Cremasteric absent. Other
superficial reflexes were noted to be normal. Organic reflexes
abolished. Involuntary urination and defecation. There was a systolic
murmur present and a slight impairment of the upper lobe of the right
lung. Breath very offensive. He remained in this stuporous condition,
leading a more or less passive existence, for about a month after
admission. For two months following this he was quite agitated, and
his outward reactions indicated that he was quite depressed. On
April 25th, about four and a half months after admission, when asked
how long he had been in the Hospital, he replied three days. From that
time on he began to improve. Consciousness became clearer. In June, he
talked and acted quite rationally. He had a total amnesia of what had
transpired during his stuporous and agitated states and a retrograde
amnesia for several days prior to, and including the commission of the
murder. He continued clear mentally and in a more or less normal state
until the latter part of November, 1902, when he again went into a
stupor. From this time until the later part of April, 1903, he had
alternating periods of stupor and lucidity, with amnesia for the
stuporous states. On June 21, 1903, he was discharged as recovered and
returned to the Indian Territory to undergo trial for his offense.
Unfortunately, no mention is made in the hospital records of any
possible relation between his periodic stuporous states and any
environmental condition which may have provoked these; nor does there
appear in the hospital records any mention of the degree of insight,
if any, the patient possessed at the time of his release from the
institution.
He remained in jail at Ardmore, I. T., until April 8, 1904, when he
was tried and found guilty of murder in the first degree. He was then
returned to jail and after about a year's sojourn there was sentenced
to life imprisonment and transferred to the United States Penitentiary
at Leavenworth. He was readmitted to the Government Hospital for the
Insane on March 25, 1906, from the United States Penitentiary at
Leaven worth. No medical certificate accompanied him on admission and
it is therefore impossible to set, even an approximate date, for the
onset of his present mental disorder; but inasmuch as he had not been
in prison even a year before his transfer to our hospital, and as it
usually takes several months to carry out the required legal
proceedings, his mental disorder must have set in quite soon after his
confinement in the penitentiary.
Public-domain text, read in full here on John Shaqi.
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