urine and feces, and died Nov 28, 1901 – without any struggle in a comatose condition.

Additional notes:
Newspaper article attached to page: “Tried to Kill a Child.  Murder Prevented by Two Brave Men Who Disarmed an Enraged Woman.  The presence of mind and heroic actions of John Walker and John Patton prevented what would have been most likely a shocking murder, about 10:30 o’clock this morning.  They disarmed an enraged colored woman who was about to kill a child with a hatchet.
	The two men noticed that something unusual was going on on Orange Street between Fifth and Sixth, and made an investigation.  They saw [name redacted], colored, who appeared to be infuriated over something, with a rope around the neck of Mary Walker, a colored girl about 11 years of age, living in New street, and with an uplifted hatchet, about to strike her on the head with it.  There was no time to be wasted and the plucky men rushed in and seizing the woman’s hand took the hatchet away from her.  Then they overpowered her, and after liberating the child took the woman to the police station, where she was turned over to Officer Payne.
	Capt. Kane and the officers at the station house believed as soon as they saw the woman that something was wrong with her mind.  They questioned her and she gave them her name and said she had been working for the family of Nathan Liebermann, at No. 814 West street.  Concerning her attack on the child she would not say much, except that the child had been calling her names and she intended to kill her and would kill her anyway is she did not desist.  How the child came to get in her clutches could not be ascertained.  She was so badly frightened that it is feared she may be made sick.
	The woman said she had a sister living in this city, but would not say much about her.  It was learned at Mr. Liebermann’s residence that her sister [name redacted], had been working there until recently, when she went to Philadelphia.  Upon the departure of her sister, [the patient] assumed her position and started in to do her work.  Last Monday she spoke of leaving and from her actions some of the people about the house thought her mind was not right.
	The hatchet with which the woman was about to murder the child was new and apparently had never been used.  Where she got it is not known.  When searched at the police station jewelry and silverware were found on her clothing.  When questioned as to how she came by the jewelry she stated that she did not know, but the police have informed members of Mr. Liebermann’s family, and somebody will go to the public station and see if they can identify the article found on the woman as their property.
	Dr. Joyce, who is acting as police surgeon, made an examination of the prisoner and pronounced her insane.  She will be sent to the State Hospital at Farnhurst this afternoon.”


History and clinical notes:
History: Patient has shown symptoms of insanity for the past two years.  Mind feeble, wanders from home; does not speak unless spoken to.  Health good.  

Sep 15, 1897.  Mind feeble; very untidy; does not know where he is.
Oct 4.  No change mentally.  Is in infirmary with intermittent fever.
Oct 10.  Very much improved physically and is up on the ward.
Oct 20.  Mind very feeble; talks incoherent, tears buttons from his clothes and is very untidy.
Nov 2.  No improvement.  Taken home by wife Jan 5, 1898.
Feb 12, 1898.  Discharged unimproved.
No date.  Supt. received letter from Mrs. [name redacted] stating that her husband died Feb 5, 1898.

Additional notes:
Supt. received letter from Mrs. [name redacted] stating that her husband died Feb 5, 1898


History and clinical notes:
History: Has been sickly since menopause with began about five years ago, and about one year ago first attack of insanity occurred and lasted about two weeks.  Wandered away from home and was at times very hard to control; she improved some but never recovered her reason and about two weeks ago she gradually became worse, lay in a stupor for two days and would not eat or speak to anyone.  Lately has been getting worse and more especially if she is interfered with.  Is gradually losing flesh and strength, sleeps but little.

Sep 17, 1897.  Is stronger than she was when admitted.  Is untidy and has to be dressed and undressed by the attendants and if anyone touches her she yells “murder murder” at the top of her voice.
May 1, 1898.  Has not improved.  Occasionally has attacks simulating epilepsy and will lay perfectly quiet and apparently unconscious for hours.  Always sits with her knee drawn well up until there has been complete ankylosis of knee.  
Jun 30.  Had one of her attacks last night; more severe than formerly; but was better at bed time; was noisy for part of the night.  Night attendant when she entered patient’s room at 2:30 this a.m. found her dead.  Had only been dead but a short time as body was still very warm.
Jun 30, 1898.  Died; epilepsy.


History and clinical notes:
History: Patient brought to Hospital by officer.  Some time ago visited this institution and stated to Supt. that she was verging on insanity and asked to be committed without legal papers.  This was refused and she was informed what course was necessary to be pursued.

Aug 26, 1897.  When attendants attempted to bathe her today she resisted; struck the attendant and was so violent that it was necessary to restrain her.
Aug 27.  Was quiet today and was placed on front ward.
Sep 1.  Patient was visited by her sister [name redacted] who removed her against the advice of the Supt.  Was placed on parole.
Feb 12, 1898.  Discharged unimproved.

Additional notes:
Same as Annie Bowen.  Readmitted 3/25/1905, died at DSH 12/16/1946.  Buried at DSH, Grave #582.Tried to voluntarily admit herself, but was refused until she got proper papers.  Letter attached: Single sheet of white lined paper, hand-written letter the fills both sides.  Poor spelled faithfully reproduced here.

First side: “Wilmington, Del. August 31, 1897.  Farnhurst Insane Asylum.  I your sister have been incarcerated here by deception having thought that I should have been safely garded by the poliece officer that I was sent from the town hall with to take the air and a ride find out since he induced me to come in this asylum that he had a certificate signed by two doctors that I was insane.  I am not, believe that.  Either of the doctors whom have attended me have ever signed that I am insane and here have been put in a straight jackett and choked.  Today my stomach is very sore have a very nasty cold in my head.  I feel that this is an injustice that should be righted.  I desire to get out of here.  I wish to take this case before a lawyer.  I feel that I should get 37 or a 100 dollars for every moment I have bin so detained against my will.  I had hope to have taken that house on the avenue.  I will trust this letter to your care hoping you will do every thing [ill.] getting me out.  I have seen Ambrose since I have bin here, he is looking very thin and pale.  I was arrested for begging for a watermelon.  Know one has answered me the question when I can get everything I need without money.  Drop a card to Mrs. [name redacted] in Phila.  Tell her of my last experience.  Since I have been trying to get work by which I could support myself has the Delaware Phila New York authorities found my husband yet or obtained me support from him or is he dead is his mother ready to tell his whereabouts.  I should not if I was you pay know attention to this letter.  I want out of this place and want a tryle and justice.  Has any letters from New York or Phila come for me.  I have truthful for some times.  I have thought that someone might go [ill.] if that man I worked for in Rising Sun has something to do with this.  I feel that he has sometimes for I have had trouble ever since I went to work for him.  You know I was to see Mr. [name redacted] on Friday.  I beged to go to the city to see him and I suppose he was at the office as the clerk said he was away and would not return until Friday.  When you receive this letter and fully understand all that it implys I hope you will not delay in placeing in an Lawyer Birds Hands or if you know of a better one in the city.  I have had grate trouble in finding work unless it is proven that I am not insane.  Do you think that I will stand a chance earning my own living after I leave this place.  Think of all of mother’s troubles and do not delay helping me from this place.  Some of the people here are farely nice as far as they can be.  I suppose I see only one person here that I know, [name redacted] I think her name is.  She looks to be very sick and week to me.  They say she is insane.  They put me in a room where she was the first night.  She talked a grate deal.  I do not rest when I feel that there are strange insane people in the room.  I feel very sorry for the suffering people here but sympathy is not much.  I think Lawyer will do Bird and if nessesery have my doctor come over for I know he does not think me insane and it may need his signature to get me out or incarcerate me here for life, god forbid.  I want to go to the city – don’t deny me this favor.  I wish I had someone here to take my husband’s place for I think it would do me good.  Your sister [name redacted].  I am burning up with fever and hot.”

Up at the top of the second page, above the letter itself, are these two lines:
“I believe they would have murdered me if they could.”
“Dr. Hancker if you think it prudent you can send a gard to the city with me but let me go as soon as possible.”


History and clinical notes:
History: Mr. Stewart who brings patient to Hospt. does not know particulars of her trouble.  Has been very violent on her way to the Hospt. and would not walk a step.

Sep 17, 1897.  Patient is very difficult to get along with; is very untidy in her habits.  At times is very noisy, especially if interfered with by patients or attendants.  Stays in her room and constantly says “I am from Seaford.  I did not hurt any one.”
Nov 11.  Is not quite as strong as she formerly was.  Has a good appetite but has lost flesh strength.  Is up and about the ward.  Still very untidy in her habits.
Sep 1, 1898.  Has steadily improved and now talks and appears perfectly rational.
Oct 1.  Visited by mother today, who removed her on parole.
Mar 5, 1899.  Was discharged recovered today.


Complications:
ascites (peritoneal cavity fluid), epilepsy

History and clinical notes:
History: First symptoms of insanity was noticed about 10 years ago.  Began at times to talk irrational.  Forgot what she was doing and occasionally would not understand what was said to her.  These attacks of incoherency has been gradually becoming more frequent.  First attack of epilepsy occurred about 6 years ago and these she has suffered from ever since.  At times the attacks are mild, while again they are “grand.”  Characterized by all symptoms of epilepsy.  Her mind is gradually becoming more frequent (sic).  About 2 years ago Dropsy appeared and she has suffered from this ever since.  Patient is quite feeble and cannot move around much.  Has to be cared for as a child.  At times is untidy.  On admission patient’s both eyes were “black” due to a fall in convulsions as stated by her daughter.

Sep 17, 1897.  Patient is very hard to get along with.  Is contrary and difficult to please.  Refused to eat yesterday and today and it was necessary to feed her with nasal tube.  She resisted and fought those who attempted to feed her.  Has not had a convulsion since her admission.
Sep 23.  Today patient breathing very labored.  Mucous rales over both lungs.  Heart’s action extremely labored and very irregular.  Was put to bed.
Sep 24.  Patient was extremely weak last night.  Assist. Phy. was summoned and whiskey administered.  This morning her daughter is with her.  Tells somewhat easier.  Heart’s action very irregular and drops a beat very 4th or 5th beat.  Still has difficulty of breathing.  Is somewhat cyanotic.
Sep 27.  Was taken home this 2:50 pm by daughter.
Oct 16, 1897.  Discharged unimproved.


History and clinical notes:
History: Patient has had uterine trouble since the birth of last child 13 years ago and has constantly been under the care of a physician.  Was operated upon about 4 years ago at the Woman’s Hospital Phila. And was some benefited.  Has also complained of dyspepsia for the past two years.  Has severe headaches, pain in stomach and back, and a desire to urinate frequent.  About one month ago husband noticed that her mind was affected.  She being very forgetful and depressed, neglecting her work and express a desire to take poison.

Oct 2, 1897.  Has been quiet and peaceable, somewhat restless.  Has been very anxious to leave, was visited by her husband today who removed her on parole.
Feb 12, 1898.  Discharged recovered.


History and clinical notes:
History: Dr. Joseph M. Hitch who brings patient to Hospt. knows nothing of her history.  He has promised to induce his father to send a record of the case.  

Oct 10, 1897.  Patient has been quiet and orderly, has expressed no delusions, although she has been very restless at times.  Say she ought not to have come here.
Oct 18.  Husband sent her money to come [ill.] and she left today on parole.
Feb 12, 1898.  Discharged unimproved.

Additional notes:
Not insane?  Died 1951, buried in Odd Fellows Cemetery in Laurel.


History and clinical notes:
History: Officer who brings patient knows nothing of his history.  Patient was taken to Ward (six) and found to be covered with vermin.

Oct 15, 1897.  Patient is quiet and works on hall; mind weak.  Sometimes asks to go home, but nothing more.
Oct 30.  Is on Ward D, very good worker and orderly; no improvement mentally.
Feb 26, 1898.  General health very good; no change mentally; works in dining room and on the wards.
Aug 28.  Very much demented, no capable of caring for himself.  Health good.
Oct 8.  Mind feeble; health good, assists in the dining room.
Aug 12, 1901.  No change.
Aug 24, 1903.  Good health and contented.  Good worker in Ward D dining room.  Dull mentally.
Jan 6, 1910.  Works in dining room, Ward D.  Is always well behaved.
Mar 1911.  Condition about the same as when last reported; occasionally says he wants to go home.
Nov 15, 1912.  Suffering from a carbuncle on face, vitality low and shows evidence of infection.
Dec 5, 1912.  Pulse very rapid today, vomited several times and is growing weaker.


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

History and clinical notes:
History: Symptoms were first noticed about one year and half ago.  Was unable to recognize his children, wandered away from home, untidy and careless, talks incoherent, and is very obstinate at times.  Locomotion affected, patient being hardly able to walk.

Oct 20, 1897.  Very noisy at nights, does not know where he is, talks incoherent (back was mass of sores when admitted).
Nov 2.  No improvement; is confined to bed with wristlets on, appetite good.
Dec 15.  Still confined to bed, mind feeble, is very untidy.
Jan 12, 1898.  Mind very feeble, does not recognize any one, very untidy.
Mar 12.  No improvement.
May 21.  Patient very feeble and losing flesh very rapidly.
May 24.  Gradually getting weaker.  
May 25, 1898.  Died 11 a.m.  Remains taken to Milford, DE.


History and clinical notes:
History: Officer who brings patient to hospital knows nothing of her history; was taken from [address redacted].  
Nov 11, 1897.  Has been quiet and orderly since she came here, although quite depressed and melancholy.  Keeps by herself and has had little to say to any one.  Does some work in the ward.
Apr 23, 1898.  Husband who visited her today stated that she was always wore or less weak minded.  That she would seldom speak to any one.  About 2 weeks before she came here became much worse and threatened to drown herself.  He also states that all her maternal relatives were more or less eccentric and weak minded.
Aug 12.  No change.
Jun 16, 1899.  Very little change in patient’s condition; is very quiet and keeps to herself, seldom speaking to anyone.  Physical health very good and assists in the work about the ward every day.
Jan 1, 1900.  Patient has been failing in health lately and has had one or two attacks of great dsypinca (?) and distress about the heart in which the cardiac action was very weak and irregular.  Stimulants administered, Strychnine and Whiskey.  At the time of the attack gave relief but patient still remains weak.  Put her upon Cardiac Tonic of Digitalis and Nux Vomica.  
Jan 15.  Patient has improved somewhat, but is still very weak, with very poor appetite and occasions attacks of dypnea (?); is confined to the bed the most of the time.
Mar 15.  No improvement in patient’s condition; heart action still very poor at times; much oedema of limbs; albumin and tube casts in urine, appetite fair.
Mar 19.  Patient seemed somewhat weaker than usually this a.m., but was able to take her nourishment as usual and was sitting up in bed.  About 2:30 pm attempted to rise in bed and fell over unconscious.  On examination was found to be dead.  Had been talking to attendants just a moment before she expired.  Died 4:30 p.m.


History and clinical notes:
History: Officer states that there has been a number of complains about patient during the past month.  Has been drinking very hard and is some nervous now.  Was taken home this a.m. by sister [name redacted], Oct 16, 1897.
\
Feb 12, 1898.  Discharged not insane.


History and clinical notes:
History: Officer says she has always been very peculiar; has had fits for about five years.  Has not lived with her husband for some time.  Last few days has been very much excited over death of her father.  Patient states that she has had fits for past 25 years and that her relatives are all down on her.  This morning her father died, who had been nursed by her for past year (this is a fact).  


Oct 23, 1897.  Became very much excited this p.m. and attempted to strike one of the attendants; resisted and tried to bite those around her.  Was restrained and placed in Ward 5.
Nov 10.  Fell in a fit today and cut her eye; required a stitch.  Is very talkative; does some work on the ward.
Aug 12, 1898.  Works in sewing room every day.  No change mentally.
Feb 18, 1899.  Mental condition not improved; sits in her room almost all day, on the floor, sewing.  Seems very nervous; talks in a nervous and rather disconnected manner, but quite coherently; occasionally will stay in bed for a day or so, saying she is not well, but as a rule her general health seems to be good.
Jun 16.  Very little change in patient’s condition; somewhat inclined to be bilious, but otherwise general health very good except for an occasional epileptic convulsion.  Which is seldom very severe.  Mental condition not improved; occasionally has an idea that she ought not to eat, but only misses a meal or two and then goes on as usual.  Has quite remarkable memory, can tell accurately the number of days, hours, and minutes she has been in the Institution; spends almost all her time sewing patch work, though she enjoys going out occasionally.
Jan 15, 1900.  Very little change in mental or physical condition since last note.  Still has epileptic seizures occasionally and at times becomes cross and irritable, requiring restraint for a short time, but as a rule is quiet and orderly and employs her time sewing.
Mar 30.  Up to past day or so condition has remained about the same mentally as at last note and day before yesterday had a spell from which she did not react as well.  Looked pale, and seemed weak; was put in bed and given stimulants and plenty of nourishment.  Complained of feeling badly but exam did not elicit where.  When not conscious of observation she seemed (to) lie quietly in bed, breathing regularly, but as soon as anyone was near her she seemed breathe rapidly, cough, sigh, and apparently suffer from the greatest dyspnoea.  This was relieved almost immediately by a little [ill. words] in whiskey.  Yesterday and today has not been nearly as well.  Pulse feeble, color bad, refuses to take nourishment and is in apparent comatose state or affair on her side; chattering herself (?).  Does not recognize either the Dr. or the friends that visited her.  
Mar 31.  Much more feeble, takes a little milk and whiskey with difficulty.  Eagerly swallows the Strychnine and Digitalis that has been ordered.
Apr 1.  Still weaker at 9:15 a.m. suddenly worse and died in a few minutes, quietly and painlessly.

Additional notes:
"Has quite remarkable memory, can tell accurately the number of days, hours, and minutes she has been in the Institution . . . "


History and clinical notes:
History: Patient has always been a healthy girl.  First symptoms of insanity was noticed about four years ago, became much more depressed.  Kept by herself and would not associate with her old friends.  She has remained in this condition until about two weeks ago when she gradually became much more nervous, would wander from home, had to be watched constantly.  Would not talk and very seldom would answer when spoken to.  Cause of the trouble could not be ascertained.  General health is good, menstruation regular.  Has not slept well at nights.  Appetite is good.

Oct 27, 1897.  Patient has not ate since her admission.  Says that food will do her no good, was fed with nasal tube this p.m.
Nov 11.  Has been fed twice daily with nasal tube since last note.  For past two days has been very untidy in her habits.
Aug 12, 1898.  Is more tidy than she formerly was but delusions are of the same type and she is influenced by them to the same extent.
Oct 1.  Was removed from the institution against the advice of the Supt. by her mother.
Mar 5, 1899.  Discharged improved today.

Additional notes:
Died of dementia, 4/6/1922.  Buried at Riverview.  Note attached: Standard memo form, dated Oct 1, 1898.  “I hereby remove [patient’s name] from the Del State Hospital at Farnhurst against the advice of the Supt. who has informed me that she is liable to commit suicide and often speaks of it.  [Signature of mother]


History and clinical notes:
History: First symptoms was manifested about 2 years ago, became melancholy and depressed.  Became a little better in a few weeks, but lately about 3 weeks ago symptoms again manifested themselves.  Neglected her household duties somewhat.  Patient appreciates thoroughly that she is not right, but she cannot help her feelings.  Says everything appears blue and she is discouraged.  Very much depressed at times, says she feels a lump in her stomach which rises until it gets to her throat.  Has lost flesh lately, appetite is not very good and has trouble at times sleeping at night.

Nov 11, 1897.  Is not as nervous as she was.  Sleeps fairly good at night and has improved in every particular.
Mar 12, 1898.  Was allowed to go home today on parole.  Has improved somewhat but is still nervous at times.
Jun 12, 1898.  Was discharged today improved.


On certificate of:
Drs. David Stuart (Stewart) and E.H. McCabe

History and clinical notes:
History: Patient was committed to New Castle Jail about two weeks without bail for attempted assault with the intent to commit murder and has been very peculiar since admission; talks incoherent, noisy at times, and very much worse last night.  P.m. very noisy and violent and was restrained.

Nov 2, 1897.  Is quiet and talk very rational.
Nov 17.  Mother who visited him today stated that patient has always been weak minded; was in Blackwood Insane Asylum near Camden for over a year.  Two brothers are also insane.  Very seldom talked, good sense, and has always been more or less incoherent.
Nov 3.  Is very noisy and hard to control; was restrained a few days ago.
Dec 10.  No change.
Dec 18.  Restraint removed, is orderly and mind some better.
Sep 24, 1898.  Discharged recovered.


History and clinical notes:
History: About fourteen months ago he refused work, would go to bar about the middle of the day and the man who employed him told him to get another home.  He also refused to eat for about two weeks at once time.  Mind is gradually becoming weak and patient wanders from place to place. 

Dec 1, 1897.  Is very anxious to get away, masturbates very frequently, mind some feeble.
Feb 26, 1898.  Very contrary at times; has been some troublesome; appetite poor, lost flesh.
Aug 28.  Is very obstinant.  Masturbates very often, has delusions, health good.
Oct 8.  Same as above report, except health not so good.
Aug 24, 1903.  Good health.  Never speaks.  Constantly wear wristlets as he will fight with other patients.  Eats well.
Apr 12, 1911.  Eats and sleeps well but is untidy and inclined to be violent at times.
Dec 26, 1912.  Has been confined to bed for past 2 weeks.  Has a cough with profuse expectoration, is emaciating rapidly.
Dec 27, 1912.  Died.  Phthisis pulmonary.


History and clinical notes:
History: Officer who brings patient knows nothing of her history.  Upon inquiry – patient has moved always in good society, is quite refined and considers it an injustice that she should be placed in an insane asylum.  When admitted, patient’s underclothing were in an extremely filthy condition, while externally she was dressed in the height of fashion.  She is very garrulous and talks constantly to those who will listen to her.  Is very egotistical, says she comes of blue blood, that everyone always considered her extremely handsome, that she had beautiful feet and that every one admired her.  Is very nervous and erratic and has but little to say that is good of any of her friends.  Walks the floor incessantly and says that she has lost all will power and that she is suffering from her sins.

Jan 6, 1899.  Discharged improved.


History and clinical notes:
History: Officer who brings patient to Hospital knows nothing of her history.  He states she is very violent and destructive at times, but the cause he knows nothing of.  

Nov 11, 1897.  Has been usually quiet since her admission, although last night was quite restless and was noisy part of the night.  Says she is a good fighter and that she intends to show her prowess someday.
Jan 8, 1898.  Is very cross and irritable at times, general health is good, keeps by herself and seldom speaks to anyone, usually holding her face in her hands.  
May 22.  For past month has been demented; saliva runs from her mouth; does not answer when spoken to; has been seen to masturbate several times.  Very untidy and hard to care for.  
Jun 5.  For past few days has been much weaker, pulse feeble, heart’s action very rapid; was fed with tube today and digitalis administered.  Is not as strong and symptoms of failure noticed.
Sep 1.  Is stronger, but has become quite demented.
Feb 18, 1899.  Patient eats and sleeps fairly well and body look fairly well-nourished but passes a great amount of urine, although no sugar is present in it.  Mental condition very poor, looks stupid and never speaks.
Jun 16.  General condition somewhat improved.  Has been taking Belladonna in mixture for some time and does not pass nearly so much urine as formerly; looks somewhat brighter and occasionally helps in light work about the ward, but never speaks.  Eats and sleeps well.
Aug 29.  Seems bright and understands what is said to her, but never speaks.  Assists in work about ward.  General health improved.
Jan 15, 1900.  Not much change in condition since last note, but patient seems to be improving slightly; assists in work of ward and as a rule seems quiet and good natured, but occasionally will attempt to strike or scratch those around her.  Physical health good, but never speaks, although she appears to understand perfectly all that is said to her.
May 30, 1901.  For several weeks past a painless semisolid tumor has continued to enlarge on ant. [ill.] R thigh, just below Poupar’ts ligament.  Aspiration by Dr. Hancker obtaining a dark gray brown fluid appeared tubercular.  No odor.  Today an incision was made (undertaken by Dr. Stubb) in lower front of tumor which had reformed; obtained a large amount of fluid similar to that first obtained.  Exploration revealed an open part extending first under belly wall well up toward navel.  Gauze drain [illegible words] up.
Jun 1.  Gauze discharging freely.  [Illegible words] and rubber tube inserted.  
Jul 1.  [Ill.] change slight.  
Jul 4.  Tube removed and still slight discharge.  [some illegible words written above line].
Aug 1.  No complaints.  Quiet.  Seems in poor physical condition.
Aug 17.  Considerable fever noted this p.m.  Abdomen slightly distended.  Both lungs show marked tubercular involvement with cavities at apices.  Left most affected.  T.P.R. 104-160-36.  No cough or expectoration.
Sep 16.  Died 10:30 a.m.

Additional notes:
Buried at DSH, Grave #92.  Poupart’s Ligament is the same as the inguinal ligament.


History and clinical notes:
History: Patient was removed from Hospital against advice on Supt. as improved May 13, 1896.  In August, she was operated on at Del. Hospital for lacerated cervix, but has never regained her normal mental state.  On Oct 28th she fell on the street and on the following Sunday night she fell down stairs and has not been able to walk since.  On Nov. 4th was taken to Almshouse – her left leg was bruised.  Does not appear able to hold her head up.  When sitting up her head falls back.  Has been very violent at Almshouse and has torn her clothing and has been quite hysterical.  Swears at times.  Has bruised her left leg at Almshouse by rubbing it against the board at the side of the bed until she has [ill.] her skin off.  Has a good appetite but has slept but little since her admission to Almshouse.

Nov 11, 1897.  Has been in bed since her admission.  Has all the physical symptoms of Dem. Par.  A large bed sore has appeared over left gluteal region.
Jan 8, 1898.  Is very noisy at times, especially when she left (is) left by herself.  Is in bed all the time.  Has bed sores but they are better than at time of admission.  Patient’s abdomen is extremely large and was so when she was here before.  Today an examination was made and patient was found to be pregnant.  Colostrum was exuding from her nipples.  Pregnancy was not expected until today on account of the large size of the abdomen when she was here during her first admission.
Jan 26.  Patient is much weaker and is gradually failing.
Jan 28, 1898.  Patient is still unconscious and very weak.  A dead child (male) came away this a.m. at 7:30.  By direction of her friends, child will be buried in our cemetery.  Patient died 8:50 p.m. of Gen. Par. (general paresis).

Additional notes:
Mother of Baby Crumlish.  Died at Farnhurst 1/28/1898.  Buried at Cathedral Cemetery.  Gave birth to dead child just before death while unconscious.  Child was buried in DSH Cemetery.


History and clinical notes:
History: Officer who brings patient knows but little of her history.  Her house was very filthy.  Husband stated to him that she would never leave her house, that she was melancholy and at times quite stubborn.  On the way to Hospital, she was constantly picking imaginary things off her dress and clothing.  Is very thin and anaemic.  When patient was undressed her underclothing full of vermin and her hair was full of pediculi.  Hair was cut off and clothing destroyed.

Nov 17, 1897.  Her sister stated today that her disease has existed for the past year.  That she would never leave her home.
Jan 9, 1898.  No change since she came here, is very weak minded.  Sits on the ward by herself and will not work.  Seems to be cheerful and always answers when spoken to, but says “I want to go home” in a silly manner.  General health is better.
May 22.  No change in any respect.
Feb 14,1899.  Mental condition not improved.  General health has been good, but today complains of bad headache and has been vomiting.  There is considerable puffiness about the eyes.  Urine negative.
Feb 18.  Patient much better, general health about as usual.
June 16.  Patient remains about the same.  General health fairly good, but sits almost all day in one position and never speaks unless spoken to, when she always replies in the same stereotyped manner, always using the same words.  Often appears to be picking imaginary things off her clothing when going to or coming from her meals.
Aug 29.  Very little change in patient; never speaks except when directly addressed and then will only say “How do you do” – sits all day in the same position, except when taken to her meals.  Appetite fair.
Jan 15, 1900.  No improvement in patient’s mental condition and physical health remains good.
Jul 1, 1901.  Patient demented.  Will talk only when very ill.  Has had two severe attacks of acute cardiac delalation (?) in past 4 weeks.  In bed all of the time.  Has a foul vaginal discharge.
Aug 24-25.  Has been lying for greater part of time with head thrown back (neck not rigid).  Breathing stertorus, white foam on lips, all of limbs flaccid.  Semi-conscious.  No conjunctival reflex.  Profuse diarrhea.
Aug 30, 1901.  Brighter for past few days.  Heart weak.  Extremities cold and purple.  Died 7 p.m.


History and clinical notes:
History: Officer who brings patient states that he knows nothing of his history.  Patient states that about 8 years ago he had a severe fall and has been in asylums in Maine and Connecticut.  The pain is at base of brain and is so severe at times that he becomes unconscious.  This history is from patient.

Nov 25, 1897.  No symptoms of insanity noticed.
Dec 6.  Was discharged today and ticket bought for him from Wilmington to Baltimore.

Additional notes:
Newspaper clipping attached (falling apart):  “Strange Loss of Memory.  A curious case of loss of memory has come to light at the Baltimore, Md. hospital.  The conductor of a Baltimore and Ohio train bound from Baltimore to Washington, Monday night, noticed a man in one of the seats apparently unwell.  He held a ticket for Bridewell, a local station, and in response to an inquiry by the conductor, said he did not care where he got off.  He alighted from the train at Jessup Station, and had proceeded but a few yards when he fell to the ground in a helpless condition.  After he had received medical attention and had revived sufficiently to speak, he said his name was [name redacted] declaring that he knew this was his name because it was written on his shirt and on a piece of paper in his satchel.  By dint of questioning it was learned that [he] recollects having fallen down an elevator shaft many years ago, receiving from the fall a blow on the back of his head, which has made him entirely oblivious to the past.  He is constantly suffering from a severe pain in the back of his head.  [He] believes his home is in the North, and he thinks he has lived at various times in New Jersey, Massachusetts, Connecticut and Rhode Island.  At the time of his accident he has a faint recollection that he was employed in a tannery in Connecticut.  When he recovered consciousness he declares he found himself in a room with iron-barred windows, and in some way he imagined this took place in Trenton, N.J., and he has been riding on a railway train since he came to.  [He] is of medium height, has brown hair, blue eyes and a brown moustache.  He is of heavy build.  He was well dressed, wearing a black coat, vest and dark striped trousers, lace shoes and derby hat.  The shirt he had on bore on the flap his name and a big red C, showing the ward of a hospital he had been in.  When asked his name he drew up the flap and showed his name there.  His appearance, his language and the contents of his satchel indicate a man of refinement.  The physicians are puzzled over the case.”


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

History and clinical notes:
History: Has always enjoyed good physical health.  First symptoms of insanity was noticed about 3 weeks ago – began to talk a deal about religion.  During past week has grown rapidly worse, talked incoherently.  Day before yesterday was quite excited.  Last night was very violent, chewed his tongue until it bled and was so restless that it took 4 men to hold him.  During past summer has lost some flesh and has not been as strong as usual.  Protestant (?) meeting has been going on in his town and he has been very much interested in religious matters, attending church regularly, and has become greatly interested in these subjects.  Has been a hard working man for a number of years, getting up at 2 or 3 o’clock in the morning and working hard until 9 or 10 o’clock each night.  

Nov 23, 1897.  Is very religious and depressed, appetite poor.
Dec 2.  Some improved, was send to Ward D.
Dec 15.  Very much better, talk cheerful about his wife and children and wrote them today.
Jan 20, 1898.  Is very rational, has written a number of letters to his wife and is very anxious to go home.
Feb 26.  Has gained flesh very rapidly and works on wards and state that he would like to see his wife and family.
Apr 16.  Mind some feeble; health good; works on the wards.
Aug 28.  General health good, works at times on the ground.  Mind feeble.
Oct 8.  Same as above report.
Sep 8, 1902.  Discharged recovered.

Additional notes:
Died 1/9/1926 of lethargic encephalitis, buried at Reynolds Methodist Episcopal Church Cemetery.


Insane Relatives:
brother was in (this) hospital a few years ago

Complications:
abscess of abdominal wall, left digastric region

History and clinical notes:
History: Patient has been insane three times previous to this and treated each time at Kirk Brides.  First attack occurred when patient was twenty one (y)ears old; each attack lasting about three months.  About two weeks ago he began complaining of his family, attempted to kill his wife, left home and went traveling from city to city spending considerable money.  Does not seem to have any delusions but cannot control his emotions.  

Dec 2, 1897.  Has been no noisy and violent for the past few days that it was necessary to restrain him.  Is very much down on his family and very abusive.
Dec 21.  Not so noisy, but has to be restrained.
Dec 30.  No improvement.
Jan 5, 1898.  Some improved, restraint removed.
Jan 15.  Is hard to be prevented from producing trouble with other patients.
Jan 25.  Some improved.
Aug 4.  Was removed on parole.
Nov 22, 1898.  Discharged recovered


On certificate of:
Drs. William P. Miller and Frank P. Harris

History and clinical notes:
History: Patient served during the entire war in the Navy.  Friends state that his mind has been more or less feeble since the war, although he would at times work a little.  About 3 months ago began to get worse.  Last summer he suffered from sunstroke.  Lately has talked incoherently most in regard to what he did in his boyhood days.  Repeats his story over and over again; frequently forgets what he is talking about.  Mind is becoming more feeble all the time; for past 3 or 4 weeks has lost control of his bowels and bladder.  Will not go to water closet.  Eats and sleeps fairly well.  At times gets up and wanders around the house.

Dec 10, 1897.  Mind very feeble, does not know where he is.  
Dec 23.  Is untidy at times and often asks for his hat.
Jan 20, 1898.  Mind gradually becoming more feeble, is untidy and when leaving the dining room he can’t find his way back to day room.
Feb 16.  Very much demented, was put to bed this a.m. with slight attack of pneumonia.  Pulse 120, Temp 103, tongue coated and dry.  Dullness on percussion over apex of right lung, rales plentiful.
Feb 19.  Some little improved.
Feb 26.  Very much improved, temperature normal, pulse little weak, respirations normal.
Mar 1.  No so well.  Increase pulse and rise of temperature probably has caught fresh cold.
Mar 5.  Very restless, tongue dry and cracked, increased respiration, rales all over left lung.
Mar 9.  Gradually getting weaker.\
Mar 11.  Very weak.  Tubes filled with mucus, pulse rapid, respirations increased to 36 a minute.
Mar 12, 1899 (I think they mean 1898).  Gradually getting weaker, very stupid.
Mar 15.  Very week, lungs full of mucous, does not seem to clear up.
Mar 20.  Gradually getting weaker.
Mar 30.  No improvement.
Apr 2.  Pulse 130, respirations 32, rales all over lungs.
Apr 4.  5:20 a.m. died.

Additional notes:
Delaware death records record death year as 1899.  Was not able to confirm Navy service.


History and clinical notes:
History: Patient was admitted to the Almshouse 17th of August and was insane when admitted, but is gradually becoming worse, more so the past month.  She believes there is some one under the bed and that people are trying to destroy her.  She is very noisy at times, lasting from a few moments to ½ hour.

Jan 8, 1898.  Has been more or less noisy ever since she came here.  Strikes at everyone that comes near her.  Falls from her bed at night and during the day rolls on the floor and strikes her head and face.  Bruises are all over her body, face, and head in spite of the utmost care.  Today became very much worse, pulse was very feeble.  Father Brady was sent for and dissolution appeared near.
Jan 9.  This morning appears a little stronger than she was – refuses food and milk and strikes at every one that come near her.
Jan 15.  Has been gradually failing and died this morning at 8 a.m. from exhaustion.  Died Jan 14, 1898.


History and clinical notes:
History: Patient has suffered with nervous dyspepsia for some time and has been attending religious meetings very regularly.  And last Saturday night she became noisy, talking mostly on religious matters and has been in this condition since symptoms were first noticed.

Jan 8, 1898.  At first patient was very violent, requiring constant care and attention.  During past 3 or 4 weeks has steadily improved and is now perfectly rational and about ready to return to her family.
Jan 15.  Was allowed to go home on parole today with her son.
Jun 12, 1898.  Discharged recovered today.


History and clinical notes:
History: Patient has always been very nervous and excitable and about fifteen years ago he had a severe fall on his head which produced unconsciousness which lasted for about two hours and was delirious for two days after.  And about three years after the fall he was run over by milk wagon, the horse cutting his head severely with his shoe.  About three weeks ago he told his parents that all of his friends were down on him, that they were trying to injure him and still believes the same now, also his parents are persecuting him.  He is very desirous of leaving New Castle Co. as everyone is down on him.

Dec 14, 1897.  Has hallucinations and delusions.
Dec 21.  No change.
Dec 30.  No improvement.
Jan 20, 1898.  Very seldom speaks, has a vacant look and masturbates at times.
Feb 20.  Some depressed, mind seems to get weaker, allowed to go home Mar 3, 1898.
Jun 12, 1898.  Discharged.

Additional notes:
Died 5/20/1913.  Bured in Glebe Cemetery.


History and clinical notes:
History: Has had epilepsy since she was a child.  About 9 years ago patient’s mind began to grow feeble.  At times lately she is violent after attacks of epilepsy and has at times threatened her sister – says she will kill her sister.  Has gradually lost flesh and strength.

Jan 8, 1898.  Suffers at times from severe attacks of epilepsy in quick succession – after these attacks is very violent for a few days.  So much so that she strikes and bites those that come near her.  Requires restraint during these periods.  At other times is very cheerful and will sew and work on the ward and assist in all kinds of work.
May 22.  No improvement.  Still has periods when she is very vicious and hard to control and when she is dangerous to those around her.  Epileptic attacks still continue.
Jul 2.  Was visited by mother today who removed her on parole.
Jul 29.  Was returned to institution today as they could not care for her at home.
Feb 18, 1899.  Patient’s general health is very good.  Mental condition about the same.  Has been working and assisting in sewing until about two or three days ago, when she had several epileptic convulsions.  Since that time has been very quiet and heavy in appearance, but has not been violent.
May 1899.  Has had occasional convulsions in one of which she fell and hurt her eye quite seriously; it healed up well however and general condition is about the same as usual.
Jun 16.  Condition about same as usual.  Had a severe epileptic seizure, after which she remained very stupid, and would not eat for a day or so; was kept in bed for a day or so and now has regained her normal condition.
Aug 29.  Patient has had very few convulsions lately and has seemed very well.  Assists about the ward work and does considerable fancy work as well.  General health good.
Jan 15, 1900.  Very little change in physical or mental condition since last note.  Still has convulsions at times.
Aug 2, 1902.  Mentally and physically about the same.
Jun 14.  Patient has had bad cough for some time, and has grown emaciated.  Physical examination revealed cavity in right lung, posteriorly.  Sputum examined.  Tubercular bacilli present in large numbers.  Patient put to bed.
Jun 15, 1904.  Patient failing rapidly.
Jun 16, 1904.  Died at 9 a.m.


History and clinical notes:
History: Patient was admitted here Feb 2nd 1895 as [different last name], was very melancholy and depressed.  There was no change for the better and Jan 1, 1896 was removed by husband against wishes of Supt.  Was found on Front St. near Union, Dec 11, 1897 by the police and taken to City Hall.  She is very quiet and depressed now.

Jan 8, 1898.  Patient is suffering from Phthisis Pul.  Auscultation reveals cavities in left lung.  Has been in bed for past two weeks.  Is slowly losing flesh and strength.
Mar 7, 1898.  Died.


History and clinical notes:
History: Was admitted from Wilmington here Mar 1, 1894 and discharged improved Jul 9, 1894 and went to his parents, who reside in Sussex County and has been there until the present time.  He held a position some few years ago with the H&H Co. of Wilmington and believed he was poisoned and would not work.  He now says that the same company owe him about #28.00.00 (sic) and asking as they owe him he can’t receive any pay for the work he does for people and during the past four months he has wandered from place to place and the people are afraid of him.

Dec 23, 1897.  Is very quiet and orderly, but still believes that the H&H Co. owe him money.
Dec 30.  No improvement.  Patient is quiet and orderly, general health good.
Jan 20, 1898.  No change.
Feb 25.  Delusions same as above reported.
Apr 16.  No improvement mentally.
Aug 28.  Still has delusions of persecution; is orderly and has good health.
Aug 24, 1903.  Still delusional.  Good patient and good worker on the ward.  Splendid health.


History and clinical notes:
History: Officer who brings patient knows nothing of his history.  He was ordered to bring him here.

Jan 18, 1898.  Patient has been very orderly since admission; complains of pains in his head at times; mind some feeble and speech affected.
Feb 20.  No changes.
Feb 26.  Patient fell from bench this morning 7 a.m. in a convulsion and has had a number of them since.  7 p.m. convulsions ceased.  Patient unconscious, very weak.
Feb 27.  Still unconscious, is fed with tube.
Feb 28.  No change.
Feb 28.  No improvement.  Patient gradually getting weaker.
Mar 2.  Still unconscious and pulse very weak.  
Mar 3.  6 p.m. gradually failing, pulse rapid and feeble, extremities cold and clammy.
Mar 4, 1898.  Died 11 a.m.


History and clinical notes:
History: Father’s note states that he has had epilepsy for 2 years.  Lately they have become more frequent, as many as 3 or 4 a day and after these attacks frequently threatens to kill his sister and brothers.  Has a very bad temper at all times, especially if crossed in any way.  Usually has a good appetite and sleeps well at night.  Mr. Wright, who brings patient to Hospital knows nothing of details of history.

Jan 15, 1898.  Has convulsions at times, mind feeble, although tidy and orderly.
Jan 25.  No change.
Feb 20.  No change.
Apr 10.  Has convulsions as usual; is useful on the wards, health good.
Aug 25.  No improvements, occasionally has convulsions.  Mind feeble, health good.
Oct 8.  Same as above report.
Aug 24, 1903.  Has frequent epileptic seizures.  Is quite dull mentally most of the time.  Mind is failing.  Is troubled considerably with constipation.
Sep 12, 1908.  No change in mental condition; is confined to bed and has frequent epileptic seizures.
Oct 8, 1909.  Condition unchanged since last report.
Jan 6, 1910.  Confined to bed, has a severe cough and expectorates freely, rapidly losing flesh.
Feb 9, 1910.  Has had three pulmonary hemorrhages in past thirty-six hours, transferred to T.B.
Feb 19, 1910.  Died, Phthisis Pulmonalis.


On certificate of:
Drs. James H. Changelen (?) and F. Harvey Day (?)

History and clinical notes:
History: Patient himself states that he has felt ill in his head for about 6 weeks or 2 months.  Has always been a hard drinker.  Got into an altercation in a hotel about 3 weeks ago and was injured.  Lately has been going around buying jewelry and anything he could see.  Did not have any idea of money.  In fact, patient is in poor circumstances.  At times becomes very irritable and during these attacks he has threatened to kill his relatives and has spoken of injuring himself.  Is steadily losing flesh and strength.  Has suffered a great deal from gastritis .  Is quite anaemic.

Dec 30, 1897.  Is very excitable and troublesome, saying that he is very wealthy and expected to be the next United States senator.
Jan 1, 1898.  Has been transferred to Ward 4.  He has a number of inventions which are worth millions and owns some large valuable farms and the fastest horses in the world.
Jan 12.  No improvement.
Jan 23.  Became violent today and threw chair at Att. Leach.  Was restrained for a few hours.
Feb 1.  Patient still believes that he is very wealthy and has a number of plans to make money.
Feb 20.  Condition same as above reported.
Mar 20.  Has given up his senatorial delusions, but still believes that he is very wealthy.
Apr 15.  No change.
Apr 22.  5 a.m. Patient was found to be unconscious; slight hemiplegia of left side, blood on the left side of face from chewing his tongue, which indicates that some time during the night he had a convulsion.  10 p.m. some improved, although very stupid.
Apr 23.  Was dressed and put on ward, but mind feeble.  Was removed this p.m. by relations.
Jun 12, 1898.  Discharged improved.


History and clinical notes:
History: About three years ago first symptoms were noticed, such as wandering from place to place, destroying property, etc., and a great desire to go to heaven.  Is very restless at night, but not noisy.  Has good appetite and general health good except a few days prior to admission had a fall and sustained a few bruises.  When admitted, patient’s left arm was badly bruised, was unable to walk and had to be carried to bed.  Her right (cross out) left limb is much shorter than left and it is everted.  Can move it somewhat.  Patient lost her daughter about one week ago.  Has a bed sore over sacrum.

Jan 8, 1898.  Sits up in rocking chair part of each day.  Mind and memory very feeble.  Does not remember the Dr.’s name from one day to another; eats fairly well.  Bed sore is gradually healing and the bruises on arm are slowly disappearing.  Eats well and is gaining in strength.
May 22.  No change in mental state.  Sits all day long and seldom speaks to any one.  No improvement mentally.
Feb 18, 1899.  Patient now sits up most of the day, seems very melancholy at times, because she says she cannot find her daughter.  Looks thin and pale. 
Mar 15.  Talks rather more than she did, but still very much depressed at times, mind very feeble.
Jun 16.  Very little change in patient’s condition since last note.  Is up every day for a time in the rocking chair, but is usually very quiet and depressed.  General health fair.
Aug 29.  Patient is still able to be up every day in her chair and general health appears to be good.  No change in mental condition.
Jan 15, 1900.  No change in mental or physical condition apparent since last note; still able to be up for a portion of each day in her rocking chair, but mental condition very weak.
Nov 15, 1900.  Died.  Senile gangrene.


History and clinical notes:
History: Nephew states that she has been more or less troublesome for the past 8 years; talks rationally about everything but says that he neighbors are always teazing (sic) her.  All the boys in the neighborhood have been teazing her and she has been very noisy at times during these periods.  Her nephew states that she is not insane and that she ought not to have been brought here.

Jan 8, 1898.  Has been quiet and orderly she came here.  Says that her friends and relatives are trying to destroy her property.  Is very much incensed about being brought here.  Is very talkative and restless but is not noisy and is easily controlled.
Jan 15.  [Name redacted], a nephew, removed patient today to Phila. With the distinct understanding that she should not return to Wilmington as per annexed statement.
Jan 15, 1898.  Discharged unimproved.

Additional notes:
Date of admission listed 1/1/1897, but that is clearly a mistake.  Correct date is 1/1/1898.  Note attached: Standard memo, dated Jan 15th, 1898.  I [name redacted] of Phila hereby removed [patient’s name] from the Delaware State Hospital at Farnhurst with the distinct understanding that I take her direct to Phila.  I further agree to keep and maintain her in the said city and see that she does not return to Wilmington, Del at any time and if she should, the authorities are authorized to arrest her at once and return her to the said Hospital.  [Signature].”


History and clinical notes:
History: Patient became violently insane about three days ago and attempted to kill his father; he raves on various subjects and father states that since the symptoms of this attack has become so pronounced that he has noticed that he has been peculiar for the past two years; that at times he has wandered away from home and could not remember when had been or what he had done.  10 p.m. was given 1/75 Hyoscine and said there was only one person he feared and that was God.  He is very religious and said he was on the road to heaven.

Jan 15, 1898.  No improvement.  Says he has done wrong and that his time has come to die and God won’t let him live any longer.  Believes that we put poison in his food.
Jan 24.  No change.
Feb 10.  Patient talks very incoherent believing that he will soon be destroyed for the sins he has committed and continually wants some medicine to move his bowels; stating that it is the only way to get his sins from him.
Mar 11.  Was very noisy and began fighting his attendants, because they would not allow him to go home and he was restrained.
Mar 16.  11:55 a.m. he went in attendant’s room while Att. Porter was there, took a razor from the bureau drawer and attempted to cut his throat; did make a superficial incision about one and one half inches long, which required five stitches to close wound.
Apr 1.  Has been very much depressed for the past few days, refused to eat and was fed with tube a number of times.
Jun 12.  Very much depressed, will not speak to any one, refuses food at times and occasionally untidy.
Jun 15.  Has to be fed with tube, is very much depressed and will not talk to his mother or sisters.
Jun 30.  Still fed with tube.
Jul 20.  Still refuses food.
Jul 26.  Has diarrhea and was transferred to infirmary.
Jul 28.  Some improved.
Aug 30.  Was removed today on parole against advice of Supt.  See above document.
Nov 22.  Discharged recovered.

Additional notes:
Buried at Mt. Salem Cemetery.  First name begins with a J.  Harry is his middle name.  Date of admission listed as 1/6/1897, but that is clearly a mistake.  Correct year is 1898.  Note attached: standard memo.  Dated Aug 30, 1898.  “I [name redacted] remove my son [name redacted] from the Delaware State Hospital for a time.  This is against the advice of the Supt. and he informs me that [the patient] is liable at any time to commit suicide.  I remove him on my own responsibility, knowing these facts and will exonerate from blame the Supt. and the Trustees of the said Hospital from any damage or injury that might occur to the said patient while in my care.  [Signature].”


