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Introduction – What are the Nurse’s Notes?
How the HTML Differs from the Photocopy
Editorial Protocol
Missing Pages and Other Aberrations
Highlighted: Visitors & Insulin Treatments
Insulin Shock
Court Historians
Other Medication
Watch Schedule
Note Conventions
The Nurse’s Notes
Thoughts on Reading the Nurse’s Notes
Why Suicide
Why Murder
Here you will find the complete text of the Nurse’s Notes from the appendix to the Willcutts Report on the death of James Forrestal. First a little background and why the Notes are important.
James Forrestal was kept under round-the-clock observation during his stay at Bethesda Naval Hospital. The watch maintained a record of his progress, handwritten on forms titled “Nurse’s Notes.” They take up several dozen pages of the Willcutts Report’s appendix. Here they are typed and all placed on a single webpage, what we shall call the HTML version of the Nurse’s Notes.
Likening the Nurse’s Notes to a window into Forrestal’s hospital suite, and the disorder, poor handwriting, and photocopy “static” to dust and grime obscuring our view, the transcription below wipes the window clean so we obtain a clearer glimpse of Forrestal during what turned out to be the last 50 days of his life. In a limited way the Nurse’s Notes allow Forrestal to speak for himself so that we can evaluate his personality and the way he was treated ourselves. Mostly mundane, at times the Notes are most revealing.
Before we get to the Nurse’s Notes, how does the HTML version differ from the photocopy furnished by the Navy?
We have numbered the photocopy pages provided by the Navy, the light green number in brackets; it is not on the actual page of the Nurse’s Notes. (Add 97 to our bracketed number to obtain the page number in the PDF file at Princeton’s Seeley Mudd Manuscript Library.)
The photocopy pages of the Nurse’s Notes are out of order. The HTML version returns them to their original, chronological, order, consequently the photocopy page numbers, in brackets, are out of order here.
Each of these page numbers in the HTML version is a link. Clicking it will display the actual photocopy page, with one change: since the photocopy is of a photostat, which is a negative (white on black) of the original, here the negative of this has been taken to restore the image to a positive (black on white). Per the next paragraph, which describes the editorial protocol used to convert the handwritten notes to HTML, scholars wishing to quote from this webpage should refer to the photocopy as well.
Unlike the HTML version of the body of the Willcutts Report, which scrupulously reproduces the original’s capitalization, punctuation, spelling and format, in the Nurse’s Notes we have silently modified these trivial aspects in the interest of readability. The abbreviation consisting of the letter C with a dash over it, standing for “with” (after the Latin), has been expanded, as have a few other abbreviations, the most frequent being “ask” for “asked.” We omit the text of the blank printed form on which the notes are written. We omit the number written on the front pages under “WARD NO.” – in this case the room number 1618. We omit the number written under “REGISTER NO.” – always 162220 (the same number typed on Forrestal’s hospital Admission Notice). Poor grammar is retained but not sic’ed. Insubstantial corrections are silently followed. The apothecary symbol for oz is rendered as Z. Sometimes a nurse will sign his entries even when there is no change in the nurse writing the notes; these extra signatures are omitted. We use the date as a heading and omit it within the notes. X’s indicate illegible manuscript. A question mark in brackets indicates some doubt about the previous word. Anything in brackets is ours.
Eleven pages of Nurse’s Notes — #51 to #53, #61 to #64, #74, #76, #166, #167 — are missing from the Willcutts Report, or at least from the photocopy of it furnished by the Navy. We indicate these gaps where they occur.
Some original exhibit numbers are overwritten in the photocopy: (1) The orginal #75 was overwritten by #74, the original of which is missing. So the reader is aware of the gap we have retained the original #75 and only indicated the overwriting. (2) Numbers originally in the range #76 to #100 were each incrased by one: #77 to #101. With the changed numbering #76 is missing, and there are two #101s.
The two #101s are pages [88] and [87], which according to the time indications belong in that reversed order. Per above, the #101 on [88] was originally #100 then the last zero was overwritten by a one. (This is very clear on the photocopy, despite the reverse – #101 to #100 – fixing the duplication.)
Four pages of the photocopy — [83], [84], [85], [86] — are identical to previous pages: [79], [81], [82], [79] respectively. Leaving off the brackets: 79, 83 and 86 are triplicates of exhibit #96 (overwriting #95 per above), 81 and 84 are duplicates of #99 (overwriting #98), 82 and 85 are duplicates of #100 (overwriting #99).
Forrestal’s visitors who were not directly involved with his care are printed in blue and the entry highlighted with a light yellow background. (We have included Rear Admiral Clifford Swanson in this category of visitor even though he was Surgeon General and head of the Medical Corps. He was an ear nose and throat specialist but apparently did not visit in that capacity.)
Because Forrestal was not really himself at the end of the higher dosage insulin treatments (see next section), the medication column is highlighted during the insulin treatments, each of which lasted three hours, with a light purple background to emphasize that the notes during this time differ in context from the others.
The history of psychiatry – mainstream, official, accredited – is replete with cockamamie schemes alleged to help people labeled “patient” (as if their problem were organic) that in fact harm them. Surely insulin therapy is one of the worst. Fortunately the dosages given Forrestal by the well-meaning doctors at Bethesda Naval Hospital were sub-coma, about one third to one half of that required to induce coma. However it is clear from the notes that the last several, higher dosage, treatments which Forrestal endured did assault his central nervous system in a major way. During these “insulin shocks” he seemed to be “in a fog,” had a “glassy stare,” once confused a greeting card with a piece of toast, suffered twitching of the limbs, photophobia, etc. Except during these treatments nothing remotely like this is reported in the notes, though the photophobia – aversion to light – lasted some time afterwards. Clearly Forrestal survived the treatments rather than benefited from them.
“Insulin therapy” is performed by injecting a large amount of insulin into the bloodstream. This insulin shock, as it is called, suddenly lowers the blood glucose level. In a word, insulin shock is artificially induced hypoglycemia. (The degree of this hypoglycemia depends on the individual and their initial glucose level, besides on the amount of insulin injected.) The principal consequence is to starve the brain of glucose, its fuel, which eventually causes sweating, restlessness, depression, confusion, tremor, seizures, coma, and death. The quacks, or rather doctors, interrupt this progression by giving the victim a sugary beverage.
Insulin therapy is like trying to repair a radio – assuming it was broken in the first place – by banging on the case with a hammer. Forrestal seems to have trusted the men in white coats to know what they were doing. None of the notes record him objecting to these treatments, though his reaction to the last suggests that at that point he would have.
(Like all fads eventually insulin therapy became passé. However the psychiatric establishment never admitted it was harmful, only “no better” than what became the next fad. For more on the psychiatric profession’s use of drugs see Toxic Psychiatry by Peter Breggin, M.D.)
After the “sub-shock” series of treatments was over the doctors continued to give Forrestal smaller “stimulating” doses of insulin – small doses (say not over 10 units) are initially stimulating and then temporarily enfeebling – right up to the end.
It should be noted that insulin is not a psychotropic drug, such as LSD or selective serotonin reuptake inhibitors (Prozac and the like). Doubtless the insulin treatments weakened Forrestal physically, but they would not have caused psychosis or a psychotic episode. Arguing “Forrestal killed himself because insulin therapy drove him crazy.” is as fallacious as arguing “Forrestal killed himself because Drew Pearson said he was crazy.”
Court historians, as David Martin – following Harry Elmer Barnes – calls intellectuals who falsify history in order to promote the agenda of the powers that be, have a hard time of it in these days of the Internet. Though a process of pernicious selective quotation from the Nurse’s Notes could make Forrestal look bad, a complete and honest reading shows a man concerned about his personal appearance, curious about his surroundings and the world outside, proud of his family, helpful to the corpsmen, interested in their careers and ambitions, at first patient – as in “enduring” – yet into the second month anxious to escape, by the seventh week apparently wondering what the hell was going on. In short he acted as any reasonable man would have acted finding himself in a similar situation.
Forrestal failed to realize what he was up against. Paranoid? He should have been more suspicious, much more.
Besides insulin Forrestal was treated with several other substances during his stay at Bethesda:
Coramine | – | trade name of nikethamide, it acts as a stimulant. Used to treat low blood pressure. |
Dextrose | – | the kind of sugar the body uses, the right-hand isomer of glucose. |
Liver extract | – | an iron supplement used to treat anemia and consequent fatigue. |
Metamucil | – | trade name fiber supplement and stool softener. |
Phenobarbital | – | acts as a sedative. It can be used to ease withdrawal from another barbiturate, such as sodium amytal (amobartital). |
Phospho soda | – | trade name laxative which acts by drawing water to the lower bowel from the rest of the body. |
Sodium amytal | – | also called amobarbital, it acts as a sedative. Can cause confusion on awakening. Odorless and a slightly bitter taste. An overdose causes sleeplessness and severe confusion. Once thought to be a “truth serum” when given in large doses. |
Sodium phosphate | – | one of the two principal ingredients of Phospho soda, see above, and having the same effect. |
Thiamin | – | vitamin B1. Used to treat fatigue caused by thiamin deficiency. |
The watch kept on Forrestal was divided into three shifts each lasting approximately eight hours. The nominal times, in military and civilian format, were
First shift | 0800 – 1600 | 8:00 am – 4:00 pm |
Second shift | 1600 – 2400 | 4:00 pm – midnight |
Third shift | 2400 – 0800 | midnight – 8:00 am |
W. R. Breon | 52 shifts throughout Forrestal’s stay. |
R. W. Harrison | 1 shift and part of a second at the end. |
J. M. Kelley | 31 shifts during the first three fifths of Forrestal’s stay. |
Iver P. Kipp | 3 shifts near the beginning. |
E. W. Prise | 46 shifts throughout Forrestal’s stay. |
C. F. Stuthers | 17 shifts near the end, replaced by Harrison at the end. |
J. C. Woods | once, lunch April 4. |
W. M. Water | five times, lunch April 7, 9, 11, 12, 13. |
C. L. M. | once, about an hour at start of first watch April 30. |
April | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0800 to 1600 | Breon | Kipp | Kipp | Kipp | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | |
1600 to 2400 | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | |
midnight | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |
2400 to 0800 | Breon | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley |
April | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0800 to 1600 | Prise | Prise | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon |
1600 to 2400 | Breon | Breon | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley | Kelley |
midnight | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 1 |
2400 to 0800 | Kelley | Kelley | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise |
May | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0800 to 1600 | Breon | Breon | Breon | Breon | Breon | Prise | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon | Breon |
1600 to 2400 | Kelley | Prise | Prise | Prise | Prise | Breon | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise | Prise |
midnight | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |
2400 to 0800 | Prise | Prise | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers | Stuthers |
May | 16 | 17 | 18 | 19 | 20 | 21 |
---|---|---|---|---|---|---|
0800 to 1600 | Breon | Breon | Breon | Breon | Breon | Breon |
1600 to 2400 | Prise | Prise | Prise | Prise | Prise | Prise |
midnight | 17 | 18 | 19 | 20 | 21 | 22 |
2400 to 0800 | Stuthers | Stuthers | Stuthers | Stuthers | Harrison | Harrison |
At night, besides the corpsman in the room with Forrestal or at the nurse’s desk right outside his door, a doctor was on call in the adjoining room, where the doctor would sleep. His shift lasted approximately from 1630 to 0830 (4:30 pm to 8:30 the next morning) – this according to the Willcutts Report testimony of Dr. Hightower, question 4. The “doctors’ room,” as it was called, was separated from Forrestal’s by a shared bathroom with a door on each side.
David P. Hightower and Robert Reynolds Deen alternated this watch each night, except – generalizing from the Report testimony of Dr. Hightower, question 15 – watching two consecutive nights on weekends. On the night beginning Friday May 20 Dr. Hightower was on call (his Report testimony, question 13), and the night beginning Saturday May 21 Dr. Deen was on call (his Report testimony, question 14).
A few remarks follow concerning various conventions used by the nurses when writing their notes. A nurse – here a male navy hospital corpsman – always refers to himself in the third person. Thus when “the corpsman” is the subject or object of a sentence, it means “I” or “me.” When a nurse writes “so-and-so to see patient” he refers not to the future but to the time of writing, that is, “so-and-so in to see patient.” “O” in quotes indicates that the preceding medicine was given orally. “Complain” means to state a problem, no peevishness is implied. The dosage of a solid oral medicine is measured by weight in grains, one grain being about 65 mg. Liquid oral medicines are measured in ounces and written preceded by the apothecary symbol for ounce, which we have rendered as “Z.” Numerically both grains and ounces are usually written in lowercase roman numerals, with “ss” meaning ½ (for example ivss means 4 ½). Regarding an injection I.M. stands for intramuscular. All times are military: 1200 is noon, 2400 midnight, and in general if the military time is 1259 or less just insert a colon (then add a.m. if less than 1200, otherwise p.m.), if 1300 or greater subtract 1200 before inserting the colon (then add p.m. if less than 2400, otherwise a.m.). Thus if military time begins with 0, 11 or 24 it is morning.
Another convention that warrants an explanation regards the statement “Patient terminated.” It means the treatment was terminated, not the patient ! Unfortunately the humor in that observation gets lost in the nature of the treatment and subsequent events.
0430 | Reg. diet. Suicidal precautions. | Assumed special watch. [Breon] Pt ate fairly well at dinner tonight. E.E.G. run on Pt. Pt seems friendly. Pt restless, throws himself around in bed. |
1920 | Sod. amytal gr vi | “O”. Pt still restless, but states he can go to sleep. |
1920 | Phospho soda Z ii | |
2000 | Pt asleep at this time. | |
2100 | Pt asleep. | |
2200 | Pt asleep. | |
2300 | Pt asleep. | |
2345 | Sod. amytal gr iii | Given “O”. Pulse was not taken at 2130, 2230 because Pt was awakened at 2030 when it was taken. Watch relieved. |
2350 | W. R. Breon, HN | |
2430 | Pt asleep. Pt resting at present. [Kelley] | |
0130 | Pt asleep. | |
0230 | Pt asleep. | |
0330 | Pt asleep. | |
0430 | Pt asleep. | |
0530 | Pt asleep. Pt resting fine at present. |
0630 | Pt awake. Sat up in bed and asked what time it was. Pt now is just resting. | |
0730 | Insulin units 10 30 m/l | Given. Pt still awake. Pt restless. Throws himself around in bed. |
0745 | Watch relieved. J. M. Kelley, HN | |
0750 | Pt sleeping lightly, moving occasionally from side to side. [Kipp] | |
0815 | Pt ate a good breakfast. Conversed slightly (said breakfast was very good). Then turned over & closed his eyes. | |
0845 | Pt seen by Dr. Smith. Got up from bed & went into bathroom; but when the special watch followed him in he turned around & went back to his bed. | |
0915 | Dr. Lang @ this time dropped by to inquire about Pt. No remarks. | |
0940 | Pt shaved & showered @ this time. Still dizzy from sedation. Pt shaves & showers with quick, exact movements. Helped to clean shower room & make bed. |
1000 | Pt asked to see Adm. Swanson; Dr. Smith notified. Pt states “It is of the utmost importance for the Navy.” Slightly agitated. | |
1005 | Na amytal grs vi, “O” | Still asking for Adm. Swanson. |
1010 | Pt seen by Dr. Raines @ this time. | |
1040 | Pt sleeping very soundly. | |
1130 | Pt still sleeping. | |
1200 | Pt was startled awake @ this time. He got up immediately &, with the assistance of the corpsman, he went into the head, brushed his teeth & then took a cold bath. He then went back to his bed, crawled into it & immediately fell asleep. | |
1225 | Pt ate dinner; appetite fair. Still groggy from sedation. | |
1240 | Dr. Raines & Dr. Hogan to see Pt. | |
1330 | Crude liver extract 1 cc Thiamin HCl 1 cc } IM | |
1400 | Pt sleeping soundly. | |
1445 | Pt woke up just for a moment & then went back to sleep. |
1500 | B.P. 108/72, P 68 | Pt got up, took off his PJ pants, and stated that he was going to get dressed because someone was going to take him away from here. When told that Dr. Raines would be up in 15 minutes, he said “Oh!”, put on his pants, & crawled back in bed. |
1600 | Watch relieved. Iver P. Kipp, HM3 | |
1600 | Relieved the watch. Pt doesn’t seem to be sleeping. Pt is resting quietly. [Breon] | |
1650 | Insulin 10 U | Given. Pt awake at time of injection. |
1700 | Adm. Swanson to see Pt. Pt requested that Att. Gen. T. Clark be notified. Pt awake at time of visit. | |
1725 | Reg. diet | Dinner served. Pt did not eat a great deal. Could not be talked into it. He eats extremely fast. |
1745 | Sodium amytal grs vi Fleet’s Phospho soda Z i in H2O 200 cc | Pt to head. Back to bed. |
1800 | Back rub | Given. Pt encouraged to brush teeth. Back to bed. |
1810 | 175 cc milk | Pt drank. Did not want the whole glass. |
1845 | Pt up to head. Very watery stools. Pt given clean PJ pants. | |
1900 | Pt resting quietly. | |
1905 | 150 cc H2O | Pt to head 3 times in 5 minutes for B.M. Watery stools each time. Pt states the Phospho soda must be good “stuff”. |
1910 | To head again! For B.M. | |
1925 | To head again! For B.M. | |
1950 | 240 cc orange juice | To head again. B.M. seems to be nothing but water now. |
2000 | B/P 92/58 P 60 | Pt talking in sleep. Could not understand, but had something to do with “cabinet”. |
2030 | B/P 80/52 P 54 R 20 | Nurse notified of B/P. e X Seen by Dr. Hightower. |
2045 | Coramine 1.5 cc I.M. | Given as ordered. |
2055 | B.P. 86/54 P 54 R 18 | Pt sleeping. |
2130 | B/P 80/64 P 54 R 18 | Nurse notified. Dr. Smith called. |
2200 | B/P 78/62 P 54 R 20 | Pt opened eyes but closed them right away & went back to sleep. |
2215 | Pt stirring but still asleep. | |
2245 | Pt up to head. Clean PJ pants & bed changed. Back to bed. | |
2300 | B/P 82/60 P 52 R 18 | Pt to head. |
2330 | B/P 88/68 P 60 R 20 | Pt resting fine now. |
2400 | B/P 90/70 P 56 R 18 | Pt sleeping. |
2400 | Watch relieved. W. R. Breon, HN | |
Pt resting fine at present. [Kelley] | ||
0100 | Pt sleeping. Has been resting fine for the past hour. | |
0135 | 150 cc H2O | Pt to head for B.M. Watery stool. Pt asked for glass of H2O. Pt then returned to bed. |
0200 | B/P 90/70 P 59 R 18 | Pt resting fine at present. Pt is not asleep. |
0300 | Pt sleeping. Resting fine at present. |
0400 | B/P 86/60 P 54 R 20 | Pt awoke while B/P was being taken. |
0500 | Pt sleeping. | |
0600 | B/P 98/62 P 56 R 18 | Pt sleeping sound at present. Has been a little restless the past half hour. Pt throws arms from side to side. |
0630 | 200 cc H2O | Pt had some H2O then pulled the covers over him. Pt trying to go back to sleep. |
0650 | Pt sprang up in bed and asked what time it was. Pt then laid down. | |
0700 | Pt not asleep. | |
0710 | 150 cc H2O | Pt went to head for B.M. Watery stool. Clean P.J. pants and then back to bed. |
0745 | Watch relieved. J. M. Kelley, HN | |
0745 | Assumed watch. Pt asleep. [Kipp] | |
0800 | B/P 102/70 P 60 R 16 | |
0810 | Pt had a small BM, no solid particles. | |
0835 | Reg insulin 10 U | Seen by Dr. Smith & Dr. Hightower. |
0855 | Pt asking for breakfast. | |
0910 | Pt ate an excellent breakfast. |
0920 | Pt was asked to shave & shower. He immediately complied. Slightly groggy from medication but had no difficulties with this routine. | |
0925 | Dr. Raines to see Pt. | |
1140 | Liver extract 1 cc Thiamin HCl 1 cc } IM B/P 108/68 P 62 R 20 Weight 148 | Pt conversing slightly. Very abrupt questions about sp. watches, past and present life, about living conditions now, prices & naval career. |
1220 | Pt ate a good dinner. | |
1230 | During relief watch Pt asked this corpsman “What religion are you?” After reply – “Catholic” – he said “Don’t lose it.” After a few seconds elapsed, corpsman asked “Are you Catholic.” [Pt replied] “I was, but I lost it. I would appreciate it if you would say a few prayers for me the next time you go to church.” J. C. Woods | |
1245 | Pt desires to see Adm. Swanson. Dr. Raines notified. |
1300 | Sod. amytal grs iii | Pt sleeping soundly @ 1320. |
1400 | P 54 R 16 | Pt only resting now. |
1420 | Dr. Raines to see Pt. | |
1500 | Pt sleeping soundly. | |
1600 | BP 108/64 P 58 R 18 | Pt resting with eyes closed. |
1620 | Watch relieved. Iver P. Kipp, HM3 | |
1620 | Assumed watch. WRB | |
1630 | Pt asleep. | |
1650 | Insulin 10 U | Given. Pt awake asking if Dr. Raines will be up to see him this evening. |
1725 | Dinner: Coffee 150 cc Milk 100 cc | Pt ate fairly well. Drank some milk and coffee, ate a good bit of the rest. Pt asked corpsman many questions as to Navy career, future, etc. |
1735 | Na amytal gr iii | Given with 200 cc orange juice. Dr. Raines to see Pt. No orders other than what there is. Pt awake. |
1835 | Pt asleep. Adm. Swanson to see Pt. |
1900 | Pt asleep @ this time. | |
2000 | B/P 100/64 P 54 R 18 | Pt woke up to have B/P taken. Went to sleep again. |
2100 | Na amytal gr iii Back rub with alcohol | Given as verbal orders of Capt. Raines. Pt has been in bed all evening. Asleep a great deal of the time. Pt changes positions frequently. |
2200 | P 56 R 18 | Pt asleep at this time. Skin feels slightly damp. |
2300 | Pt changed position but apparently still asleep. | |
2355 | Watch relieved. W. R. Breon, HN | |
2400 | B/P 104/66 P 54 R 18 | Pt still asleep. Has changed positions several times in the last few minutes. [Kelley] |
0100 | Pt sleeping well at present. | |
0200 | P 58 R 20 | Pt sleeping at present. |
0215 | Pt awake. | |
0230 | Pt now asleep. | |
0300 | Pt sleeping. Has been resting well so far tonight. | |
0400 | B/P 106/64 P 56 R 18 | Pt sleeping at present. Pt moves from one side of the bed to the other. |
0500 | Pt sleeping. Pt has been a little restless the past hour. | |
0545 | Pt awake. Said he had a good night’s rest. | |
0600 | P 58 R 18 240 cc orange juice | Pt had orange juice. Said it was very good. Pt then laid down and pulled sheet up over him. Pt now resting. |
0615 | Pt asked what was outside? Pt said he could hear the birds and wondered how the weather was outside. Pt was given answer by corpsman. Pt thanked corpsman, then laid down. | |
0700 | Pt to head. Pt then returned to bed. Pt asked a few questions to the corpsman of his Navy career, also corpsman’s name and what state he was from. | |
0715 | 240 cc H2O | Pt given 240 cc H2O. |
0730 | Insulin 10 U | Given. Pt asked if Dr. Raines would be here this morning to see him. |
0750 | Watch relieved. J. M. Kelley, HN | |
0750 | Watch assumed. Pt awake, said “Good morning”. [Kipp] | |
0800 | Adm. Swanson to see Pt. Breakfast served. | |
0810 | Pt ate a small amt. of cereal, 1 piece of toast, drank his coffee, juice & only a small sip of milk. | |
0820 | Pt shaved & showered. Talked about psychosis; that is, his viewpoints on it in comparison with religious fanatics. Asked me how many books I had read on N.P. [*] & did I plan on furthering my studies. | |
0830 | Pt helped to make bed. | |
0845 | Pt got up; sat in easy chair. Was asked if he wished to smoke. Pt paused, then said “Yes, I believe I do.” | |
0900 | Relieved for pay day. | |
0930 | Dr. Raines to see Pt. | |
1020 | Dr. Menninger to see Pt. |
1100 | Pt sitting in chair smoking pipe. | |
1120 | Pt changed to rm. 1615 temporarily. | |
1125 | Sod. amytal grs ivss | |
1130 | BP 110/72 P 66 R 18 | Relieved watch for chow. ( E. W. Prise, HN Pt lying comfortably in bed talking with me. |
1220 | Pt up and to head. Upon returning said “I’m afraid I won’t be a very good companion from now on because of the sedative.” Pt quiet and resting. | |
1250 | Relieved by reg. day watch. Pt sleeping. E. W. Prise ) | |
1300 | Pt sleeping soundly. | |
1400 | BP 108/74 P 60 R 18 | Pt awake. Asked permission to see a padre. Dr. Raines notified. Pt was asked to wait until tomorrow until Dr. Raines could speak to him again. Pt complied. |
1410 | Dr. Raines to see Pt. | |
1615 | Watch relieved. Iver Kipp, HM3 | |
1615 | Assumed watch. WRB | |
1630 | Sod. amytal gr iss | Pt awake resting quietly. |
1640 | B/P 108/76 P 62 R 18 | Pt resting. |
1650 | Insulin 10 U | Given as ordered. |
1700 | Pt asleep. | |
1725 | Dinner | Dinner served @ this time. Pt awake. Pt ate one egg and some spinach, dish of ice cream, 1/2 cup coffee & app., 50 cc H2O, 1 slice bread. |
1755 | Pt up to head to brush teeth. Pt requested his back rub now. | |
1800 | Alcohol back rub | Given at Pt’s request. Pt asking questions as to corpsman’s family & future. |
1805 | P 56 R 18 | Pt quiet. |
1835 | Pt got up and said he wanted to see something. He picked up the paper, put his glasses on, and started paging through the paper. |
He apparently didn’t find what he wanted as [i.e., by the time] Dr. Smith came to see Pt. | ||
1900 | Pt back in bed. Dr. Smith left. | |
1950 | Sod. amytal gr ivss Phospho soda Z ss | Given as ordered. Pt still asking questions. |
2000 | B/P 122/74 P 54 R 20 | Pt resting quietly. |
2030 | Pt up to head. | |
2100 | Pt to head for B.M. Watery stools. | |
2110 | To head for B.M. | |
2130 | To head 3 times since 2100. | |
2200 | P 54 R 18 | Pt apparently sleeping. |
2300 | Pt asleep. | |
2345 | Pt tossing and turning. | |
2355 | Watch relieved. W. R. Breon, HN | |
2355 | Assumed watch. (JMK) | |
2400 | B/P 114/70 P 58 R 18 | Pt sleeping. |
0100 | Pt is a little restless. | |
0130 | Na amytal gr iss | Given. |
0200 | P 56 R 20 | Pt is still awake. He has been |
very quiet for the past half hour. | ||
0230 | Pt is still awake. | |
0300 | Pt is awake but is very quiet. | |
0400 | B/P 96/58 P 46 R 16 | Pt sleeping fine at present. Pt awoke while B/P was being taken. |
0600 | Pt asleep and resting fine at present. | |
0600 | P 52 R 18 | Pt asleep. |
0640 | Pt awake. Pt asked what time it was. | |
0700 | Pt still awake. | |
0730 | Insulin 10 U | Pt asking corpsman questions about his future. |
0740 | Relieved watch. J. M. Kelley, HN | |
0745 | Assumed watch. Pt awake & to head. [The handwritting of this entry differs from that of the previous and following entry.] | |
0915 | Relieved watch. Pt sitting up in bed. Said he is feeling somewhat better. E. W. Prise, HN | |
0945 | Pt visited by Dr. Raines. | |
1200 | Sod. amytal grs 4iss | Dr. Raines left. Pt given lunch. Said “I’m very hungry.” |
1230 | Relieved for chow. Pt smoking and talking with corpsmen. (E. W. Prise) | |
1230 | Relieved E. W. Prise for supper. [Water] | |
1245 | Pt talking to corpsman. | |
1255 | Pt seems very drowsy. | |
1300 | Pt asleep. | |
1324 | Relieved by E. W. Price [sic, Prise] (W. M. Water) | |
1400 | P 56 R 16 | Pt sleeping very soundly. [Prise] |
1530 | Liver extract 1 cc Thiamin HCl 1 cc | Pt awake. Asked for book to read. Also asked if Mrs. ~~~~ was coming to visit him this afternoon. |
1545 | Pt visited by wife & Dr. Raines. | |
1615 | P 52 R 18 | Pt’s wife left. Pt resting nicely. |
1640 | Insulin 10 units | Dr. Raines still in with Pt. |
1645 | Relieved the watch. WRB [The order of this and the following should be reversed.] | |
1645 | Watch relieved. E. W. Prise, HN | |
1700 | Dr. Raines with Pt. | |
1725 | Dr. Raines left. Pt awake. | |
1730 | Dinner | Dinner served. Pt ate fairly well. Stated he couldn’t eat it all and it was |
a shame to waste it. He offered it to the corpsman on watch. | ||
1750 | Pt to head, brushed teeth. | |
1800 | B/P 114/66 P 58 R 18 | Pt resting in bed. |
1900 | Pt requesting back rub now. | |
1910 | Alcohol back rub | Given as ordered @ Pt’s request. Pt resting quietly. |
1915 | Pt requesting his medication. | |
1920 | Na amytal gr ivss | Given as ordered. Pt resting quietly. |
2000 | B/P 108/60 P 52 R 18 | Pt resting quietly. |
2100 | Pt asleep. | |
2200 | P 56 R 18 | Pt awake only short time while pulse was being taken. Asked what time it was. |
2230 | Pt awake. Taking fluids. | |
2300 | Pt awake. | |
2320 | Na amytal gr iii | As ordered. Pt quiet all evening. |
2345 | Pt asleep at this time. Watch relieved. W. R. Breon, HN |
2345 | Assumed watch. JMK | |
2400 | B/P 110/62 P 54 R 18 | Pt asleep at this time. |
0100 | Pt asleep. | |
0200 | P 58 R 18 | Pt asleep. |
0300 | Pt asleep. | |
0400 | B/P 118/70 P 60 R 18 | Pt asleep. Pt moved quite a bit while B/P was being taken. Pt has rested very good so far tonight. |
0500 | Pt still asleep. | |
0600 | P 58 R 20 | Pt asleep. |
0615 | Pt awake. Said good morning to corpsman. | |
0700 | Pt awake. | |
0715 | 240 cc H2O | Pt to head. Pt brushed his teeth while in head. Pt then drank some H2O and then returned to bed. |
0730 | Insulin 10 U | Given as ordered. Watch relieved. J. M. Kelley, HN |
0730 | Relieved night watch. Pt awake sitting in bed talking. E. W. Prise | |
0800 | B/P 1xx/66 P 6x R 18 | Pt given breakfast. States |
Wt. 150 3/4 | “That insulin makes you hungry and you don’t realize it.” | |
0810 | Pt finished breakfast sitting up in chair smoking and reading. | |
0815 | Pt given A.M. care. | |
0830 | Visited by Dr. Smith. Pt seems to be very pleased with the care he is getting. | |
0900 | Dr. Smith left. Pt pacing floor and smoking pipe. Pt goes to head quite frequently. | |
0930 | Liver extract 1 cc Thiamin HCl 1 cc | Pt walking around room talking to corpsmen [plural, may be an error] & reading front page of paper. |
0945 | Visited by Dr. Raines. | |
1130 | Dr. Raines left. Pt asked “When is chow?” | |
1155 | Pt eating lunch. | |
1215 | Relieved for chow. | |
1230 | Lunch secured. | |
1235 | TPR 98-45-20 | Pt was very inquisitive as to his TPR. He was told by the corpsman that it was normal. (W. M. Water) |
1300 | Relieved by E. W. Prise. (W. M. Water) | |
1330 | Pt sleeping. | |
1400 | Pt sleeping, is a bit restless. | |
1430 | Pt awake. Opened package which was a book then threw it in the waste can. Asked for a pencil. Then he wrote a list of something. | |
1500 | Pt sitting in bed talking to corpsman. | |
1520 | Pt visited by son. When corpsman remarked on what a fine looking son he had, Pt said “Yes! He’s a fine boy.” | |
1600 | T.P.R. 98 4-58-18 | Pt visited by wife. Appears to be in very good mood. |
1630 | Dr. Raines with Pt. | |
1645 | Watch relieved. E. W. Prise, HX | |
Assumed watch. WRB | ||
1700 | Dr. Raines with Pt. | |
1710 | Insulin 10 U | Given as ordered. Dr. Raines gone. |
1730 | Dinner | Dinner served. |
#51 – #53 missing (1730+ April 7 to 1430 April 8) |
1430 | Pt awake. Lit up pipe and asked “I’m supposed to have some visitors this afternoon.” | |
1515 | T.P.R. 98-58-18 | Pt sitting in bed very quiet. Seems perfectly at ease. |
1600 | Pt visited by wife and son. | |
1630 | Dr. Raines to see Pt. | |
1645 | Watch relieved. E. W. Prise, HA | |
Assumed watch. WRB | ||
1720 | Dinner | Dinner served. Pt ate fairly well tonight. |
1730 | Drank a little orange juice & some H2O. | |
1735 | Pt requesting his tooth brush. | |
1800 | Pt resting. | |
1830 | Back rub requested. | |
1840 | Alcohol back rub. | Given at Pt’s request. |
1900 | Dr. Hightower made rounds. | |
1945 | Na amytal gr vi | Per order. |
2000 | Pt resting in bed. | |
2100 | Pt still awake but quiet. |
2200 | Pt apparently sleeping. | |
2300 | Pt sleeping | |
2400 | Pt asleep. Watch relieved. W. R. Breon, HN | |
2400 | Pt asleep. [Kelley] | |
0100 | Pt asleep. | |
0200 | Pt asleep. Pt has been tossing and turning quite often. | |
0300 | Pt asleep. | |
0400 | Pt asleep. | |
0500 | Pt awake. | |
0505 | Pt went to head. | |
0515 | Pt requested to see Dr. Hightower. | |
0517 | Dr. Hightower seeing Pt. | |
0530 | Pt asked questions about the weather. Pt also asked who my relief was when I go off duty. | |
0600 | Pt still awake. | |
0700 | Pt awake. Pt went to head. Pt brushed teeth. |
0735 | Dr. Deen to get lab work. | |
0745 | Relieved by watch. J. M. Kelley, HN | |
0800 | Wt 150 | Relieved the watch. (EWP) |
1st day of insulin sub-shock | ||
0815 | Insulin 20 units | Pt given insulin injection. Asking about treatments. |
0830 | P 52 R 18 B/P 106/80 | Pt lying in bed very comfortably. Visited by Dr. Smith. |
0900 | Pt sitting quietly in bed smoking. | |
0915 | P 56 R 18 | Dr. Smith left. Pt sitting in bed reading. |
0930 | B/P 110/76 P 52 R 18 | Pt lying quietly in bed with eyes closed. |
0935 | Pt visited by Adm. Swanson. | |
0955 | Adm. Swanson left. Pt resting. | |
1000 | B/P 116/82 P 56 R 18 | Pt sitting in bed smoking his pipe. Asked “When do we eat chow?” |
1015 | P 60 R 18 | Pt looking around room. Resting nicely. |
1030 | P 56 R 18 | Pt lying still in bed talking to Dr. Hightower. Says he is feeling the insulin. |
1045 | P 52 R 18 | Pt up and to head. |
1100 | P 54 R 20 B/P 110/82 | Pt lying very still with eyes closed. |
1115 | 240 cc OJ 20 cc glucose | Pt terminated at this time. Says he would like to have a very small lunch. |
1145 | Pt sitting quietly in bed. | |
1200 | TPR 98-56-20 | |
1230 | Lunch served. | |
1250 | Pt ate more of his lunch. | |
1305 | Sod. amytal gr iii | Ordered by Dr. Smith on Pt’s request. |
1307 | Relieved by E. W. Prise. W. M. Water | |
1310 | Returned from chow. Pt sitting up in bed talking. Appears to be feeling fairly good. | |
1400 | Pt sleeping. | |
1430 | Thiamin HCl 1 cc Liver extract 1 cc | Pt woke up. Struck up conversation with corpsman by saying “Prise, you must begin to regard your patients as animals in a zoo after a |
while.” When I told him I didn’t, he smiled and said “That’s good.” | ||
1530 | Pt lying in bed with eyes closed but is not sleeping. Was given some saltines & orange juice on his request. Complains of being hungry. | |
1545 | T.P.R. 98.4-58-18 | Pt resting nicely. |
1600 | Pt visited by wife. | |
1635 | Wife left. Pt in very good mood. | |
1645 | Relieved by evening watch. E. W. Prise | |
1645 | Relieved the watch. W. R. Breon, HN | |
1700 | Pt resting comfortable. | |
1705 | Dr. Smith to see Pt. | |
1730 | Dr. Smith left. | |
1740 | Dinner | Dinner served. Pt ate fairly well this evening. |
1800 | Pt resting. | |
1900 | Pt requesting back rub. |
1900 | Alcohol backrub | Given as ordered & on Pt’s request. |
1935 | TPR 98-56-18 B/P 128/82 | Pt stated he did not want the sandwich tonight. |
1945 | Na amytal gr vi | Given “O” as ordered. |
2000 | Pt resting. | |
2015 | Dr. Deen made rounds. | |
2100 | Pt apparently asleep. | |
2200 | Pt asleep. | |
2300 | Pt asleep. | |
2345 | Watch relieved. W. P. Breon, HN | |
2350 | Assumed watch. JMK | |
2400 | Pt sleeping. | |
0100 | Pt sleeping. | |
0115 | Pt awake. Pt asked corpsman what time it was. | |
0130 | Pt now asleep. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0305 | Pt awake. Pt asked if window could be opened a little more. |
0320 | Pt went to head. | |
0400 | Pt asleep. | |
0500 | Pt sleeping. | |
0530 | Pt has been tossing and turning quite a bit the past half hour. | |
0600 | Pt asleep. | |
0615 | Pt awake. Pt asked what time it was. | |
0630 | Pt to head. | |
0650 | Pt to head to brush teeth. | |
0700 | Pt just resting in bed at the present. | |
0740 | Relieved watch. J. M. Kelley, HN | |
0800 | Pt given A.M. care. Shave, shower, bed made etc. Given a cup of black coffee. [Prise] | |
2nd day insulin sub-shock treatment | ||
0830 | Insulin 20 U T.P.R. 97.8-52-18 B/P 132/96 | Pt given insulin. Is lying in bed smoking pipe. No complaints. |
0845 | P 54 R 18 | Pt lying quietly in bed. |
#61 – #64 missing (0845+ April 10 to 0900 April 11) |
in bed smoking pipe. | ||
0900 | P 56 R 20 | Pt lying quietly in bed staring at ceiling. |
0915 | B/P 126/88 P 52 R 20 | Pt resting. Asked to see Dr. Raines. |
0930 | P 54 R 18 | Pt up and to bathroom at this time. |
0945 | B/P 130/92 P 52 R 18 | Pt visited by Dr. Raines. |
1030 | B/P 124/104 | |
1100 | B/P 116/98 | |
1110 | B/P 128/102 | Pt terminated. |
1120 | Dr. Raines left. Pt up walking around room. Says he is very hungry. | |
1200 | 98.2-52-18 | Pt given lunch. Appears to be very hungry. |
1215 | Relieved E. W. Prise for chow. | |
1315 | Relieved by E. W. Prise. W. M. Water | |
1315 | Returned from chow. Pt resting. (E. W. Prise) | |
1320 | Pt up and took a shower. | |
1330 | Pt lying quietly in bed. States he [is] going to try and catch a nap. |
1340 | Pt sleeping. | |
1445 | Pt awake. Up walking around & smoking pipe. | |
1545 | Pt sitting up in bed smoking pipe, waiting for wife to visit. | |
1600 | Pt visited by wife and son. | |
1615 | T.P.R. 98.6-58-18 | Pt’s wife & son left. |
1645 | Relieved by evening watch. E. W. Prise | |
1645 | Relieved the watch. (WRB) Pt resting quietly in bed. | |
1700 | Dr. Raines to see Pt. | |
1730 | Dinner | Dinner served. Pt ate very well tonight. New orders given. |
1800 | Dr. Raines gone. Pt to head to brush teeth. | |
1825 | Metamucil Z i | With 300 cc H2O. |
1845 | Back rub (alcohol) B/P 120/72 TPR 98.8-64-18 | Given at Pt’s request. Pt ready for bed. Resting comfortable. |
1900 | Na amytal gr vi | Given as ordered. |
1910 | Dr. Hightower made rounds. | |
2000 | Pt awake, resting quietly. | |
2100 | Pt asleep. | |
2200 | Pt asleep. | |
2300 | Pt awake. | |
2320 | Na amytal gr iii | As ordered for sleep. |
2400 | Watch relieved. W. R. Breon, HN | |
2400 | Assumed watch. (JMK) Pt asleep. | |
0100 | Pt sleeping. Pt has been quite restless for the past half hour. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt sleeping. | |
0600 | Pt still sleeping. Pt has slept good all night. | |
0630 | Pt awake. Pt asked what time it was. | |
0645 | Pt to head. Pt asked what time would his coffee be ready. |
0700 | Pt awake. Resting quietly. | |
0745 | Pt asked if he could shave now before he had his coffee. | |
0750 | Pt given A.M. care. | |
0800 | Watch relieved. J. M. Kelley, HN | |
4th day of sub-shock insulin | ||
0800 | Insulin 35 U B/P 112/86 T 98.8-62-14 | Pt given insulin shot. Sitting in bed. Seems to be in a very good mood. E. W. Prise |
0815 | P 58 R 18 | Pt lying quietly in bed. Is very cooperative. |
0825 | Pt visited by Adm. Swanson. | |
0840 | B/P 98/64 P 54 R 18 | Adm. Swanson left. Pt has a slight perspiration. Pt visited by Dr. Smith. |
0930 | B/P 108/90 P 56 R 18 | Dr. Smith left. Pt lying in bed talking. Skin slightly flushed. |
0945 | P 52 R 18 | Pt states he [“]should be very hungry by noon”. |
1000 | P 54 R 18 | Pt sleeping. |
1015 | P 56 R 18 | Pt still sleeping. |
1030 | B/P 114/66 P 56 R 18 | Pt visited by Dr. Raines. |
1100 | B/P 120/102 P 58 R 18 | Pt terminated. Had a very slight shaking while drinking his dextrose & orange juice. |
1200 | Dr. Raines left. Lunch served to Pt. | |
1210 | Relieved for chow. E. W. Prise | |
1230 | Lunch secured. Pt ate a very good lunch today. | |
1240 | T.P.R. 98.6-64-20 | |
1315 | Relieved by E. W. Prise. W. M. Water | |
1315 | Wt. 149 | Returned from chow. Room cleaned & rug laid. Pt resting quietly. |
1430 | Pt was up walking around. Asked corpsman for cigarette. Crawled into bed and smoked it. | |
1450 | Pt visited by wife & son. | |
1515 | Pt’s wife left. Pt taking |
shower. | ||
1530 | Pt visited by Dr. Raines. | |
1600 | T.P.R. 98.6-60-18 | Dr. Raines still visiting Pt. |
1640 | Relieved by evening watch. E. W. Prise | |
1640 | Relieved the watch. WRB | |
1700 | Pt resting quietly. | |
1730 | Dinner | Dinner served. Pt ate fairly well. |
1750 | Dr. Raines to see Pt. | |
1820 | Dr. Raines left. | |
1845 | Alcohol back rub B/P 132/78 TPR 98.6-54-18 | Given as ordered. Pt seems slightly restless tonight. |
1900 | Na amytal gr vi | As ordered. Dr. Deen made rounds. |
1930 | Pt given sandwich and glass of orange juice. | |
2000 | Pt awake. | |
2100 | Pt asleep. | |
2200 | Pt sleeping. | |
2300 | Pt sleeping. | |
2400 | Watch relieved. W. R. Breon, HN | |
Assumed watch. JMK |
2400 | Pt awake. Pt asked for something to put him to sleep. | |
2410 | Pt to head. | |
2440 | Na. amytal gr iii | Pt now resting. Said he was very pleased to get the pill. |
0100 | Pt still awake. | |
0130 | Pt asleep. | |
0130 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0600 | Pt asleep. | |
0630 | Pt awake. | |
0700 | Pt resting quietly. | |
0730 | Pt to head. | |
0745 | Pt given AM care. | |
0750 | Wt. 148 | Relieved watch. J. M. Kelley, HN |
0750 | Relieved the watch. [Prise] Pt sitting quietly in bed. Given black coffee. Appears to be in a very good mood this morning. |
5th day sub-shock insulin | ||
0800 | T.P.R. x78-54-18 B.P. 108/86 Insulin 40 units | Pt given insulin injection. Lying very quietly in bed smoking pipe. |
0815 | P 52 R 18 | Pt still sitting in bed smoking. |
P 56 R 18 | Pt sitting very quietly in bed. | |
0830 | B/P 116/92 P 52 R 18 | Pt visited by Adm. Swanson. |
0850 | Adm. Swanson left. Pt still the same. | |
0855 | Pt visited by Dr. Smith. | |
0940 | B/P 122/92 P 54 R 14 | Dr. Smith left. Pt sitting quietly in bed. |
0955 | Pt complaining of dizziness. | |
1000 | B/P 122/88 P 62 R 20 | Pt sitting in bed reading mail. |
1015 | P 58 R 18 | Pt reading mail. |
1030 | B/P 120/92 P 58 R 18 | Pt’s skin is slightly flushed and cold. Slight perspiration on upper lip & forehead. |
1040 | Pt visited by Dr. Hightower. | |
1100 | B/P xxx/92 | Pt terminated. Asked for something |
to go with orange juice and dextrose. Given a piece of toast. | ||
1130 | Pt up and to head. Says he is feeling fine. | |
1155 | Pt’s lunch served. | |
1210 | Relieved for chow. E. W. Prise | |
1230 | TPR 98.6-68-20 | |
1305 | Dr. Hogan & Pt’s brother came up to see him for a few minutes. | |
1420 | Relieved by E. W. Prise. W. M. Water | |
1420 | Returned to duty. Pt sitting up in bed talking. E. W. Prise | |
1435 | Liver extract 1 cc Thiamin HCl 1 cc | Pt given injection. Seems very friendly & very consoling [sic if meant considerate] toward corpsman. |
1500 | Pt visited by Dr. Raines. | |
1635 | 98-56-18 | Dr. Raines left. Pt in very good mood. |
1645 | Watch relieved. E. W. Prise, HA |
#74 missing (1645+ to 2300 April 13) |
2300 | Pt awake. | |
2400 | Watch relieved. W. R. Breon, HN | |
2400 | Assumed watch. (JMK) Pt asleep. | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0250 | Pt awake. | |
0300 | Pt resting fine. Pt just about asleep. | |
0330 | Pt now asleep. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt awake. | |
0600 | Pt awake. Pt resting quietly in bed. | |
0700 | Pt resting. | |
0715 | Pt to head. | |
0730 | Wt. 148 | |
0740 | Pt given black coffee. | |
0750 | Watch relieved. J. M. Kelley, HN | |
0750 | Relieved the watch. Pt asked if he could shave. Given “razor”. [Prise] |
#76 missing (0750+ to 1110 April 14) |
1110 | Pt sleeping. Dr. Raines left. | |
1200 | T.P.R. 97.8-60-18 | Pt still sleeping. |
1215 | Relieved for chow. E. W. Prise | |
1300 | Returned from chow. Pt sitting up in bed talking. | |
1400 | Pt up walking around room. Makes quite a few trips to the head. | |
1440 | Thiamin HCl 1 cc Liver extract 1 cc | Pt back in bed. Has taken a shower. Resting nicely. |
1500 | Pt visited by son. | |
1515 | Pt’s son left. Pt resting. | |
1530 | Pt visited by Dr. Raines. | |
1635 | Relieved by evening watch. E. W. Prise | |
1635 | Relieved the watch. (WB) Dr. Raines still with Pt. | |
1705 | Dr. Raines left. New orders given. Corpsman could not find Phospho soda. Have to wait until nurse comes. | |
1715 | Dinner served | Tray was brought in at this time. |
1745 | Phospho soda Z i | Given. |
1800 | Pt resting quietly. | |
1845 | Alcohol back rub B/P 12x/xx TPR 98.4-54-18 | Given as ordered @ Pt’s request. Taken. |
1905 | Na amytal gr vi | Given as ordered. Pt eating crackers & cream cheese. |
2000 | Pt resting quietly. | |
2100 | Pt resting quietly. | |
2130 | Up to head. More flowers brought into room. | |
2200 | Pt awake. | |
2230 | Pt asleep. Dr. Deen made rounds. | |
2300 | Pt asleep. | |
2345 | Pt awake. | |
2400 | Na amytal gr iii | Watch relieved. W. R. Breon, HN |
Assumed watch. JMK | ||
0100 | Pt sleeping. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt sleeping. |
0550 | Pt awake. | |
0600 | Pt awake. Pt to head. | |
0700 | Pt awake. Pt asked for coffee, as soon as he could have it. | |
0730 | Pt given A.M. care. | |
0745 | Pt given coffee. | |
0800 | Wt. 150 | Pt’s bed made upon his request. |
0815 | 7th day insulin sub-shock | |
0820 | Insulin 45 units T.P.R. 98.6-48-16 B/P 1xx/90 | Pt resting. Sitting in bed talking to corpsmen. |
0830 | P 48 R 16 | Pt up and to head. |
0845 | P 52 R 18 | Pt sitting up reading. |
0900 | B/P 116/92 P 54 R 18 | Pt lying quietly in bed. Pt visited by Dr. Smith. |
0945 | P 54 R 18 | Dr. Smith left. Pt resting in bed. |
1000 | B/P 108/72 P 52 R 18 | Pt lying quietly in bed. Talking to Dr. Deen. |
1015 | P 54 R 18 | Pt reading book. |
1030 | B/P 114/72 P 50 R 18 | Pt resting quietly. |
1035 | Pt visited by Dr. Raines. | |
1115 | 45 cc Dextrose | Pt terminated. |
1205 | Pt given lunch. Dr. Raines left. Relieved for chow. E. W. Prise | |
1300 | Returned from chow. Pt sitting in chair reading. | |
1340 | Thiamin HCl 1 cc Liver extract 1 cc | Pt reading. |
1350 | Pt visited by Dr. Raines. | |
1505 | Visited by a friend. | |
1600 | T.P.R. 98.2-58-20 | Dr. Raines & this friend left. Pt up walking around room. |
1645 | Watch relieved. [Prise ends] | |
1645 | Relieved the watch. (WB) | |
1700 | Phospho soda Z ii | Given as ordered. |
1710 | Dinner | Dinner served. Pt ate good tonight. |
1800 | Pt up walking around room for last 15 minutes. In bed now. | |
1845 | B/P 124/74 TPR 98.8-62-18 | Taken as ordered. Pt resting quietly. |
1900 | Dr. Deen to see Pt. Hold off medication until 2000. Verbal order, Dr. Deen. | |
2000 | Pt stated he did not want his pills yet. | |
2055 | Na amytal gr iii | Pt only wanted one of his pills, at this time. |
2100 | Pt resting. | |
2115 | Na amytal gr iii | Pt wanted other pill & it was given. |
2145 | Pt asleep. | |
2200 | Pt asleep. | |
2300 | Pt asleep. | |
2400 | Pt asleep. Watch relieved. W. R. Breon | |
2400 | Assumed watch. (JMK) Pt asleep. | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0330 | Pt awake. Pt said he could go back to sleep. | |
0400 | Pt is still awake. |
0415 | Pt asleep. | |
0500 | Pt sleeping. | |
0600 | Pt sleeping. | |
0610 | Pt to head. | |
0700 | Pt lying in bed resting. | |
0730 | Wt. 150 | Pt to head. |
0740 | Relieved watch. J. M. Kelley, HN | |
0745 | Pt shaving. [Prise] | |
8th day of insulin sub-shock | ||
0800 | Insulin 50 units B/P 112/78 T.P.R. 97.6-48-18 | Pt given insulin injection. Went to head and back several times. |
0815 | P 50 R 18 | Pt lying quietly in bed. Asked corpsman to explain how to take a blood pressure. |
0830 | B/P 1xx/84 P 50 R 18 | Pt lying quietly in bed. |
0845 | P 54 R 18 | Pt lying in bed smoking. |
0900 | B/P 11x/x2 P 52 R 18 | Pt seems to be a little uneasy in making a motion, like he was “rolling pills”. [*] |
0925 | P 54 R 18 | Pt talking with corpsman. |
0930 | B/P 130/102 P 54 R 18 | Pt up and into head. Complains of being thirsty. Given cold water. |
0945 | P 56 R 18 | Pt up and to head. |
1000 | Pt visited by Adm. Swanson. | |
1015 | P 54 R 18 | Dr. Swanson left. Pt lying quietly in bed. |
1030 | B/P 126/76 | Pt visited by Dr. Raines. |
1100 | B/P 126/72 Dextrose 50 cc | Pt terminated at this time. Has quite a bit of shaking and unsteadiness of hands. |
1130 | Visited by wife. | |
1200 | T.P.R. 97.2-58-18 | Pt’s wife & Dr. Raines left. Pt lying comfortably in bed. Asked if he would have time before lunch to take a shower. |
1210 | Pt given lunch. | |
1215 | Relieved for chow. | |
1300 | Returned from chow. Pt sitting up in bed very quiet. | |
1310 | Visited by Dr. Raines. | |
1530 | Dr. Raines left. Pt quiet. | |
1600 | Pt writing letters. Requests that corpsman take care of mailing them. | |
1645 | Relieved by Breon, HN E. W. Prise |
1645 | Assumed watch. (WB) Pt resting quietly. | |
1700 | Pt resting. | |
1715 | Dinner | Dinner served. Pt ate good this p.m. |
1800 | Pt resting quietly. | |
1845 | B/P 126/74 TPR 98.4-50-18 | Taken as ordered. |
1900 | Thiamin chl. 1 cc Liver ext. 1 cc Milk of Mag. Z i | Given now because it wasn’t given earlier. Given as ordered. Bed linen changed at Pt’s request. |
2000 | Pt apparently asleep. | |
2100 | Pt awake. | |
2120 | Na amytal gr iii | Pt took only one capsule. Stated he would take the other one if needed. |
2140 | Na amytal gr iii | As requested. |
2200 | Pt awake. | |
2300 | Pt apparently asleep. | |
2400 | Watch relieved. W. R. Breon, HN | |
2400 | Assumed watch. (JMK) Pt asleep. |
0100 | Pt sleeping | |
0200 | Pt awake. Pt said he could go back to sleep. | |
0230 | Pt sleeping. | |
0300 | Pt sleeping. | |
0330 | Pt awake. Pt asked for some of the flowers to be taken out. Said they were too strong for him. | |
0400 | Pt now asleep. | |
0500 | Pt asleep. | |
0600 | Pt awake. | |
0630 | Pt asked for windows to be opened further. | |
0700 | Pt in bed resting. | |
0725 | Pt shaved and (etc). | |
0800 | Watch relieved. J. M. Kelley, HN | |
0800 | Relieved the watch. [Prise] | |
0830 | T.P.R. 98-58-18 | Pt served breakfast. |
0900 | Breakfast finished. Room cleaned. Pt sitting in bed reading morning papers. | |
0930 | Pt resting. No complaints. | |
1000 | Pt given tap water. |
Enema with good results the second time. | ||
1100 | Pt has been back and forth to head several times in the past hour. Seems very uneasy. | |
1130 | Metamucil 1 z | Seen by Dr. Hightower. |
1150 | Relieved for chow. Dr. Raines in to see patient. | |
1250 | Returned from chow. Dr. Raines still with Pt. | |
1415 | Dr. Raines left. Pt in fair mood. | |
1430 | Pt sleeping. | |
1515 | Pt awake. Says he is hearing “little sounds” or noises. When told it was the radiator he jumped up and turned it off. | |
1550 | Thiamin HCl 1 cc Liver extract 1 cc } IM | Pt lying in bed talking to corpsmen. |
1635 | Relieved by evening watch. E. W. Prise, HA |
1635 | Assumed watch. WB | |
1650 | Dr. Hightower here. Doctor examined Pt’s rectum. New orders given. Chow served. Pt did not eat too well tonight. | |
1730 | Bed linen changed at Pt’s request. Pt took a bath. | |
1750 | Metamucil Z i | Given as ordered. |
1800 | Pt resting quietly. | |
1900 | Pt resting. | |
1930 | B/P 12x/74 TPR 98.4-50-18 Alcohol back rub | Taken as ordered. Given as ordered. |
1950 | Na amytal gr iii | Pt ate some crackers & a little ice cream. |
2015 | Pt apparently asleep. | |
2100 | Pt asleep. | |
2200 | Pt awake. | |
2300 | Pt asleep. | |
2400 | Watch relieved. W. R. Breon, HN | |
2400 | Assumed watch. (JMK) Pt asleep. | |
0100 | Pt asleep. | |
0200 | Pt asleep. |
0240 | Pt awake. Pt to head. | |
0300 | Pt still awake. | |
0345 | Na amytal gr iii | As ordered. |
0400 | Pt is just about asleep. | |
0500 | Pt sleeping. | |
0600 | Pt sleeping. | |
0645 | Pt awake. | |
0700 | Pt to head. | |
0745 | Pt shaving and (etc). | |
0750 | Assumed the watch. WB | |
0750 | Watch relieved. J. M. Kelley, HN | |
9th Day of Insulin Therapy | ||
0800 | Insulin 50 U B/P 120/72 TPR. 98-54-18 | Given I.M. Pt resting in bed. |
0810 | Metamucil Z i Wt. 149 | Given. Pt drank cup of coffee. Taken. |
0830 | B/P 124/76 P 54 R 18 | Pt in bed cleaning fingernails. |
0850 | Dr. Smith to see Pt. | |
0940 | Dr. Smith left. | |
0945 | B/P 130/76 P 52 R 18 | Pt up to head. Stated he would read his mail later. |
1000 | Pt resting in bed. | |
1015 | B/P xxx/xx P 56 R 18 | Pt slightly shaky. |
1045 | B/P 13x/76 P 60 R 18 | Dr. Raines in with Pt. |
1100 | B/P 138/74 | Pt terminated with 50 cc dextrose in 240 cc orange juice. Dr. Raines with Pt at this time. |
1115 | Dr. Raines left. | |
1200 | TPR 98.4-60-20 | Pt resting comfortable. |
1215 | Lunch | Lunch served. Pt ate very well. Watch relieved for chow. |
1300 | Pt up and about room helping corpsman straighten up room. | |
1400 | Pt resting in bed. | |
1445 | Dr. Raines to see Pt. | |
1530 | Maintenance here to clean rug. | |
1630 | Dr. Raines left. | |
1635 | Thiamin chl. 1 cc Liver ex. 1 cc | Given as ordered. Watch relieved. W. R. Breon, HN |
1635 | 98.6-58-18 | Assumed watch. (JMK) |
1700 | Pt setting in bed reading paper. Pt asked when chow would be served. | |
1715 | Dinner served. Pt ate very good tonight. |
1800 | Pt resting quietly. | |
1815 | Pt’s wife to see him. | |
1900 | Pt setting in bed talking to his wife. | |
1915 | Pt’s wife left. | |
1950 | Na amytal gr iii | Given as ordered. |
2000 | 134/74 TPR 98.4-56-20 | Pt resting at present. |
2005 | Pt to head. | |
2025 | Pt to head. | |
2100 | Pt seems to be asleep. | |
2200 | Na amytal gr iii | Pt awake. |
2300 | Pt asleep. | |
2400 | Watch relieved. J. M. Kelley, HN | |
0100 | Pt sleeping. [Prise] | |
0200 | Pt sleeping | |
0215 | Pt awake. Requests that window be closed. | |
0230 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt sleeping. | |
0530 | Pt awake. Had a very good night, except is quite restless |
in sleep. Rolled & tossed quite a bit. | ||
0535 | Pt fell asleep again. | |
0630 | Pt still sleeping. | |
0725 | Pt awake. Went to head. | |
0740 | Wt. 149 | Pt up & shaving. |
0750 | Pt finished shaving. | |
0755 | Relieved by day watch. E. W. Prise | |
0755 | Assumed watch. WB | |
10th day of I.T. | ||
0800 | Insulin 55 U B/P 120/78 TPR 97.2-52-18 | Given I.M. Pt had coffee & is now in head. |
0815 | Metamucil Z i | Given as ordered. |
0830 | B/P 118/78 P 54 R 18 | Pt in bed resting. |
0900 | B/P 126/82 P 52 R 18 | Pt in bed reading paper. |
0915 | Dr. Smith to see Pt. | |
0955 | Dr. Smith left. | |
1000 | B/P 140/80 P 56 R 20 | Pt reading mail. Seems slightly shaky. |
1030 | B/P 138/78 P 56 R 18 | Pt up to head. In bed now, resting quietly. |
1100 | B/P 138/80 | Terminated with 55 cc dextrose in orange juice. |
Pt was perspiring profusely at termination time. | ||
1145 | Pt resting comfortably. Relieved for chow. | |
1210 | Lunch. | Served. Pt ate very good. Dr. Raines to see Pt. |
1240 | Dr. Raines left. | |
1245 | TPR 98.4-62-20 | Pt had B.M. Pt states he did not have any good results. |
1300 | Pt sitting on arm of chair looking out window, smoking pipe. | |
1400 | Thiamin chl. 1 cc Liver ex. 1 cc | Given I.M. as ordered. Pt still looking out window. |
1500 | Pt trying to have B.M. but can’t get any results. [Breon] | |
1600 | Liver extract 1 cc | Dr. Raines with Pt. |
1645 | Thiamin HCl 1 cc | Dr. Raines left. |
1645 | TPR 98.6-6x-18 | Assumed watch. (JMK) |
1700 | Dinner | Served. Pt ate very well tonight. |
1715 | Dr. Raines to see Pt. | |
1720 | Dr. Raines left. |
1745 | Pt to head. | |
1800 | Pt resting in bed. | |
1815 | Pt to head. | |
1820 | Metamucil Z i | Given as ordered. |
1830 | Pt to head. | |
1845 | Dr. Hightower made rounds. Pt to head again. | |
1900 | Pt resting in bed. | |
1905 | Pt’s wife to see him. | |
1925 | Pt’s wife left. | |
1930 | Pt to head. | |
1950 | Na amytal gr iii | Given as ordered. |
2000 | 128/72 TPR 98.4-58-20 | Pt resting at present. |
2100 | Pt sleeping. | |
2200 | Pt sleeping. | |
2300 | Pt sleeping. | |
2400 | Watch relieved. J. M. Kelley, HN | |
2400 | Relieved the watch. Pt sleeping. E. W. Prise | |
0100 | Pt sleeping. | |
0150 | Pt awake. Went into head. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0345 | Pt awake. | |
xxxx | Pt sleeping. | |
04xx | Pt awake. | |
0530 | Pt lying in bed but not sleeping. |
0610 | Pt up to head. | |
0700 | Pt lying in bed but not sleeping. | |
0735 | Wt. 149 | Pt up in head, shaving, etc. |
0750 | Relieved by day watch. E. W. Prise | |
0750 | 11th day of insulin | Assumed watch. (WB) |
0800 | Insulin 60 U B/P 120/78 TPR 98.4-56-18 Metamucil Z i Phospho soda Z i | Given as ordered. Pt resting in bed drinking coffee. |
0830 | B/P 130/80 P 56 R 18 | Pt resting. |
0850 | Dr. Smith to see Pt. | |
0920 | Dr. Smith left. | |
0930 | B/P 130/78 P 54 R 18 | Pt’s feet a little cold. |
1000 | B/P 162/80 P 54 R 18 | Pt perspiring quite a bit. Resting comfortable. |
1015 | B/P 150/78 | Pt still perspiring. |
1030 | B/P 148/88 P 56 R 18 | Pt resting in bed. Perspiring. |
1100 | B/P 166/82 P 60 | Terminated with 60 cc dextrose in orange juice. Perspiring at termination profusely. Skin hot & clammy. |
1200 | TPR 98-60-18 | Relieved for chow. |
1300 | Returned from chow. |
1400 | Pt up and about. To head several times in last hour. | |
1500 | Pt up. Showered. Had small B.M. Dr. Raines here. | |
1630 | Watch relieved. W. R. Breon, HN | |
1630 | Liver extract 1 cc Thiamin HCl 1 cc | Assumed watch. (JMK) Dr. Raines still with Pt. |
1645 | Dr. Raines left. | |
1655 | Dr. Hogan to see Pt. | |
1700 | Dr. Hogan left. | |
1715 | Dr. Smith to see Pt. | |
1725 | Dinner | Served. Pt ate good tonight. |
1735 | Dr. Smith left. | |
1750 | Pt to head. | |
1800 | Pt resting in bed. | |
1810 | Pt to head. Had good B.M. | |
1835 | Pt to head for B.M. | |
1900 | Pt resting in bed. | |
1915 | Dr. Deen made rounds. | |
2000 | 128/74 98.4-60-18 | Pt resting in bed. |
2015 | Pt to head. | |
2045 | Pt to head. |
2100 | Pt resting in bed. | |
2130 | Na amytal gr iii | Given as ordered. |
2200 | Pt trying to go to sleep. | |
2300 | Pt sleeping. | |
2400 | Pt sleeping. Watch relieved. J. M. Kelley, HN | |
2400 | Relieved the watch. Pt sleeping. | |
2445 | Na amytal grs iii | Pt awake. Complains of strange odor in room. (E. W. Prise) |
0100 | Pt sleeping. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt sleeping. | |
0600 | Pt sleeping. | |
0610 | Pt woke up. States “I had a very good night.” | |
0620 | Up to head. | |
0630 | Pt resting. | |
0700 | Pt shaving, showering, & etc. | |
0725 | Wt. 149 | Pt back in bed. Given morning papers. |
0750 | Relieved by day watch. (E. W. Prise) |
0750 | 12th day of I.T. | Assumed watch. (WB) |
0800 | Insulin 60 U B/P 98/72 TPR 98.6-60-20 | Given I.M. Pt had coffee & is now reading a paper in bed. |
0830 | B/P 98/70 P 54 R 18 | Pt has been up walking around. No objective symptoms as yet. |
0845 | Dr. Smith to see Pt. | |
0930 | B/P 128/70 P 54 R 18 | Dr. Smith left. Pt resting in bed. |
0940 | Adm. Swanson to see Pt. | |
0955 | Adm. Swanson left. | |
1000 | B/P 136/74 P 52 R 18 | Pt reading mail. Slight perspiration. Skin cool & clammy. |
1030 | B/P 124/70 P 54 R 20 | Pt resting. Perspiring. |
1100 | B/P 132/60 | Insulin terminated with 60 cc Dextrose in orange juice. |
1200 | Pt sleeping. | |
1220 | Metamucil Z i | Relieved for chow. |
1225 | Lunch | Lunch served. Pt ate good. |
1300 | Returned from chow. Pt resting quietly in bed. |
1400 | Pt up and about. | |
1500 | Pt resting. | |
1515 | Dr. Raines to see Pt. Room cleaned. [Breon] | |
1600 | Dr. Raines with Pt. | |
1635 | Assumed watch. (JMK) | |
1700 | Dr. Raines left. | |
1725 | Pt’s wife & son to see him. | |
1730 | Dinner | Served. Pt ate good tonight. |
1745 | Pt’s wife left. | |
1800 | Pt looking out of window. | |
1815 | Pt now resting in bed. | |
1830 | Pt to head. | |
1855 | Metamucil Z i | Dr. Hightower made rounds. |
1900 | Pt smoking pipe looking out of window. | |
1930 | Na amytal gr iii | Given as ordered. |
1935 | Liver extract 1 cc Thiamin HCl 1 cc | Given as ordered. |
2000 | 130/72 98.6-60-20 | Pt resting. |
2100 | Pt asleep. | |
2200 | Pt sleeping. | |
2300 | Pt sleeping. |
2400 | Watch relieved. J. M. Kelley, HN | |
2400 | Pt sleeping. [Prise] | |
0100 | Na amytal grs iii | Pt woke up. Asked for “sleeping pill”. |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt sleeping. | |
0600 | Pt sleeping. | |
06x0 | Pt awake lying in bed. | |
0650 | Pt up to head. | |
0700 | Metamucil Z i | Pt lying quietly in bed. |
0730 | Wt. 149 | Pt in head, showing and etc. |
0800 | Relieved by day watch. E. W. Prise | |
13th day of insulin | ||
0800 | B/P 11x/72 TPR 98.2-52-18 Insulin 60 U | Assumed watch. (WB) Given as ordered. |
0830 | B/P 126/70 P 52 R 18 | Pt seems restless this a.m. Up and about looking out window. |
0835 | Adm. Swanson here to see patient. | |
0850 | Adm. Swanson left. Pt in bed now, reading morning papers. No complaints. |
0900 | B/P 128/74 P 56 R 18 | Pt in bed reading paper. Seems to be having no effect. |
0915 | Dr. Smith to see Pt. | |
1000 | B/P 130/66 P 52 R 18 | Dr. Smith left. Pt perspiring and complains of feet being cold. Pt tried to read mail but quit. Seems to be in a fog. |
1030 | B/P 146/68 P 56 R 20 | Pt perspiring. Skin cold & clammy. Resting quietly. |
1100 | B/P 128/66 " | Terminated with 60 cc dextrose in orange juice. Dr. Hightower here for termination. Pt perspiring profusely. Slight shaking. |
xxxx | Pt sleeping. | |
xxxx | TPR 98.4-56-18 | Pt awake. |
xxx0 | Pt’s son to visit Pt. | |
xxx5 | Son left. | |
xxx0 | Dr. Raines to see Pt. | |
1420 | Dr. Raines left. | |
xxxx | Pt up & about. | |
xxxx | Thiamin chl. Liver ex. 1 cc ea. | Given as ordered. |
1600 | Gen. Patterson to see Pt. | |
1620 | Gen. Patterson left. Dr. Smith in with Pt. [Breon] | |
1630 | Assumed watch. (JMK) | |
1700 | Pt’s wife to see him. | |
1715 | Pt’s wife left. | |
1730 | Dinner | Served. Pt ate good tonight. |
1745 | Pt to head. | |
1750 | Metamucil Z i | Given as ordered. |
1800 | Pt resting in bed. | |
1830 | Pt looking out of window. | |
1845 | Pt to head. Had good B.M. | |
1900 | Pt resting in bed. | |
2000 | 126/72 98.4-60-18 | Pt in bed resting. |
2010 | Na amytal gr iii | Given as ordered. |
2100 | Pt resting quietly. | |
2110 | Dr. Smith to see Pt. | |
2130 | Dr. Smith left. | |
2135 | Pt had sandwich and glass of milk. | |
2200 | Pt asleep. | |
2300 | Pt asleep. |
2400 | Watch relieved. J. M. Kelley, HN | |
2400 | Relieved the watch. Pt awake. [Prise] | |
0100 | Pt sleeping. | |
0200 | Pt sleeping. | |
0300 | Pt awake. Up and to head. | |
0400 | Pt asleep. | |
0415 | Pt awake. | |
0430 | Pt out of bed. | |
0500 | Pt awake. | |
0545 | Wt. 148 1/2 | Pt up walking around room. |
0630 | Pt resting. | |
0730 | Pt in head shaving, showering and etc. | |
0755 | Relieved by day watch. E. W. Prise | |
0755 | 14th day of insulin | Assumed watch. (WB) |
0800 | Insulin 60 U Given I.M. B/P 122/80 TPR 99.4-60-20 | Pt just drank some hot coffee. Temp. was taken – 100°. Taken again after a few minutes. |
0815 | Metamucil Z i | Given as ordered. |
0830 | B/P 126/80 P 56 R 18 | Pt in bed resting. |
0900 | B/P 128/78 P 60 R18 | Pt seems restless. Sitting up in chair. |
0915 | Dr. Smith to see Pt. | |
0945 | Dr. Smith left. | |
1000 | B/P 132/74 P 60 R18 | Pt perspiring profusely. Skin cold & clammy. |
1030 | B/P 138/82 P 72 R [ ] | Dr. Hightower here. |
1045 | Terminated at this time with 60 cc dextrose in orange juice. | |
1100 | Pt taking a shower. Room squared away. | |
1125 | The President of the United States [Harry Truman] here to see Pt. | |
1200 | Relieved for chow. | |
1300 | Pt resting in bed. | |
1400 | Pt up in chair reading mail. | |
1500 | Up walking around room. | |
1545 | Dr. Raines to see Pt. | |
1600 | Pt’s wife to see Pt. | |
1630 | Watch relieved. W. R. Breon, HN | |
1630 | Assumed watch. (JMK) Pt’s wife in with Pt. |
1645 | Liver extract 1 cc Thiamin HCl 1 cc | Given as ordered. |
1700 | Pt’s wife left. | |
1715 | Dr. Raines with Pt. | |
1725 | Dr. Raines left. | |
1730 | Dinner | Served. Pt ate very good tonight. |
1800 | Metamucil Z i | Pt had small B.M. |
1900 | Pt resting in bed. | |
2000 | 128/72 98.6-50-18 | Pt resting quietly. |
2030 | Pt had a little lunch. He ate very good. | |
2100 | Pt resting quietly in bed. | |
2200 | Pt resting quietly in bed. | |
2300 | Pt appears to be asleep. | |
2400 | Pt awake. Watch relieved. (JMK) | |
2400 | Relieved the watch. Pt awake. [Prise] | |
0100 | Pt still awake. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0445 | Pt awake. | |
0500 | Pt sleeping. |
0550 | Pt awake. | |
0600 | Pt up & into head. | |
0700 | Pt resting. | |
0715 | Wt. 149 1/2 | Pt sitting in bed talking to corpsman. |
0730 | Pt went to head. Shaving, showering & etc. | |
0735 | Pt talked to Dr. Deen. When doctor told him he had a poor night because he did not take his sleeping pill, Pt said “They put it in my food last night.” Nothing the doctor said would change Pt’s mind about this. Pt also stated “The reason I know it was there, is because I could taste it.” [*] | |
0745 | Relieved by day watch. E. W. Prise | |
15th day of insulin | [Breon] | |
0750 | B/P 128/84 T 98 P 52 R 18 Metamucil Z i | Pt resting in bed. Given as ordered. |
0800 | Insulin 60 U | Given I.M. Pt had coffee. |
0830 | B/P 126/78 P 56 R 18 | Pt up and about last half hour. In bed now. |
0900 | B/P 126/72 P 54 R 18 | Pt was up in chair reading paper. Stated he could feel a reaction, so back to bed. |
0930 | B/P 128/80 P 54 R 18 | Pt in bed resting. |
1000 | B/P 118/76 P 56 R 18 | Pt in bed resting. |
1030 | B/P 98/66 P 54 R 18 | Pt resting quietly. Perspiring profusely. |
1040 | Terminated with 60 cc dextrose in orange juice per order of Dr. Deen. Doctor still unable to convince Pt there were no sleeping pills in food. Pt states he was fighting pills, that’s why he didn’t have a good night. | |
1115 | Adm. Swanson & Adm. Pugh to see Pt. | |
1200 | TPR 97-60-18 | Pt resting quietly. |
1220 | Relieved for chow. | |
1230 | Dinner served | Pt ate well. |
1300 | Pt resting. | |
1325 | Dr. Raines to see Pt. | |
1620 | Dr. Raines left. | |
1625 | Thiamin HCl 1 cc Liver ex. 1 cc } | Given as ordered. |
1635 | Wife to see Pt. | |
1640 | Watch relieved. W. R. Breon, HN | |
1640 | Assumed watch. JMK | |
1700 | Pt’s wife left. | |
1745 | Dinner | Served. Pt ate very good. |
1800 | Pt resting quietly in bed. | |
1900 | Dr. Smith to see Pt. | |
1940 | Dr. Smith left. | |
2000 | 134/84 98.6-56-20 | Pt resting. |
2100 | Pt resting quietly. | |
2145 | Na amytal gr iii | Given as ordered. |
2200 | Pt resting. | |
2300 | Pt asleep. | |
2400 | Pt asleep. [Kelley] | |
2400 | Assumed the watch. (E. W. Prise) | |
2430 | Pt awake. | |
2440 | Pt sleeping. | |
0100 | Pt sleeping. | |
0110 | Pt woke up and asked for another blanket. Given one. | |
0115 | Pt Sleeping. |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0430 | Pt awake. Asked if window could be closed. | |
0445 | Pt sleeping. | |
0500 | Pt sleeping. | |
0600 | Pt sleeping. | |
0645 | Pt awake. Up and to head. | |
0700 | Wt. 149 | Pt up walking around room complaining of it being cold. |
0730 | Pt up and into head to shave, but changed mind & went back to bed. | |
0755 | Relieved by day watch. (E. W. Prise) | |
0755 | Assumed watch. (WB) | |
16th day of insulin | ||
0800 | B/P 126/82 P 52 R 18 | Pt resting in bed. |
0805 | Insulin 55 U | Given I. M. |
0815 | Metamucil Z i | Given as ordered. |
0830 | B/P 12x/84 P 54 R 18 | Pt in bed smoking pipe. |
0840 | Pt up to head for a quick shave. | |
0900 | B/P 132/80 P 60 R 18 | Pt looking at letters & such. |
0930 | B/P 146/80 P 56 R 18 | Pt up reading mail & the such. |
0940 | Dr. Smith to see Pt. | |
1035 | Dr. Smith left. | |
1040 | B/P 156/66 P 60 R 20 | Pt perspiring and resting in bed. |
1100 | B/P 142/76 P 52 R 18 | Pt perspiring. |
1105 | Terminated with 55 cc dextrose in orange juice. Dr. Hightower standing by. | |
1200 | Pt sleeping. | |
1210 | Lunch | Served. Pt ate very good. |
1230 | TPR 98-64-18 | Relieved for chow. |
1310 | Returned from chow. | |
1330 | Dr. Raines to see Pt. | |
1400 | Dr. Raines left. Pt up walking around room smoking pipe, reading his mail. Room cleaned. | |
1435 | Sec. of Defense Johnson to see Pt. | |
1500 | Pt sitting in chair reading. | |
1530 | Dr. Raines with Pt. | |
1640 | Watch relieved. W. R. Breon, HN | |
1640 | Assumed watch. (JMK) |
1700 | Dr. Raines left. | |
1710 | Thiamin HCl 1 cc Liver ex. 1 cc } | Given as ordered. |
1720 | Dinner | Served. Pt ate very good tonight. |
1725 | Pt’s wife to see him. | |
1750 | Pt’s wife left. | |
1800 | Pt resting quietly. | |
1900 | Metamucil Z i | Pt resting. |
2000 | 134/74 98.4-62-18 | Dr. Smith to see Pt. |
2005 | Dr. Smith left. | |
2100 | Pt resting quietly. | |
2200 | Pt resting quietly. | |
2300 | Pt resting quietly. | |
2400 | Watch relieved. J. M. Kelley, HN | |
2400 | Relieved the watch. Pt resting. [Prise] | |
0100 | Pt sleeping. | |
0200 | Pt awake. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt sleeping. | |
0515 | Pt awake. | |
0600 | Pt awake. |
0700 | Pt awake. | |
0755 | Relieved by day watch. (E. W. Prise) | |
0755 | Assumed watch. (WB) | |
17th day of insulin | ||
0755 | B/P 142/90 T 98 P 54 R 18 Wt. 148 | B/P taken several times to make sure. |
0800 | Insulin 55 U | Given I.M. |
0810 | Metamucil Z i | Given as ordered. |
0830 | B/P 146/90 P 54 R 18 | Pt seems to be comfortable. Resting in bed. |
0900 | B/P 140/90 P 60 R 18 | Pt resting in bed. No complaints. |
0910 | Dr. Smith to see Pt. | |
1010 | B/P 146/86 P 56 R 18 | Dr. Smith left. |
1030 | B/P 150/84 P 60 R 20 | Pt in bed reading paper. Perspiring, skin cold and clammy, slight shaking of hands. |
1050 | B/P 152/78 P 60 R 18 | Pt resting. |
1100 | Terminated with 55 cc dextrose in orange juice. During term. Pt ate his toast as usual. After he finished that he picked up a card from some flowers he |
had just received and took a bite out of it. Then he asked for another piece of toast. Pt drank 750 cc of orange juice in termination. Dr. Hightower standing by. | ||
1130 | Pt up to head, shaving & showering. | |
1200 | TPR 98.4-76-20 | Pt resting in bed. Remarked about card he had taken a bite out of. |
1220 | Relieved for chow. | |
1230 | Lunch | Served. Pt ate good. |
1305 | Returned from chow. | |
1410 | Pt up in chair reading book. | |
1500 | Thiamin HCl 1 cc Liver ex. 1 cc } | Given as ordered. Pt up reading mail. |
1520 | Dr. Raines with Pt. | |
1645 | Watch relieved. W. R. Breon, HN | |
1645 | Assumed watch. (JMK) | |
1700 | Dr. Raines with Pt. | |
1720 | Dinner | Served. Pt ate good. |
1800 | Pt resting. | |
1915 | Dr. Deen to see Pt. |
1920 | Dr. Deen left. | |
1930 | Metamucil Z i | Given as ordered. |
2000 | 148/98 99-66-22 | Pt resting quietly. |
2100 | Pt resting quietly. | |
2200 | Na amytal gr iii | Given as ordered. |
2300 | Pt appears to be asleep. | |
2400 | Watch relieved. J. M. Kelley, HN | |
[ ] | Relieved the watch. Pt very quiet. [Prise] | |
2435 | Pt awake. | |
2445 | Pt seems to have fallen to sleep again, is snoring. | |
0105 | Snoring stopped. Pt very quiet. | |
0200 | Pt very quiet, appears to be sleeping. | |
0300 | Pt has been very quiet. Appears to be sleeping. | |
0305 | Pt awake. Talking to corpsman. Up and into head. | |
0330 | Pt appears to be asleep. | |
0340 | Alcohol to back for itching | Pt awake. Complains of back itching & window making noise. |
0350 | Pt quiet. | |
0430 | Pt very quiet, apparently sleeping. |
0500 | Pt sleeping. | |
0530 | Pt very restless, but from sound of breathing is apparently asleep. | |
0600 | Pt sleeping. | |
0626 | Pt awake, very cheerful. | |
0645 | Pt up walking around room. | |
0715 | Wt. 149 | Pt resting in bed. |
0730 | Pt in head shaving & etc. | |
0747 | Relieved by day watch. (E. W. Prise) | |
0747 | Assumed watch. (WB) | |
18th day of insulin | ||
0750 | B/P 122/82 TPR 98.2-60-18 | Pt resting in bed. |
0758 | Insulin 60 U | Given I.M. |
0800 | Pt given coffee. Up walking around room. | |
0830 | B/P 134/86 P 60 R 18 Metamucil Z i | Pt up in chair smoking. Given as ordered. |
0900 | B/P 140/86 P 60 R 20 | Pt reading paper. Slight shaking of hands. |
0905 | Dr. Smith to see Pt. | |
1000 | B/P 132/78 P 60 R 18 | Dr. Smith left. |
1030 | B/P 142/76 P 56 R [ ] | Pt seems drowsy. Perspiring. |
1050 | Terminated with 60 cc dextrose in orange juice. Twitching of arms and legs noticed, dropping off in sleep minutes at a time. Dr. Hightower standing by. | |
1130 | Pt asleep. | |
1150 | Pt awake. To head. Taking shower. | |
1200 | TPR 98-64-20 | Relieved for chow. |
1215 | Lunch | Served. Pt ate good. |
1240 | Returned from chow. | |
1300 | Pt resting in bed. | |
1400 | Pt reading today’s paper. | |
1500 | Reading mail. | |
1515 | Dr. Raines to see Pt. [Breon] | |
1635 | Assumed watch. (JMK) | |
1650 | Thiamin Liver ex. } | Pt’s wife to see Pt. |
1700 | Pt with wife. | |
1730 | Dinner | Served. Pt ate very good tonight. |
1900 | Metamucil Z i | Pt resting quietly. |
1950 | Dr. Hightower made rounds. |
2000 | 138/88 98.6-60-18 | Pt resting quietly. |
2100 | Pt resting. | |
2200 | Na amytal gr iii | Pt resting. |
2300 | Pt awake. | |
2400 | Watch relieved. J. M. Kelley, HN | |
2400 | Relieved the watch. Pt awake. When corpsman tried to turn bed lamp off, Pt said “I think I’ll leave that on. I can sleep anyway.” [Prise] | |
0100 | Pt very quiet. Appears to be sleeping. | |
0200 | Pt sleeping. Bed lamp still on. | |
0300 | Pt awake. | |
0340 | Pt up rummaging through waste can, then went to head. | |
0400 | Pt resting quietly. | |
0500 | Pt very quiet. Appears to be asleep. | |
0600 | Pt awake. |
0615 | Pt very quiet. | |
0645 | Pt awake. | |
7:30 | Pt given shaving gear. Lying quietly in bed. (Note) Pt left bed lamp on all night. Whenever corpsman tried to turn it off, Pt said “Leave it on, I can sleep with it on.” | |
0745 | Relieved by day watch. (E. W. Prise) | |
0745 | Assumed watch. (WB) | |
19th day of insulin | ||
0750 | B/P 128/80 TPR 97.8-54-18 | Pt resting in bed. |
0800 | Insulin 55 U Wt. 146 1/2 | Given I.M. Pt seems nervous more than usual this a.m. |
0830 | B/P 126/80 P 54 R 18 | Pt resting in bed. |
0900 | B/P 122/84 P 54 R 18 | Dr. Smith to see Pt. |
0945 | Dr. Smith left. | |
1000 | B/P 132/74 P 54 R 18 | Pt resting quietly in bed. Seems depressed today. |
1030 | B/P 146/88 P 60 R 18 | Pt seems to be drowsy. Started to read papers several times but put them down. Resting. Does not seem to be perspiring much today. |
1055 | B/P 138/76 P 60 R 20 | Pt very quiet. Seems to be in a “fog”. |
1100 | Terminated with 55 cc dextrose in 480 cc orange juice. Color back in cheeks after one glass. | |
1115 | Pt asleep. | |
1200 | Pt asleep. | |
1215 | Lunch | Served. Pt ate good. |
1225 | Relieved for chow. | |
1310 | Returned from chow. | |
1400 | Pt up taking a shower. Bed changed. Dr. Raines here for a few minutes. | |
1500 | Pt resting in bed. | |
1530 | Dr. Raines here to see Pt. | |
1600 | Dr. Raines ordered a sandwich & milk shake. Pt seemed to be having a delayed insulin reaction. | |
1655 | Watch relieved. W. R. Breon, HN | |
1655 | Assumed watch. (JMK) | |
1700 | Dr. Raines with Pt. |
1720 | Pt’s wife to see him. | |
1725 | Dinner | Served. Pt ate very good tonight. |
1740 | Dr. Raines left. | |
1820 | Pt’s wife left. | |
1825 | Thiamin HCl Liver ex. } 1 cc | Given as ordered. |
1900 | Dr. Deen made rounds. Pt resting quietly. | |
2100 | Pt resting. Dr. Deen to see Pt. | |
2105 | Dr. Deen left. | |
2140 | Na amytal gr iii | Given as ordered. |
2200 | Pt resting. | |
2300 | Pt appears to be asleep. | |
2400 | Watch relieved. J. M. Kelley, HN | |
2400 | Relieved the watch. Pt sleeping. [Prise] | |
2425 | Pt awake. Up and into head. | |
2445 | Pt seems to be sleeping. | |
0140 | Pt awake. | |
0200 | Pt appears to be sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt appears to be asleep. | |
0515 | Pt awake lying in bed. | |
0600 | Pt awake. |
0700 | Pt awake lying quietly in bed. | |
0735 | Pt in head shaving & etc. | |
0745 | Relieved by day crew. (E. W. Prise) | |
0745 | Assumed watch. (WB) | |
0800 | Wt. 149 Metamucil Z i | Pt up walking around room. |
0805 | B/P 118/78 TPR 97-56-20 | Pt resting & reading paper. |
0810 | Breakfast | Served. Pt ate all his eggs, toast, cereal and drank his coffee & a little milk. |
0900 | Pt resting in bed. | |
0910 | Dr. Smith to see Pt. | |
1000 | Dr. Smith left. Pt reading mail. | |
1025 | Dr. Hightower here for a few minutes. | |
1100 | Pt reading paper. | |
11x0 | Pt’s wife here. | |
1205 | Relieved for chow. | |
1245 | Lunch | Served. Pt ate good. |
1245 | TPR 98.6-76-20 | Returned from chow. |
1300 | Dr. Raines to see Pt. | |
1515 | Dr. Raines left. New orders given. |
Read new orders. | ||
1600 | TPR 99.2-66-20 | Pt resting in bed. Pt was smoking pipe 10 min. before temp. was taken. |
1635 | Watch relieved. W. R. Breon, HN | |
1635 | Assumed watch. JMK | |
1700 | Pt setting in chair reading book. | |
1715 | Dinner | Served. Pt ate very good tonight. |
1800 | Pt resting quietly in bed. | |
1900 | Pt in chair reading book. | |
2000 | 124/74 98.4-62-20 | Pt resting quietly. |
2045 | Pt had a little lunch. | |
2100 | Na amytal gr vi | Given as ordered. Pt resting. |
2200 | Pt resting. | |
2300 | Pt appears to be asleep. | |
2400 | Pt awake. | |
2400 | Watch relieved. J. M. Kelly, HN | |
2440 | Relieved the watch. Pt awake. Pt complains of odor in room. Says it smells like ether. [Prise] | |
0100 | Pt very quiet but not asleep. |
0125 | Pt appears to be asleep. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping soundly. | |
0440 | Pt awoke with a start, as if something had frightened him. Jumped out of bed, walked to window, looked out, asked corpsman what time it was, opened door, and went back to bed. | |
0500 | Pt appears to be asleep. | |
0535 | Pt awake. Insists that door to room be open. | |
0600 | Pt awake sitting quietly in bed. | |
0700 | Pt sitting in bed talking to corpsman. | |
0740 | Pt in head, shaving showering, & etc. Walking around room. | |
0800 | Relieved by day watch. (E. W. Prise) | |
0800 | Relieved the watch (CLM) |
0935 | Metamucil Z i | Assumed watch. (WB) |
0945 | Extra lunch | Served. Pt ate large portion of eggs, some bacon, and a piece of toast, and drank a glass of orange juice. |
0955 | Dr. Smith to see Pt. | |
1040 | Dr. Smith left. | |
1100 | Pt resting in bed. | |
1120 | Wt. 150 | Pt was not weighed early this morning. |
1200 | TPR 99-68-22 | Pt resting in bed. |
1205 | Lunch | Pt ate well ! |
1210 | Adm. Willcutts & Dr. Raines to see Pt. | |
1230 | Relieved for chow. | |
1250 | Dr. Raines with Pt. | |
1400 | Extra feeding | Pt ate large portion of egg salad & a glass of orange juice. |
1430 | Dr. Raines left. | |
1435 | Na amytal gr iii | Given as ordered. |
1500 | Pt resting very quietly, not asleep. |
1555 | TPR 98.8-70-20 | Taken as ordered. Pt very quiet. |
1600 | Extra feeding. | Pt stated he was not hungry but did eat a piece of toast. He also stated he did not want tea, but drank 100 cc milk. Pt very drowsy. W. R. Breon, HN |
1630 | Assumed watch. (JMK) Pt resting in bed. | |
1640 | Pt up to head. | |
1700 | Pt reading paper. | |
1720 | Dinner | Served. Pt ate fair tonight. |
1800 | Pt appears to be asleep. | |
1900 | Pt resting quietly. | |
1920 | Dr. Hightower made rounds. | |
1930 | Metamucil Z i | Given as ordered. Pt resting quietly. |
2200 | Pt asleep. | |
2300 | Pt asleep. | |
2410 | Watch relieved. J. M. Kelley, HN | |
2410 | Relieved the watch. Pt woke up. [Prise] |
Went into head and is taking a shower. | ||
2420 | Pt out of head. Back in bed. | |
2435 | Pt appears to be asleep. | |
0100 | Pt sleeping. | |
0200 | Pt sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt woke up. | |
0515 | Pt appears to be sleeping. | |
0600 | Pt sleeping. | |
0615 | Pt awake. | |
0700 | Pt resting quietly in bed. | |
0730 | Pt up walking around room. | |
0745 | Relieved by day watch. (E. W. Prise) | |
0745 | Assumed watch. (WB) Pt to head shaving & showering. Bed linen changed. | |
0800 | Metamucil Z i | Given as ordered. |
0810 | Breakfast Wt. 149 | Served. Pt ate very good. Resting now, smoking pipe. |
0900 | Thiamin chl. 1 cc Liver ex. 1 cc } | Given as ordered. |
0905 | B/P 11x/7x TPR 98.2-64-18 | Pt resting. |
0930 | Extra feeding was brought up from galley. Pt stated he did not want anything. He said he couldn’t eat a thing. The tray was left there and he drank 150 cc milk and took a couple bites from the eggs. Dr. Hightower made rounds. | |
1000 | Pt resting in bed. | |
1100 | Pt sitting in chair reading. | |
1125 | Adm. Swanson with Pt. | |
1145 | Dr. Raines to see Pt. | |
1200 | Lunch | Served. Pt ate fairly well. |
1310 | Dr. Raines left. | |
1315 | Na amytal gr iii | Given as ordered. |
1400 | Pt resting in chair. | |
1500 | Pt asleep. | |
1550 | Wife to visit Pt. W. R. Breon, HN | |
1620 | Assumed watch. (JMK) | |
1700 | Pt resting quietly. | |
1710 | Dinner | Served. Pt ate very good tonight. |
1800 | Pt resting quietly. | |
1845 | Metamucil Z i | Given as ordered. |
1930 | Dr. Hightower made rounds. | |
2000 | 124/72 98.4-62-22 | Dr. Hightower with Pt. |
2100 | Pt resting fine. Pt given luncheon. Pt ate fair. Stated that he wasn’t hungry but he would eat a little. | |
2110 | Na amytal gr vi | Given as ordered. |
2200 | Pt appears to be asleep. | |
2300 | Pt asleep. | |
2400 | Watch relieved. J. M. Kelley, HN | |
2400 | Assumed the watch. Pt asleep. (E. W. Prise) | |
0100 | Pt sleeping. | |
0200 | Pt appears to be sleeping. | |
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt asleep. | |
0600 | Pt asleep. | |
0620 | Pt awake. Up and into head. | |
0700 | Pt sitting in bed. Appears to be in deep thought. | |
0725 | Pt given shaving gear. | |
0740 | Into head, shaving & etc. E. W. Prise | |
0750 | Relieved watch. (WB) |
0800 | Insulin 40 U B/P 110/68 TPR 98.2-56-18 | Given as ordered. Pt given black coffee. |
0830 | B/P 110/66 P 54 R 18 | Pt seems restless this a.m. Up in chair reading paper. |
0850 | Adm. Swanson here to see Pt. | |
0900 | B/P 120/78 P 56 R 18 | Pt starting to perspire a little. Pt seems rather nervous. Has a glassy stare about him. |
0930 | B/P 126/80 P 60 R 18 | Pt. still seems nervous. Quite a bit of limb movement. Skin cold and clammy. Pt keeps picking at forehead. |
0950 | Dr. Smith to see Pt. | |
1025 | Dr. Smith left. Pt seems very drowsy. | |
1030 | B/P 124/66 P 66 R 18 | Pt is half asleep. Perspiration seems to have subsided, but skin is still cold. It does not feel wet. |
1055 | B/P 124/68 P 68 R 20 | Pt terminated with 40 cc dextrose in 250 cc orange juice. Dr. Hightower standing by. |
1120 | Pt reading mail. Doctor left. |
1130 | Pt to head. Showering. | |
1155 | TPR 97.8-62-20 Metamucil Z i | Pt up and about. Given with water. |
1205 | Lunch | Served. Pt ate very good. |
1300 | Pt resting quietly. | |
1400 | Pt in head. | |
1445 | Dr. Raines to see Pt. | |
1500 | Extra feeding | Given at this time. |
1615 | Dr. Raines with Pt and wife. | |
1620 | Dr. Raines left. | |
1625 | Wife left. | |
1630 | Thiamin chl. Liver ex. } 1 cc | Given I.M. as ordered. |
1640 | Watch relieved. W. R. Breon, HN | |
1640 | Assumed the watch. Pt resting. (E. W. Prise) | |
1730 | Dinner | Served. Pt ate fairly good. |
1755 | Pt finished dinner. Sitting in chair smoking & reading. | |
1820 | Metamucil Z i | Pt in bed resting. |
1900 | Pt pacing floor & smoking. Seems to be in deep thought. | |
1930 | Pt visited by Dr. Deen. | |
2000 | Pt resting. | |
2030 | Pt asked for evening feeding. |
2040 | Extra feeding | Pt ate very little of extra feeding. (Note) Pt seems very uneasy when there is any lights on in room. Has told corpsman several times that he prefers to have room pitch dark. |
2100 | Pt refuses to take Na amytal until 2200. Setting quietly in bed. | |
2200 | Pt still refuses to take medication. Storm was blowing rain in window but when corpsman tried to close it, Pt said “Leave the window open.” Pt has been pacing floor for past hour as if he could not decide what to do. | |
2210 | Pt states “If that was a synthetic storm it was a good one.” When asked |
what he meant by a “synthetic storm” he replied, “You know, you can produce rain by sprinkling something in the stratosphere.” | ||
22xx | Pt seen by Dr. Deen. | |
2245 | Pt still awake. | |
2400 | Relieved by night watch. (E. W. Prise) | |
2400 | Assumed watch. Pt apparently asleep. [Stuthers] | |
2430 | Pt awake, asked to have windows open. Wind blowing on metal blinds causing them to bang against screen. | |
1245 [sic] | Pt apparently asleep. | |
0115 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0330 | Pt to head. | |
0334 | Pt back to bed. | |
0415 | Pt asleep. | |
0500 | Pt asleep. |
0530 | Pt awake. Tossing & turning in bed. | |
0555 | Pt to head. | |
0600 | Pt back to bed, not asleep. | |
0630 | Pt awake. | |
0700 | Pt awake. Pt said he was sleepy. | |
0730 | Pt paid $1.60 to newsboy for 4 weeks papers. Pt seems to be in deep thought. Continually scratching the right side of his head with his little & ring finger. | |
0745 | Watch relieved. [Stuthers] | |
0745 | Assumed watch. (WB) | |
0755 | B/P 134/80 TPR 98-56-18 | Pt given coffee. |
0800 | Insulin 35 U | Given I.M. |
0805 | Metamucil Z i | Taken as ordered. |
0830 | B/P 128/78 P 60 R 18 | Pt resting in bed. |
0850 | Adm. Swanson to see Pt. | |
0900 | B/P 132/80 P 60 R 18 | Adm. Swanson left. |
0910 | Dr. Smith to see Pt. | |
0950 | Dr. Smith left. | |
1000 | B/P 136/70 P 60 R 18 | Pt resting quietly in bed. |
Seems to be half asleep. | ||
1030 | B/P 144/78 P 60 R 20 | Pt doesn’t seem to be having much of a reaction. Pt resting quietly, almost asleep. |
1045 | Dr. Hightower here. | |
1100 | B/P 134/78 P 60 R 18 | Terminated with 35 cc dextrose in orange juice. |
1155 | TPR 98-62-20 | Pt sitting in chair. |
1210 | Lunch. | Served. Pt ate very well. |
1300 | Pt sitting in chair reading. | |
1400 | Pt still reading. [Breon] | |
1500 | Thiamin chl. Liver ex. } 1 cc ea. | Pt visited by Dr. Raines. |
1545 | Pt visited by wife. | |
1645 | Relieved the watch. (E. W. Prise) [delayed signature, handwriting indicates relieved watch at 1500] Pt’s wife still visiting. | |
1700 | Metamucil Z i | Pt appears to be in a very good mood. |
1715 | Dinner | Served. Pt seemed worried about getting too much on tray. |
1730 | Pt finished dinner. Ate fairly good tonight. | |
1800 | Pt sitting in chair. Seems to be in deep thought. | |
1845 | Pt sitting in chair reading. |
1940 | Pt seen by Dr. Hightower. Pt seems to be in [blank] | |
2000 | Doctor still with Pt. Dr. Hightower removed rose thorn from Pt’s right index finger. | |
2040 | Pt given evening feeding. | |
2100 | Na amytal gr vi | Pt resting quietly. |
2145 | Pt seems to be asleep. | |
2230 | Pt sleeping. | |
2300 | Pt sleeping. | |
2400 | Relieved by night watch. Pt sleeping. (E. W. Prise) | |
2400 | Pt sleeping. Assumed watch. cfs | |
2430 | Pt restless, tossing & turning although appears to be asleep. | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0330 | Pt very quiet. Appears to be asleep, no movement. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0520 | Pt awake, to head. |
0500 | Pt back to bed. Resting quietly in bed. | |
0600 | Pt awake. Appears drowsy. | |
0630 | Pt awake. | |
0700 | Pt awake, to head. | |
0710 | Pt back to bed. | |
0730 | Pt to head, shave & shower. C. Stuthers | |
0750 | Assumed watch. (WB) | |
0755 | B/P 128/84 TPR 98.6-60-20 | Pt up drinking coffee. |
0800 | Insulin 35 U | Given I.M. |
0815 | Metamucil Z i | Given as ordered. |
0830 | B/P 120/86 P 64 R 18 | Pt resting in bed at time of B/P, then up fooling around with blinds. |
0930 | B/P 144/76 P 64 R 18 | Pt up walking around. Complaining of not having enough air in room. |
0940 | Dr. Smith to see Pt. | |
0950 | B/P 144/80 P 60 R 18 | Pt resting in bed. Seems to be in a fog. Slight perspiration. |
1030 | B/P 144/82 P 60 R 18 | Pt resting in bed. Slight perspiration. Skin cold and somewhat clammy. |
1055 | B/P 130/82 P 64 R 18 | Dr. Hightower here. |
1100 | Terminated with 35 cc dextrose in orange juice. | |
1155 | TPR 98.2-80-20 Lunch | Pt up walking around room, eating crackers. Served. Pt ate very well. |
1300 | Pt resting in bed. | |
1400 | Dr. Smith here for a few minutes. | |
1500 | Pt sitting in chair reading. | |
1515 | Extra feeding. | Pt ate most of this. |
1530 | Thiamin chl. Liver ex. } 1 cc ea. | Given as ordered. |
1540 | Dr. Raines to see Pt. | |
1xxx | Wife to see Pt. | |
1645 | Watch relieved. W. R. Breon, HN | |
1645 | Relieved the watch. (E. W. Prise) | |
1720 | Dr. Raines left. Pt seems very cheery this evening. | |
17xx | Dinner | Pt served dinner. |
1750 | Pt finished dinner. Ate |
very good. | ||
1830 | Pt sitting in chair reading. | |
1900 | Pt seen by Dr. Deen. | |
1915 | Dr. Deen left. Pt in unusually good mood. | |
2000 | 98.8-66-20 | Pt sitting in bed thinking. |
2030 | Pt resting very quiet. | |
2100 | Extra feeding. | Served. Pt ate fair. |
2110 | Na amytal grs vi | Pt resting quietly. |
2200 | Pt resting quietly. | |
2225 | Pt sleeping. | |
2300 | Pt sleeping. | |
2400 | Pt appears to be sleeping. | |
0100 | Pt sleeping. | |
0115 | Relieved by night watch. (E. W. Prise) | |
0115 | Assumed watch. (C. Stuthers) Pt appears to be sleeping. | |
0200 | Pt appears to be sleeping. | |
0300 | Pt asleep. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0545 | Pt awake. | |
0600 | Pt awake. |
0630 | Pt awake, resting quietly. | |
0700 | Pt awake. | |
0730 | Pt to head. | |
0750 | Relieved by day crew. C. Stuthers | |
0750 | Assumed watch. [Breon] Pt still in head shaving at 0800. | |
0802 | Insulin 35 U B/P 130/84 TPR 98-64-20 | Given. Pt drinking coffee. |
0820 | Metamucil Z i | Given as ordered. |
0830 | B/P 129/80 P 62 R 20 | Pt up reading paper. |
0900 | B/P 118/80 P 60 R 18 | Pt sat up in bed and pulled the call-light out of the wall. Then he tried to plug the radio in where the ear-phones go. Adm. Swanson here to see Pt. |
0920 | Dr. Smith here. | |
0950 | Dr. Smith left. | |
1000 | B/P 130/76 P 60 R 18 | Pt seems very restless. He kept clicking fingers when B/P was being taken. In bed reading. |
1030 | B/P 138/80 P 60 R 18 | Pt perspiring somewhat. Skin cold & clammy. |
1040 | Dr. Hightower here. | |
1055 | B/P 130/76 P 60 R 18 | Pt resting quietly. |
11x0 | Terminated with 35 cc dextrose in orange [juice] with 2 pieces of toast, some crackers & cheese. | |
1120 | Pt asleep. | |
1200 | TPR 97-62-18 | Pt resting. |
1210 | Relieved for chow. | |
1215 | Lunch | Served. Pt ate fairly well. |
1245 | Returned from chow. | |
1300 | Pt resting in bed. Continuously picking at right forehead. | |
1400 | Pt up walking around room. | |
1430 | Thiamin chl. Liver ex. } 1 cc ea. | Pt sitting in chair resting. |
1435 | Dr. Raines here to see Pt. | |
1500 | Extra feeding | Pt ate most of it. |
1610 | Dr. Raines left. | |
1615 | Wife to see Pt. | |
1630 | Watch relieved. W. R. Breon, HN | |
1630 | Relieved watch. Pt’s wife still visiting Pt. (E. W. Prise) | |
1645 | Pt paid $1.60 to newsboy for papers. | |
1715 | Pt’s wife left. Pt walking about room. Appears to be in good mood. |
1735 | Dinner | Served. Pt seems to have a good appetite. |
1755 | Pt finished dinner. Ate very good. Sitting quietly in bed. | |
1830 | Pt sitting quietly in chair thinking. | |
1910 | Pt visited by Dr. Hightower. | |
1930 | 98.6-66-22 | Pt given pitcher of orange juice upon his request. |
2000 | Pt sitting quietly in chair. | |
2100 | Extra feeding | Pt requested a glass of milk & a sandwich. |
2115 | Na amytal grs vi | Pt finished extra feeding. Ate fair. |
2200 | Pt walking around room. Complains of it being “unbearably hot in room”. | |
2300 | Pt resting. Still awake. | |
2400 | Relieved by night watch. (E. W. Prise) | |
2400 | Assumed watch. Pt awake. [Stuthers] | |
2430 | Pt awake. Complains of heat. |
0100 | Pt awake. | |
0130 | Pt awake. Room hot, has odor of stale tobacco, probably pipe. | |
0215 | Pt asleep. | |
0230 | Pt asleep. | |
0300 | Pt asleep. | |
0310 | Pt awake. Complains of heat. | |
0330 | Pt awake. | |
0340 | Pt asleep. | |
0400 | Pt asleep. | |
0430 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt asleep. | |
0600 | Pt asleep. Pt seemed restless & agitated most of night. Did not rest well. | |
0700 | Pt awake. | |
0715 | Pt awake. To head. | |
0730 | Pt awake. Walking about room. Relieved by day crew. (C. Stuthers) |
0755 | Insulin 35 U IM B/P 132/84 99.2-58-20 | Relieved the watch. Insulin given as ordered. [Prise] | |||||||||||||||
0810 | Metamucil Z i | Given as ordered.0830 | B/P 128/88 P 62 R 20 | Pt sitting in bed. | 0900 | B/P 124/82 P 62 R 20 | Pt lying quietly in bed. | 0920 | | Pt visited by Dr. Smith. | 0950 | B/P 132/74 P 56 R 20 | Dr. Smith left. Pt sitting in chair. Has a slight twitching of arms & legs. Skin cold & clammy & very flushed. | 1040 | P 62 R 22 | Pt started to ask corpsman something but all he could say was “I’ll have a little.” When corpsman asked Pt what was wrong he stated “I ! I can’t think” and got a frightened look on his face. | |
1055 | B/P 140/88 P 54 R 18 Dextrose 35 cc | Pt terminated by Dr. Hightower. |
1115 | Pt says he thinks he has pretty well pulled out of it now. | |
1205 | Lunch | Served. Pt has been dozing for the past 45 minutes. |
1230 | Pt visited by Dr. Raines. | |
1425 | Dr. Raines left. Pt taking a shower. | |
1440 | Pt visited by son. | |
1450 | Thiamin chl. 1 cc Liver ex. 1 cc } | Pt’s son left. Pt resting quietly in bed. |
1510 | Extra feeding | Pt lying quietly in bed. |
1515 | Pt ate very good. Resting quietly. | |
1600 | Pt visited by Dr. Smith. | |
16xx | Dr. Smith left. Pt visited by wife. | |
1645 | Relieved by evening watch. (E. W. Prise) | |
1645 | Assumed the watch. (WB) | |
1650 | Wife left. | |
1700 | Pt up walking around room. | |
1725 | The President of the United States [Harry Truman] to see Pt. | |
[further entries, if any, missed by photocopy] |
1735 | Dinner | Served. Pt stated he did not want much but he did eat all. |
1925 | Dr. Hightower here. | |
2000 | B/P 106/74 TPR 98.8-64-18 | Pt resting quietly. |
2050 | Extra feeding | Pt ate half a sandwich and 1/2 glass milk. |
2100 | Na amytal gr vi | Taken as ordered. |
2200 | Pt very quiet. Apparently asleep. | |
2300 | Pt apparently asleep. | |
2345 | Watch relieved. W. R. Breon, HN | |
2400 | Assumed watch. Pt apparently sleeping. [Stuthers] | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0510 | Pt awake, lying quietly in bed. | |
0530 | Pt awake. | |
0600 | Pt awake. Pt slept well, in spite of heat |
of room. | ||
0630 | Pt awake. | |
0700 | Pt awake. | |
0715 | Wt. 150 | Pt to head, shave. |
0750 | Relieved by day crew. C. Stuthers | |
0750 | Assumed watch. (WB) | |
0800 | B/P 120/78 TPR 98-56-18 | Pt resting in bed. Pt would not give razor to other corpsman. Day corpsman got it when policing head. |
0900 | Metamucil Z i | Pt up for last hour. |
0930 | Dr. Smith here. | |
1015 | Dr. Smith left. | |
1100 | Pt sitting in chair. | |
1120 | Dr. Raines here. | |
1230 | Lunch | Pt ate fairly well. |
1350 | Dr. Raines left. | |
1355 | Na amytal gr iii | Given as ordered. |
1400 | Thiamin HCl Liver ex. } 1 cc ea. | Given. Pt resting in bed. |
1500 | Pt resting in bed. Extra feeding not sent up from galley. | |
1515 | Extra feeding. | Pt ate half of sandwich & drank a glass of milk. Pt resting in bed. Up several times to head. |
1600 | TPR 98.8-66-20 | Pt resting in bed. |
1650 | Watch relieved. W. R. Breon, HN | |
1650 | Relieved the watch. Pt resting. (E. W. Prise) | |
1710 | Dinner | Served. Pt seems a bit drowsy. |
1725 | Pt finished dinner. Resting quietly. | |
1740 | Pt visited by wife. | |
1810 | Pt’s wife left. Pt resting. | |
1900 | Pt resting nicely. | |
1925 | Pt visited by Dr. Deen. | |
1950 | Dr. Deen left. Pt sitting in bed smoking. | |
2100 | Extra feeding. | Pt ate very well. |
2115 | Na amytal gr iv | Pt given “sleeping pills”. xxxx quietly in bed. |
2200 | Pt very quiet. | |
2245 | Pt sleeping, or appears to be sleeping. | |
2330 | Pt awake talking xxxx. | |
2400 | Relieved by night watch. (E. W. Prise) | |
2400 | Assumed watch. Pt appears to be sleeping. C. Stuthers |
0100 | Pt asleep. Room cool. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0315 | Pt awake. Asked if the corpsman was cold, remarked about change in weather. | |
0345 | Pt appears to be sleeping very quiet. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt awake. | |
0600 | Pt awake, lying quietly in bed. | |
0700 | Pt awake. | |
0730 | Pt to head, shave. | |
0755 | Relieved by day watch. (C. Stuthers) | |
0755 | Assumed watch. (WB) | |
0805 | Wt. 150 1/2 | Dr. Deen here. |
0810 | Breakfast | Pt ate fairly well. Stated he didn’t want much but he ate good. |
0845 | Metamucil Z i | Taken. |
0900 | Resting quietly. | |
1000 | Resting. |
1100 | Pt resting in bed. | |
1120 | Dr. Raines here. | |
1145 | Lunch | Served. Pt ate fairly well. |
1335 | Na amytal gr iii | Given as ordered. Dr. Raines left. New orders given. |
1400 | Pt resting in bed. | |
1500 | Pt slightly nervous. Up walking around room. | |
1530 | Extra feeding. | Pt did not eat much. Half a sandwich and small amount of milk. |
1600 | TPR 98.x-60-18 | Pt resting in bed. |
1640 | Watch relieved. W. R. Breon, HN | |
1640 | Relieved the watch. E. W. Prise, HA | |
1740 | Dinner | Served. Pt sent part of it back. |
1800 | Multi-vit tab’t | Pt finished dinner. Ate fairly good. |
1900 | Pt sitting in chair reading. Is in very good mood. | |
2000 | T 98.6 P 60 R 20 | Pt still reading. |
2100 | Extra feeding | Pt has taken cover off of night light to unscrew light |
and is unable to replace it. | ||
2110 | Na amytal grs vi | Pt finished evening feeding. Ate very little. |
2200 | Pt awake. Has been walking about room for past hour. | |
2250 | Pt requested a “coke”. When corpsman went into galley to get it, Pt followed and got himself a glass to share coke with doctor. Dr. Deen with Pt. | |
2335 | Pt appears to have fallen asleep. | |
2400 | Pt sleeping. | |
2430 | Relieved by night watch. (E. W. Prise) | |
2430 | Assumed watch. Pt appears to be asleep. [Stuthers] | |
0100 | Pt asleep. | |
0130 | Pt asleep. | |
0200 | Pt awake, turning back & forth in bed. | |
0230 | Pt went to head. Came out. Back in bed. | |
0300 | Pt asleep. | |
0330 | Pt asleep. | |
0400 | Pt asleep. | |
0430 | Pt asleep. |
0500 | Pt asleep. | |
0530 | Pt awake. | |
0545 | Pt awake, walking about room looking out of door in his room. Spoke to tower corpsman. | |
06000 | Pt back in bed. Seems restless. | |
0630 | Pt awake. | |
0700 | Phenobarbital gr iss | Pt to head, shave. |
0730 | Insulin 20 U IM | Pt in bed, resting quietly. |
0800 | Relieved by day crew. (C. Stuthers) | |
0800 | B/P 134/76 TPR 98-66-18 | Assumed watch. WB |
0805 | Metamucil Z i | Given as ordered. |
0810 | Breakfast | Served. Pt ate very good. |
0825 | Pt given glass of orange juice with enough dextrose to terminate 10 U insulin, as too much was given this a.m. | |
0830 | Multi-vit tab’t | Given as ordered. |
0830 | Pt resting in bed. | |
0910 | Dr. Smith here. | |
0940 | Dr. Smith left. | |
1000 | Pt setting in bed smoking. | |
1100 | Pt resting in chair. |
1130 | Phenobarbital gr 1ss | Given as ordered. Pt very inquisitive as to new medications. |
1150 | TPR 98.6-70-20 | Pt resting in bed. |
1205 | Lunch | Served. Pt ate fairly well. |
1300 | Pt pulled bed lamp over in front of him and is now hanging on it. | |
1400 | Pt setting in chair. Still keeps picking at forehead. | |
1445 | Dr. Raines. | |
1510 | Extra feeding | Pt did very well on this. |
1635 | Dr. Raines left. Pt’s wife in room. | |
1645 | Watch relieved. W. R. Breon, HN | |
1645 | Relieved the watch. Pt sitting in bed talking to corpsman. E. W. Prise | |
17x5 | Metamucil Z i | Pt lying very comfortably in bed. |
1745 | Dinner | Served. Pt says he is not very hungry. |
1800 | Multi-vit tab’t | Pt finished dinner. Ate very good. Requested to see doctor. |
1900 | Pt sitting in chair reading. Seen by Dr. Hightower. | |
1920 | Pt visited by oldest son. |
1925 | Pt’s son left. | |
1935 | Dr. Hightower left. Pt walking about room. | |
2000 | Pt resting quietly. | |
2030 | Extra feeding | Dr. Hightower in to see Pt. Pt requested to take Na amytal at 2200. |
2100 | Pt lying very quiet in bed. | |
2145 | Pt appears to be sleeping. | |
2200 | Pt seems to be asleep, so I [the corpsman] did not wake him to give him his Na amytal. | |
2230 | Na amytal grs vi | Pt did not want to take medication but when corpsman insisted, he took them and went into head. |
2300 | Pt still awake. States “I will go to sleep if they turn that thing off.” When asked “What thing?” he said “The thing that is piping that etherish odor into |
the room. | ||
2325 | Pt seen by Dr. Hightower. Sitting up in chair. | |
2335 | Pt desired to sleep in doctors’ room with Dr. Hightower. | |
2350 | Relieved by night watch. Pt sleeping in room with Dr. Hightower. (E. W. Prise) | |
2400 | Assumed watch. Pt not in room. Appears to be sleeping in room with Dr. Hightower. [Stuthers] | |
0100 | Pt appears to be sleeping, still in doctors’ room. | |
0200 | No change. | |
0300 | No change. | |
0315 | Pt returned to his own room. Wanted to know what time he had to be up. | |
0330 | Pt asleep. | |
0400 | Pt asleep, tossing about. | |
0500 | Pt asleep. | |
0530 | Pt awake. Pt lying in bed very quiet. |
Nurse’s Notes | ||
0600 | -- | Pt awake in bed. |
0700 | Pt awake in bed. | |
0730 | Phenobarbital gr iss Insulin 10 U IM | Pt to head, shave. Given as ordered. |
0750 | Relieved by day watch. (C. Stuthers) | |
0750 | Assumed watch. (WB) | |
0800 | B/P 118/82 TPR 98.2-60-18 | Pt resting in bed. |
0805 | Breakfast | Served. Pt ate fairly well. |
0820 | Multi-vit tab’t Metamucil Z i | Given as ordered. Pt takes xxxx. |
0900 | Pt setting in chair resting. | |
0920 | Dr. Smith to see Pt. | |
0955 | Dr. Smith left. Pt asked for cup of coffee. Was given same. Adm. Willcutts here for a minute. | |
1045 | Pt requested small glass of orange juice. Was given same. | |
1100 | Pt setting in chair smoking. | |
1130 | Phenobarbital gr iss Insulin 10 U | Given as ordered. Pt still asking questions about medication. |
1155 | TPR 98.2-60-18 | Pt resting in chair. |
1200 | Lunch | Served to Pt. Pt ate very well. |
1300 | Pt asleep. Only slept 10 minutes. | |
1400 | Pt resting in chair. | |
1500 | Pt resting in chair. |
1505 | Extra feeding. | Pt ate half of sandwich & drank most of milk. |
1520 | Dr. Raines here to see Pt. | |
1x30 | Dr. Raines left. | |
1615 | Watch relieved. W. R. Breon, HN | |
1615 | Relieved the watch. (E. W. Prise) | |
1705 | Metamucil Z i | Pt sitting comfortably in bed. |
1715 | Dr. Deen visited Pt. | |
1720 | Dinner | Pt stated he didn’t want much. |
1745 | Pt finished dinner. Ate very good. | |
1805 | Pt’s wife in to visit him. | |
1830 | Multi-vit tab’t | Pt’s wife left. Pt resting. |
1915 | Dr. Deen to see Pt. | |
2000 | Pt sitting in doctors’ room. | |
20x5 | Evening feeding | Taken in by nurse. |
2045 | Pt finished eating. Ate very good. | |
2100 | Na amytal grs iv | Pt brushing teeth. Has all the lights out. |
2200 | Pt lying very quiet in bed. | |
2300 | Pt appears to be asleep. | |
2345 | Relieved by night watch. Pt sleeping. (E. W. Prise) |
2345 | Assumed watch. Pt asleep. [Stuthers] | |
2400 | [« as written] | Pt went into doctors’ room. Appears to be asleep. |
2430 | [« as written] | Pt asleep. |
2400 | [« as written] | Pt got out of bed, stood by bed a minute & went into head. Then into doctors’ room & into bed in doctors’ room. |
2415 | Pt appears to be asleep. | |
2430 | Pt asleep. | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt came back to own room & into bed. | |
0310 | Pt appears to be asleep. | |
0330 | Pt asleep. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt awake. | |
0600 | Pt awake. |
xxxx | Pt to head. [?] [illegible] | |
xxxx | xxxx | Relieved by day crew. (C. Stuthers) |
xxxx | xxxx | Assumed watch. (WB) Pt xxx xxx xxxx out of xxxx xx xxx corpsman went in xxx xxxx xxxxx. |
xxxx | B/P xxxx TPR xxxx | Pt resting in bed. |
B/P xxx TPR xxx | Breakfast | Served. Pt ate very good. |
xxxx | Multi-vit tab’t | Given as ordered. |
xxxx | Pt resting in bed smoking. | |
xxxx | Dr. Smith here. | |
1005 | Dr. Smith left. | |
1100 | Pt resting in bed. | |
1130 | Insulin 10 U | Pt stated room was “stuffy” and asked to have door to other room open. Room temp. is down to about 40 now. Corpsman said xxxx will become cold, xxxx xxxx said we’ll close the windows. |
115x | TPR 97-54-18 | Room door opened & head door closed. Room still cold but not quite so breezy. Pt still xxxx xxxx. |
1200 | Lunch | Served. Pt ate fairly well. |
1245 | Barber here. Pt getting haircut. | |
1310 | Head cleaned. Pt in bed. | |
1400 | Dr. Smith here. | |
1405 | Dr. Smith left. | |
1445 | Pt’s brother here. | |
1455 | Pt’s brother left. Dr. Smith here. | |
1500 | Pt pacing around room asking for Dr. Smith. (Dr. Smith in passageway talking.) Eating nuts he received today. | |
1510 | Still pacing around room. Opened door several times to see if doctor was still here. [Breon] | |
1515 | Pt visited by Gen. Marshall. | |
1530 | Gen. Marshall left. | |
1545 | Extra feeding. | Dr. Raines with Pt. |
1630 | Relieved the watch. (E. W. Prise) | |
1645 | Pt visited by his son. | |
1735 | Dinner | Served. Dr. Raines & Pt’s son left. |
1755 | Finished dinner. Ate very |
good. | ||
1800 | Multi-vit tab’t | Pt resting quietly. |
1900 | Pt sitting in chair. xxxxxxx to be in deep thought. | |
2000 | Dr. Hightower in to see Pt. | |
2045 | Extra feeding. | Pt states he does not want all that is on his tray. |
2100 | Na amytal grs iv | Pt ate 1/2 a sandwich & a glass of milk. |
2130 | Pt went into doctors’ room to sleep. | |
2200 | Pt still in doctors’ room, lying very quiet with door open. | |
2205 | Pt appears to be asleep. | |
2300 | Pt seems to be asleep. | |
2355 | Relieved by night crew. (E. W. Prise) | |
2400 | Assumed watch. Pt in doctors’ room. Appears to be asleep. [Stuthers] | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0250 | Pt awake, in head. |
0300 | Pt in own bed, awake. | |
0310 | Pt to head. Closed door. Venetian blinds were heard rattling. Crossing hall to doctors’ room, found Pt with blind up & window wide open. When corpsman started toward Pt he dropped blind & returned to his own bed. Pt complained about buzzer at nurse’s station that sounded several times. | |
0330 | Pt awake. | |
0345 | Pt appears to be asleep. | |
0400 | Pt appears to be asleep, restless. | |
0415 | Pt asleep. | |
0430 | Pt asleep. | |
0445 | Pt awake. Asked time. | |
0500 | Pt awake. | |
0530 | Pt awake. | |
0600 | Pt awake, restless. | |
0700 | Pt awake, lying in bed. | |
0730 | Insulin 10 U IM Phenobarbital gr iss | Pt to head, shave & shower. |
0755 | Sod. phosphate Z i with Metamucil | Relieved by day crew. (C. Stuthers) Assumed watch. (WB) |
0800 | B/P 118/78 TPR 94-54-18 | Pt resting in bed. |
0855 | Breakfast | Served. Pt ate fairly well. |
0820 | Multi-vit tab’t | Given as ordered. Bed linen changed. A small sharp metal object was found in his bed when it was made up. |
0900 | Pt resting in bed. | |
1000 | Pt up walking around, eating nuts & dates. | |
1010 | Dr. Smith here. | |
1055 | Dr. Smith left. | |
1100 | Pt seems rather sleepy today. Resting in bed now. | |
1130 | Insulin 10 U I.M. Phenobarbital gr iss | Given as ordered. Pt resting in bed. Rather sleepy. |
1200 | Lunch | Served. Pt ate good. |
1245 | TPR 98-68-18 | Pt resting. |
1400 | Pt resting comfortably in bed. Still picking at forehead. | |
1445 | Pt up: opening boxes xx xxx, and then throwing them down. |
1500 | Pt up walking around. Went into other room to look around. | |
1515 | Dr. Raines here. | |
1545 | Extra feeding. | Pt did very well on this. |
1605 | Pt’s brother here for few minutes. W. R. Breon, HN | |
1645 | Relieved the watch. Dr. Raines with Pt. (E. W. Prise) | |
1650 | Pt visited by son. | |
1720 | Dr. Raines left. | |
1730 | Dinner | Served. Pt states he is not hungry. |
1745 | Pt finished dinner. Ate very good. | |
1815 | Multi-vit tab’t | Pt lying in bed in doctors’ room. |
1830 | Pt visited by Dr. Smith. | |
1900 | Dr. Smith left. Pt back in his room. | |
1910 | Pt appears to be sleeping. | |
2000 | Dr. Deen to see Pt but Pt was sleeping. | |
2030 | Pt woke up. Asked about door between rooms being closed. |
2050 | Pt refused his evening feeding. He said “I don’t want anything at all tonight.” | |
2100 | Na amytal grs iv | Pt lying in bed resting. |
2110 | Pt asked corpsman to get his tooth paste. When I [the corpsman] went to get it I found he had none. Pt states he had some this a.m. | |
2140 | Pt asleep. | |
2300 | Pt sleeping soundly. | |
2400 | Watch relieved by night man. E. W. Prise | |
2400 | Assumed watch. Pt asleep. [Stuthers] | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0315 | Pt tossed about bed a few times. Appears to be awake. Made no comment. |
0330 | Pt appears to be sleeping, very quiet. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0600 | Pt asleep. | |
0615 | Pt awoke at this time. Greeted corpsman, sounded very cheerful. Pt rested very well during night. | |
0630 | Pt awake, lying in bed. | |
0700 | Pt awake. | |
0730 | Insulin 10 U (IM) Phenobarbital gr iss | Shower & shave. |
0755 | Relieved by day watch. (C. Stuthers) | |
0755 | Assumed watch. [Breon] | |
0800 | Pt 108/76 TPR xx-62-20 | Pt resting in bed. |
0815 | Breakfast | Served. Pt resting quietly. |
0900 | Multi-vit tab’t | Given as ordered. |
1000 | Pt up walking around eating nuts, prunes, cheesecake, etc. | |
1040 | Dr. Smith here. | |
1100 | [? Dr. Smith left.] |
1130 | Insulin 10 U Phenobarbital gr iss | Given as ordered. Pt resting in bed. |
1155 | TPR 97.2-58-20 | Pt resting in bed now. |
1200 | Lunch | Served. Pt ate good. |
1230 | Dr. Raines here. | |
1415 | Dr. Raines left. | |
1500 | Extra feeding. TPR 98.2-56-18 | Pt ate most of it. Pt requested door to other room be left open. |
1645 | Watch relieved. W. R. Breon, HN | |
1645 | Relieved the watch. E. W. Prise | |
1715 | Dinner | Served. Pt eating. |
1735 | Pt finished dinner. Ate fairly well. | |
1805 | Mr. Biffle in to visit Pt. | |
1815 | Multi-vit tab’t | Mr. Biffle left. Pt resting. |
1900 | Pt sitting in chair. Appears to be in deep thought. | |
2000 | Pt sitting in bed reading. | |
2100 | Na amytal gr iv Milk 150 cc | Pt refused evening feeding. Would not take anything but 1/2 a glass of milk. |
2200 | Pt resting but is not asleep. |
2300 | Pt has been in & out of bed almost constantly the past hour. Resting quietly at present time. | |
2315 | Pt appears to be asleep. | |
2400 | Pt woke up. Relieved by night watch. E. W. Prise | |
2400 | Assumed watch. Pt appears to be asleep. [Stuthers] | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0330 | Pt awake, to head. | |
0340 | Pt back in bed. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt asleep. | |
0655 | Pt awake. | |
0655 | Pt slept well entire night. Room was close & stuffy. | |
0700 | Pt awake. |
#166 – #167 missing (0700+ May 14 to c. 2100 May 15) |
2xxx | Pt got up & brushed teeth. | |
2200 | Pt resting. | |
2235 | Pt sleeping. | |
2300 | Pt sleeping. | |
2400 | Pt sleeping. Watch relieved. (E. W. Prise) | |
2400 | Assumed watch. Pt asleep. [Stuthers] | |
0100 | Pt asleep, restless. Room hot. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0310 | Pt awake. | |
0330 | Pt awake. | |
0335 | Pt appears to be asleep. | |
0400 | Pt asleep. | |
0430 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt asleep. | |
0600 | Pt asleep. | |
0620 | Pt awake. | |
0700 | Pt awake. | |
0730 | Phenobarbital gr iss Insulin 10 U (IM) | Relieved by day crew. (C. Stuthers) |
0800 | Relieved the watch. (WB) Pt still in head shaving. | |
0805 | Breakfast TPR 97.4-54-18 | Served. Pt ate very good. Ate two extra pieces of toast & coffee. |
0845 | Metamucil Z i Multi-vit tab’t | Given as ordered. Pt resting in bed. |
0900 | Pt resting in bed. | |
1000 | Pt up walking around. Seems drowsy from “Pheno”. | |
1100 | Pt resting in bed. | |
1130 | Insulin 10 U Phenobarbital gr iss | Pt up walking around. Eating cheese sticks, nuts & etc. |
1155 | TPR 98-56-18 Lunch | Pt resting. Asking questions about insulin & other medications. Served. Pt ate very good. |
1300 | Pt resting in bed. | |
1400 | Pt up walking around room. | |
1500 | Pt setting in chair resting. | |
1515 | Extra feeding | Pt only ate a small portion of sandwich. |
1600 | TPR 98.6-60-20 | Pt resting in chair. |
1645 | Watch relieved. W. R. Breon, HN |
1645 | Relieved the watch. E. W. Prise | |
1700 | Pt requested to have windows shut. When corpsman raised blind to close window Pt jumped back as if he were afraid of the light, got very fidgety and tried to pull blind down while corpsman was closing window. | |
1715 | Dinner | Room is totally dark. Pt finished dinner. Ate very poorly. |
1800 | Multi-vit tab’t | Pt resting. |
1900 | Pt sitting in chair, very quiet. | |
1940 | Pt appears to be asleep. | |
2035 | Pt awake. | |
2055 | Extra feeding | Pt refused everything except 1/4 a glass of milk. |
2100 | Error | Pt resting in chair. |
2200 | Pt has been walking about room for the past hour. Sitting in chair at present time. | |
2250 | Dr. Hightower to see Pt. |
2255 | Na amytal grs vi | Dr. Hightower discovered that Pt did not take his Na amytal. |
2305 | Pt back in bed. | |
2340 | Pt appears to be asleep. | |
2400 | Watch relieved. Pt awake. E. W. Prise | |
2400 | Assumed watch. Pt awake. [Stuthers] | |
2430 | Pt awake. Tossing back & forth in bed. | |
2445 | Pt awake, out of bed, walking about room. More windows open. | |
0100 | Pt back in bed, sitting up. | |
0115 | Pt out of bed, walking up & down room. Looking out door of room, said “There seems to be a lot of ether in here.” When further sedation was suggested, Pt did not answer. Returned to bed. | |
0135 | Pt awake, sitting in bed. | |
0200 | Pt awake, in bed. |
0230 | Pt awake. | |
0245 | Pt now appears to be asleep. | |
0300 | Pt asleep. | |
0330 | Pt asleep. | |
0400 | Pt asleep. | |
0430 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt asleep. | |
0600 | Pt asleep. | |
0615 | Pt awake. Very quiet. | |
0700 | Pt awake. Lying in bed. | |
0730 | Insulin 10 U (IM) | Pt to head, shave & shower. |
0800 | Relieved by day crew. C. Stuthers | |
0800 | Assumed watch. (WB) | |
0805 | Breakfast | Served. Pt ate fairly well. |
0810 | Metamucil Z i Multi-vit tab’t | Taken as ordered. Pt seems rather “down in the dumps” today. Up walking around. Asking corpsman when he thinks Dr. Raines will be here. |
0820 | B/P 124/x2 TPR 98.2-66-20 | Pt resting in bed. Still picks at forehead. |
0900 | Pt setting in chair. Seems to be in deep thought. | |
0905 | Dr. Smith here to see Pt. | |
0935 | Dr. Smith left. | |
1000 | Setting in chair resting. | |
1100 | Pt still setting in chair. | |
1130 | Insulin 10 U | Given as ordered. |
1155 | TPR 98-68-20 | Pt resting in bed. |
1200 | Lunch | Served. Pt standing up to eat. Pt takes a couple of bites and then walks around a bit, then back for some more. Pt salted food with almost every bite. Couldn’t get enough from shaker top so he took it off & poured the salt on. Pt ate pretty good. |
1300 | Pt resting in chair. | |
1400 | Pt resting in chair. | |
1415 | Pt requested 1/2 the cake & milk he left this noon. Given same. | |
1500 | Pt up walking around room. | |
1505 | Extra feeding brought in & Pt stated he did not want any of it. (Put in “reefer”.) |
1530 | Dr. Raines in to see Pt. W. R. Breon, HN | |
1640 | Relieved the watch. E. W. Prise | |
1705 | Dr. Raines left. Pt sitting in chair reading paper. | |
1715 | Dinner | Served. Pt asked what we would do about windows if it rains tonight. |
1735 | Multi-vit tab’t | Pt finished dinner. Ate very good. |
1850 | T.P.R. 98.6-98-20 | Pt sitting in doctors’ room. Appears to be thinking about something. |
1925 | Pt asked corpsman “Have you and Breon been taking down the conversations between me and Dr. Raines?” When I [the corpsman] told him we weren’t, he demanded to talk to Dr. Raines. Corpsman was unable to talk him out of it. Pt then shown to telephone booth and allowed to call. After calling doctor, Pt called corpsman into room and said “Prise, can you assure me on your honor that there |
is no apparatus here that can take down our conversations?” Nothing I told him would change his opinion. | ||
1945 | Dr. Deen in to see Pt. | |
1955 | Dr. Deen left. Pt sitting in bed, still questioning corpsman. | |
2030 | Pt has been very quiet. | |
2035 | Pt into head to brush teeth. | |
2045 | Pt refused evening feeding. Into bed lying very quiet. | |
2100 | Na amytal grs iii | Pt said he only took one of his sleeping pills. When asked what he [had] done with the other, he stated “I flushed it down the drain.” |
2200 | Pt has been lying very quietly in bed for past hour but is still awake. | |
2230 | Pt sleeping. | |
2xxx | Assumed watch. Pt awake. [Stuthers] Dr. Deen to see Pt. |
2330 | Pt awake. Asked to have door between rooms open. Room is warm. | |
2400 | Pt awake. | |
2430 | Pt awake. | |
0100 | Pt awake. | |
0130 | Pt now appears to be asleep. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0400 | Pt asleep. | |
0430 | Pt asleep. Turning back & forth in bed. | |
0500 | Pt asleep. | |
0600 | Pt asleep. | |
0700 | Pt awake. | |
0715 | To head, shave. | |
0730 | Insulin 10 U (IM) | |
0800 | Relieved by day watch. (C. Stuthers) | |
0800 | B/P 106/72 TPR 98.4-56-18 | Assumed watch. (WB) |
0810 | Breakfast | Served. Pt ate very good today. |
08xx | Multi-vit tab’t Phenobarbital Z i | Given as ordered. Pt resting in bed. |
0900 | Pt resting in bed. | |
1000 | Pt resting in chair. | |
1040 | Dr. Smith & Dr. Nardini here to see Pt. | |
1130 | Insulin 10 U | Given as ordered. |
1155 | TPR 98.x-x0-18 | Pt resting in bed. |
1210 | Lunch | Served. Pt ate fairly well. |
1x0x | Pt up in chair. Bed linen changed. | |
1400 | Pt resting in chair. | |
1440 | Extra feeding | Pt ate about half of this. |
15x0 | Pt resting in chair. | |
1540 | Dr. Raines here. | |
1645 | Dr. Raines left. Watch Relieved. W. R. Breon, HN | |
1645 | Relieved the watch. E. W. Prise | |
1735 | Multi-vit tab’t | Pt finished dinner. Ate very good. |
1820 | Dr. Hightower to see Pt. |
1835 | Dr. Hightower left. Pt seems to be in a very good mood. | |
1900 | T.P.R. 99-84-20 | Pt sitting in chair thinking. |
1925 | Dr. Hightower back to see Pt. | |
2000 | Dr. Hightower still with Pt. | |
2005 | Dr. Hightower left. Pt resting quietly. | |
2050 | Extra feeding | Taken in by nurse. |
2100 | Na Amytal grs vi | Pt finished extra feeding. Ate very good. Dr. Hightower in to see Pt. |
2110 | Dr. Hightower left. Pt resting quietly. | |
2205 | Pt appears to be asleep. | |
2300 | Pt sleeping. | |
2400 | Watch relieved. Pt sleeping. E. W. Prise |
2400 | Assumed watch. Pt sleeping. [Stuthers] | |
0100 | Pt asleep. Room warm. | |
0200 | Pt asleep. | |
0300 | Pt asleep. | |
0400 | Pt asleep. | |
0415 | Pt awake. Went into head then went back to bed. | |
0430 | Pt asleep. | |
0500 | Pt asleep. | |
0600 | Pt asleep. | |
0615 | Pt awake, lying quietly in bed. | |
0715 | Pt in head, shave & shower. | |
0730 | Insulin 10 U (IM) | |
0800 | Relieved by day watch. C. Stuthers | |
0800 | B/P 110/72 TPR 97.6-56-18 | Assumed watch. (WB) |
080x | Breakfast | Served. Ate well. |
0820 | Multi-vit tab’t | Pt resting. |
0830 | Dr. Raines here. | |
0930 | Metamucil Z i | Dr. Raines left. |
1000 | Pt resting in chair. | |
1100 | Pt resting in chair. | |
1130 | Insulin 10 U Phenobarbital xxxx | Given as ordered. xxxx xxxx |
1200 | TPR 98.6-xx-xx | Pt resting in chair. |
Lunch | Served. Pt ate fairly xxxx. | |
1300 | Pt resting. | |
1400 | Pt sets on edge of bed and stares at deck. Goes into head often [?]. | |
1445 | Extra feeding | Did not do too good on this. |
1500 | Pt setting in chair resting. | |
1515 | Dr. Hightower here. | |
1530 | Pt’s son here with butler. | |
1545 | Son & butler left. | |
1630 | Dr. Hightower left. | |
1645 | Watch relieved. W. R. Breon, HN | |
Relieved the watch. E. W. Prise | ||
1725 | Dinner | Served. Pt very much pleased with his tray. |
1745 | Pt finished dinner. Ate very good. | |
1800 | Multi-vit tab’t | Pt resting quietly in bed. |
1900 | T.P.R. 98.4-78-20 | Pt sitting up in chair. Appears to be in good mood. |
2005 | Dr. Deen to see Pt. | |
2010 | Dr. Deen left. Pt resting. | |
2030 | Pt appears to be asleep. | |
2100 | Pt sleeping. Not given Na amytal. | |
2200 | Pt still sleeping. | |
2300 | Pt sleeping. | |
2400 | Watch relieved. E. W. Prise | |
2400 | Assumed watch. Pt sleeping. [Stuthers] | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0230 | Pt awake, seems confused. [*] Asked time. When told, wanted to know if he had to get up. Referred to corpsman as “Halsey”. Said he did not want any “sleeping pills”. | |
0300 | Pt awake, very quiet. | |
0330 | Pt awake. Again asked corpsman what time it was and if he should get up. Refused sodium amytal. | |
0345 | Pt called Dr. Deen. Talked a few minutes, then returned to |
room, asked for “pill”, got into bed. Resting quietly. | ||
0415 | Pt asleep. | |
0500 | Pt asleep. | |
0530 | Pt asleep. | |
0600 | Pt asleep. | |
0615 | Pt awake. Pt asked corpsman “What government officials are here? I think I’ll have to go now.” Pt went into doctors’ room & talked with doctor [for a] few minutes, then back to bed. | |
0730 | Insulin 10 U (IM) | Pt sitting up in bed. Paid paper boy $1.65. Pt seems confused and in deep thought. |
0755 | Relieved by day watch. C. Stuthers | |
0755 | Assumed watch. Pt in head shaving & showering. [Breon] | |
0805 | Breakfast | Served. Pt ate very good. |
0830 | Metamucil Z i Multi-vit tab’t | Given as ordered. Resting. |
0900 | Pt setting in chair. | |
0920 | Dr. Nardini here. | |
1010 | Dr. Nardini left. | |
1100 | Pt up walking around inspecting the blinds. | |
1150 | Insulin 10 U (IM) Phenobarbital gr iss | xxx given as ordered. Pt xxx xxx. |
1200 | TPR 98-60-1x | Pt resting in bed. |
Lunch | Served. Pt ate very well. | |
1300 | Pt resting in chair. | |
1400 | Pt up walking around room. | |
1440 | Extra feeding. | Pt did not eat any of it. Asked to have it saved. |
1500 | Pt up walking around. Seems nervous today. | |
1600 | TPR 98.x-96-20 | Pt walking around room nervously for last hour. Keeps looking out blinds & then making sure no “light” is coming in. Pt making very close inspection of room, looking at blinds, checking xxxxxxx, |
looking around chairs, looking at everything. Walking around very nervously. Sits in chair for moment then up for another “tour” of the room. | ||
1635 | Dr. Hightower here. | |
1650 | Watch relieved. W. R. Breon, HN | |
[ ] | Relieved the watch. E. W. Prise | |
1715 | Dinner | Served. Pt very quiet. |
1735 | Pt finished dinner. Sitting in bed, very quiet. Ate very good. | |
1815 | Multi-vit tab’t | Pt sitting in chair reading. Seems to be in good mood. |
1900 | Pt sitting in chair reading. | |
1915 | Pt visited by Dr. Hightower. | |
1955 | Dr. Hightower left. Pt resting. | |
2055 | Extra feeding. | Taken in by nurse. Refused by Pt. |
2110 | Na amytal grs vi | Pt resting quietly. |
2140 | Pt appears to be asleep. | |
2200 | Pt sleeping. | |
2300 | Pt sleeping. |
2400 | Watch relieved. E. W. Prise | |
2400 | Assumed watch. Pt appears to be sleeping. [Stuthers] | |
0100 | Pt asleep. | |
0200 | Pt asleep. | |
0245 | Pt awake, to head. | |
0300 | Pt appears to be sleeping. | |
0400 | Pt asleep. | |
0500 | Pt asleep. | |
0545 | Pt awake. | |
0600 | Pt awake. | |
0700 | Pt awake. | |
0730 | Insulin 10 U (IM) | Pt to head, shave. |
0800 | Relieved by day watch. C. Stuthers | |
0800 | Assumed watch. (WB) | |
Breakfast | Served. Ate very good. | |
0850 | Metamucil Z i | Given as ordered. |
0900 | Multi-vit tab’t | Given as ordered. Pt up walking around. |
0950 | Dr. Nardini here. | |
1025 | Dr. Nardini left. | |
1100 | Pt resting in bed. |
1130 | Insulin 10 U Phenobarbital gr iss | Pt up walking around. Seems to be well rested. |
1200 | TPR 98-56-18 | Pt resting. |
1205 | Lunch | Served. Pt seems very quiet. Looked like he didn’t have the strength to eat. |
1300 | Pt resting. | |
1330 | Dr. Hightower here. | |
1420 | Dr. Hightower left. | |
1445 | Extra feeding. | Pt ate half of it. |
1500 | Pt resting very comfortably. | |
1600 | Pt resting in bed. | |
1655 | Watch relieved. W. R. Breon, HN | |
Relieved the watch. E. W. Prise | ||
1730 | Dinner | Served. Pt asked to have part of it sent back. |
1750 | Pt finished dinner. Ate very good. Resting quietly in bed. | |
1800 | Multi-vit tab’t | Pt does not appear to be in a very good mood. |
1830 | Dr. Hightower in to see Pt. | |
1910 | Dr. Hightower left. Pt resting. | |
2000 | Pt resting. May be asleep. | |
2030 | Pt sleeping. |
2100 | Pt sleeping. Not awake for Na amytal. | |
2200 | Pt sleeping soundly. | |
2300 | Pt sleeping. | |
2400 | Pt still sleeping. | |
0100 | Pt sleeping. | |
0200 | Pt sleeping. | |
0245 | Watch relieved. E. W. Prise | |
Relieved the watch. R. W. Harrison | ||
0300 | Pt sleeping. | |
0400 | Pt sleeping. | |
0500 | Pt sleeping. | |
0515 | Pt awake. | |
0600 | Pt apparently sleeping. | |
0645 | Pt awake. Pt asked what time it was. When told by the corpsman, Pt rolled over and pulled up his cover. | |
0700 | Pt sleeping. | |
0715 | Pt awake. | |
0730 | Insulin 10 U I.M. | Pt up and asked for razor. Pt given razor and toilet articles. Pt to head. |
0745 | Watch relieved. [Harrison] | |
0745 | Assumed watch. Pt in head shaving & showering. [Breon] | |
0800 | B/P 108/74 TPR 97.8-54-18 | Pt resting quietly. |
0805 | Breakfast | Pt ate fairly well. |
0830 | Metamucil Z i Multi-vit tab’t | Given as ordered. Pt up and about. |
0900 | Pt seems rather depressed today. Stated he didn’t want to see his visitor today. Dr. Nardini notified. | |
1000 | Pt resting in bed. | |
1005 | Dr. Nardini here. | |
1015 | Dr. Nardini left. | |
1100 | Pt resting very quietly. Has been very quiet all morning. | |
1130 | Insulin 10 U (IM) Phenobarbital gr iss | Pt up & about room. Given as ordered. |
1145 | Relieved for chow. | |
1200 | Lunch | Pt ate fairly well. |
12xx | Returned from chow. | |
1300 | Pt resting in bed. |
1400 | Pt resting in bed. | |
1500 | Extra feeding | Pt did not eat any of this. |
1600 | Pt up walking. Ate a few crackers & a glass of milk. | |
1650 | Watch relieved. W. R. Breon, HN | |
Relieved the watch. E. W. Prise | ||
1710 | Dinner | Served. Pt refused part of his dinner. |
1715 | Pt visited by son. | |
1730 | Pt finished dinner. Ate very good. | |
1800 | Multi-vit tab’t | Pt sitting in chair reading. |
1945 | Pt visited by Dr. Deen. | |
2000 | Dr. Deen left. Pt in very good mood. | |
2100 | Pt refused evening feeding. | |
2110 | Error | Pt given Na amytal but I’m [the corpsman is] not sure he took them. |
2120 | Checked room. Pt did not |
take Na amytal. States “I don’t think I want them at all.” “I can sleep without them.” | ||
2200 | Pt has been pacing room constantly for past 50 minutes. | |
2300 | Pt has been pacing floor for one hour & 50 minutes now. Refuses Na amytal. | |
2345 | Watch relieved. E. W. Prise | |
Watch assumed. R. W. Harrison | ||
2400 | Pt still pacing floor. | |
2405 | Pt asked if he would receive any medications tonight. Corpsman told him that there was none except his Na amytal. Pt said “Thank you”, but refused [Na] amytal. | |
2415 | Pt in bed. Pt said he was going to get some rest now. | |
2420 | Pt asked for a half glass of orange juice. Pt got up to drink orange juice. |
2425 | Pt in bed resting. | |
2435 | Pt up to drink a cup of coffee. | |
2445 | Pt in bed resting. | |
0100 | Pt sleeping. | |
0130 | Pt awake. Pt sat up in bed a second and then laid back down. When asked if he wanted his sleeping capsule, Pt replied “I was asleep and I just woke up. I’ll go back to sleep without it.” | |
0145 | Corpsman saw doctor and asked about sleeping capsules for Pt. Doctor said to give them if he asks for them. | |
0150 | Corpsman went back in room and Pt was not in bed. |
Anyone reading the Nurse’s Notes will be struck by how normal Forrestal appears at the beginning. He may have been exhausted at the time of his admission but there is no sign of clinical depression.
Here are a few notes excerpted from the first two weeks, variously by Breon, Kipp, and Prise, starting with a note from the first day:
April 2 Pt ate fairly well at dinner tonight. ... Pt seems friendly.That last note was made after the 5th insulin “treatment” when the insulin therapy began in earnest. (The therapy started with 20 units on April 9 and by April 13th had increased to 40 units.) It sounds like Forrestal thought the corpsman might be worried about his reaction to the treatment.
April 3 Pt ate a good breakfast. ... (said breakfast was very good).
April 3 Pt shaves and showers with quick, exact movements. Helped to clean shower room and make bed.
April 3 Pt to head 3 times in 5 minutes ... Pt states the Phospho soda [a laxative] must be good “stuff”.
April 4 Very abrupt questions about special watches, past and present life, about living conditions now, prices and naval career.
April 4 Pt asked corpsman many questions as to Navy career, future, etc.
April 5 Pt asked a few questions to the corpsman of his Navy career, also corpsman’s name and what state he was from.
April 5 Talked about psychosis; that is, his viewpoints on it in comparison with religious fanatics. Asked me how many books I had read on N.P. [possibly neuropsychology or neuropsychiatry] and did I plan on furthering my studies.
April 5 Pt up and to head. Upon returning said “I’m afraid I won’t be a very good companion from now on because of the sedative.”
April 6 Dinner served. Pt ate fairly well. Stated he couldn’t eat it all and it was a shame to waste it. He offered it to the corpsman on watch.
April 7 Pt visited by son. When corpsman remarked on what a fine looking son he had, Pt said “Yes! He’s a fine boy.” ... Pt visited by wife. Appears to be in very good mood.
April 8 Pt awake. Lit up pipe and asked “I’m supposed to have some visitors this afternoon.” ... Pt sitting in bed very quiet. Seems perfectly at ease.
April 9 Pt woke up. Struck up conversation with corpsman by saying “Prise, you must begin to regard your patients as animals in a zoo after a while.” When I told him I didn’t, he smiled and said “That’s good.”
April 13 Seems very friendly and very consoling toward corpsman.
From this point on Forrestal’s health deteriorated, obviously due to these treatments and perhaps the barbiturates given him, first sodium amytal then phenobarbital.
It’s worth repeating: Forrestal quickly recovered from his exhaustion and only became temporarily sick during the so-called insulin treatments and then permanently after the highest dosage ones. Also, probably the sedatives (barbiturates) he was given after the initial period did more harm than good. It must be stressed that this sickness was a physical malaise, and quite different from clinical depression.
Observe the increasingly claustrophobic prison atmosphere as the Notes progress. Things start off well enough but reading between the lines, relations do not seem so friendly after the higher doses of insulin begin about three weeks into his stay. And imagine being confined to a room, however VIP-like, for seven weeks, going on eight. After a month or so Forrestal was like a lion pacing a small cage, watched like a character out of Kafka.
You find the word “depressed” in two places. One is in the middle of a “sub-shock insulin therapy” treatment (April 28), the nineteenth of these barbaric “treatments.” You – anyone – would have good reason to feel miserable at that point.
The second time you find the word “depressed” is the day before Forrestal disappeared, May 21. Just what you would expect of a suicide, right?
But the argument works as well another way, works better considering the abundant evidence – separate and independent evidence – that Forrestal did not kill himself, that is, he was murdered. The man who wrote “seems depressed” was also the man on watch the day Forrestal disappeared. If Forrestal was murdered then this suggests a more sinister interpretation of the corpsman’s note. He could have been complicit, in which case he would want others to think Forrestal had been depressed before he disappeared.
The man doing the watch both times, the only times that man ever did the watch, was Robert Wayne Harrison, Jr. There is another reason to mistrust Harrison’s note of May 21 even if honest. Harrison had just met Forrestal and was in no position to reliably evaluate his mood. A stranger might easily confuse thoughtfulness, preoccupation, drowsiness (it was the 3rd shift), etc. with depression. And in any case in its severity clinical depression is something quite apart from merely being depressed in the colloquial sense.
Consider the manner in which Harrison expresses himself, after knowing Forrestal all of one hour and fifteen minutes:
The previous watch, corpsman Prise, had come to know Forrestal quite well after having worked 51 consecutive days starting April 6. Consequently he was in a good position to judge Forrestal’s moods accurately. He had written a few hours before Harrison:
That said, Harrison may well have been correct about Forrestal being unhappy at 9 am but his “today” was – perhaps unintentionally – misleading. Something happened to Forrestal between the above two notes, as noted below, something from which he may not have recovered by the time Harrison saw him. Because of this Forrestal’s malaise was likely due to a physical problem lasting some hours rather than a mental state.
The previous day, May 20, Forrestal had become physically weak not long after a “stimulating” injection of insulin. The timeline went as follows. At 11:30 in the morning he is given 10 units of insulin. At this time (quoting corpsman Breon): “Pt up walking around. Seems to be well rested.” But by the time lunch is served at 12:05: “Pt seems very quiet. Looked like he didn’t have the strength to eat.” At 2:45 pm he is offered an extra meal, half of which he eats. When dinner is served at 5:30 pm (quoting corpsman Prise): “Pt asked to have part of it sent back.” By 5:50 pm: “He ate very good. Resting quietly in bed.” and 6:00 pm: “Pt does not appear to be in a very good mood.”
The next morning, May 21 at 7:30, he is given another injection of insulin, 10 units according to Harrison. Thus the context of Harrison’s note at 9:00 am: “Pt seems rather depressed today.” is the same as that of the previous day with Prise: 10 physiologically extraneous units of insulin had suddenly used up a proportional amount of his blood sugar. At first this is indeed “stimulating” as the existing sugar gets metabolized far more rapidly than normal, then the let down occurs because of the reduced sugar level.
The above delayed reactions repeat that of May 16: Insulin (10 units) at 7:30 am, then by 8:10 am (quoting Breon): “Pt seems rather ‘down in the dumps’ today.”
All these reactions to 10 units of insulin happened after the “insulin therapy” in which far higher doses had been given, up to 60 units. At the beginning of his stay 10 unit doses had little effect, the only reaction mentioned in the Notes is hunger.
In short, Forrestal’s periods of malaise were more physiological than psychological.
And keep in mind that no one would be happy after living several weeks under the conditions described in the Notes.
Forrestal has been asleep for half an hour, he wakes up, and 15 minutes later kills himself, supposedly. How many people have committed suicide right after awakening?
Forrestal’s brother Henry was to have come to Bethesda on May 22 to take Forrestal away regardless of the doctors. (See our introduction to the Willcutts Report, the section “The World Outside the Report.”) Doubtless on the evening of May 21 Forrestal, anticipating his release after seven weeks of confinement, was like a horse at the starting gate champing at the bit.
Here are the main entries for the last eight hours of Forrestal’s life (all times are per the corpsmen and accurate only to the nearest five minutes). Assuming Harrison’s and the other corpsmen’s notes are correct, Forrestal has not been given any insulin or phenobarbital since 11:30 am and not taken any sodium amytal pills since May 19 two days ago:
A man leaps out a 16th story window trying to hang himself, right after waking up, after drinking beverages and socializing before that – it all strikes several false notes. And why would Harrison immediately bother the doctor about sleeping pills when Forrestal (1) had just been asleep, (2) had just said he would go back to sleep without them?
Saturday,
...May 21st 4:50 pm
...... E. W. Prise .............................................................................. 5:15 pm Pt visited by son. 5:30 pm Pt finished dinner. Ate very good. 6:00 pm Pt sitting in chair reading. 7:45 pm Pt visited by Dr. Deen. 8:00 pm Dr. Deen left. Pt in very good mood. 9:00 pm Pt refused evening feeding. ... 9:20 pm ... Pt did not take Na amytal. States “I don’t think I want them at all.” “I can sleep without them.” 10:00 pm Pt has been pacing room constantly for past 50 minutes. 11:00 pm Pt has been pacing floor for one hour and 50 minutes now. Refuses Na amytal. 11:45 pm ... R. W. Harrison .............................................................................. Sunday, May 22nd 12:00 am Pt still pacing floor. 12:05 am Pt asked if he would receive any medications tonight. Corpsman told him that there was none except his Na amytal. Pt said “Thank you”, but refused amytal. 12:15 am Pt in bed. Pt said he was going to get some rest now. 12:20 am Pt asked for a half glass of orange juice. Pt got up to drink orange juice. 12:25 am Pt in bed resting. 12:35 am Pt up to drink a cup of coffee. 12:45 am Pt in bed resting. 1:00 am Pt sleeping. 1:30 am Pt awake. Pt sat up in bed a second and then laid back down. When asked if he wanted his sleeping capsule, Pt replied “I was asleep and I just woke up. I’ll go back to sleep without it.” 1:45 am Corpsman saw doctor and asked about sleeping capsules for Pt. Doctor said to give them if he asks for them. 1:50 am Corpsman went back in room and Pt was not in bed.
The doctor referred to was in the adjoining room, called the “doctors’ room.” It was separated from Forrestal’s by a bathroom with a door on each side. According to the Willcutts Report testimony of that doctor, (Commander) Robert Reynolds Deen, question 15, Harrison did not merely see him, he woke him up. And what Harrison said was less than consistent with what he wrote in his notes. Here is Dr. Deen:
“... the corpsman, Harrison, came in, awakened me and said that Mister Forrestal still was not sleeping, what should he do about it. I said something like this – that Mister Forrestal knew that he should take his pills if he were unable to sleep without them and that the corpsman should again remind him that the pills were there and that he should take them if he felt he couldn't go to sleep by himself. ... I think it was about one thirty-five or something like that when the corpsman came and talked to me. I went back to sleep again because the next thing I recall was Miss Harty [Hardy] coming into the room ...”Dr. Deen’s reply to Harrison was obvious and predictable. Why would even a rookie go to the trouble of waking him up over a triviality? A rookie indeed, perhaps, but the question could have been an excuse either to leave Forrestal alone for a minute or to appear to have left him alone after he was gone.
According to the Willcutts Report testimony of Dr. Deen (again question 15) he had earlier closed and locked his bathroom door. Harrison would have had to enter the doctors’ room through the galley.
According to the Willcutts Report testimony of nurse Dorothy Turner she was on the eighth floor about this time. She happened to look at the clock when it was almost 1:44 am. (The hospital clocks were probably synchronized, though we are not certain.) A minute later she heard a “double thud.” The time Harrison wrote in the Notes for seeing Dr. Deen, having – he says – just left Forrestal in bed, is the same time as that, 1:45, so Harrison’s time is off – too late – by at least six minutes. (Whether Forrestal killed himself or someone else killed him, the act from bed to cord to out the window would have taken at minimum a substantial part of a minute.) The Nurse’s Notes times are written with a five minute precision so Harrison’s time skirts fabrication. Dr. Deen’s recollection of “about one thirty-five or something like that” is too uncertain to prove anything but 1:35 is closer to the true time than what Harrison wrote.
The point is that contrary to Harrison’s Notes and testimony he was probably not in the Doctor’s room when Forrestal went out the galley window, and in that case he must have seen Forrestal leave his bed.
The end of the Notes, quoted above, give the lie to the claim that Forrestal was copying a poem, or writing anything at all, right before he died.
Forrestal underwent, and at the higher dosages suffered through, nineteen consecutive days of so-called insulin therapy, from April 9 to 28 except for a respite on April 17, then after a respite of three days, another five consecutive days from May 2 to May 6. On May 6 Forrestal, after an almost complete mental breakdown, may have finally realized that these “treatments” were in fact a degradation. In any case May 6 saw the last of the so-called insulin therapy.
Thus according to the Nurse’s Notes these barbaric treatments took place from April 9 to May 6 for a total of 24 treatments in 28 days. The dose varied as follows (a question mark means that the page for that injection is missing, a blank means no treatment was given that day):
20 | 20 | ? | 35 | 40 | ? | 45 | 50 | –– | 50 | 55 | 60 | 60 | 60 | 60 | 60 | 55 | 55 | 60 | 55 | –– | –– | –– | 40 | 35 | 35 | 35 | 35 |
Prise clearly spells his name “Prise” in the Notes and elsewhere. As we elaborate in our introduction to the Willcutts Report in the section “Obscured Witness,” the body of the report consistently misspells his name “Price.” The first time in the Notes that the temporary relief watch W. M. Water refers to Prise he misspells it “Price” but after that spells it correctly.
On May 16 Breon notes that during lunch Forrestal craved salt. He “salted food with almost every bite. Couldn’t get enough from shaker top so he took it off and poured the salt on.” A craving for salt is caused by a low sodium level, which in turn could have been caused by the heavy perspiring during the worst of the earlier insulin treatments. Whatever the cause, sodium deficiency is a very serious condition. Forrestal seems to have gotten over it though because salt is not mentioned again.
The Notes begin April 2 at 0430 but Forrestal was not formally admitted, per the Admission Notice (exhibit 3 item 1) until 1645, suggesting a hasty admission, paperwork postponed.
At times you get the impression the nurse corpsman is writing something just for something to write.
On April 30 and again on May 9 and 16 Forrestal complains about a strange smell in the room, an “etherish odor.” None of the staff seem to notice it. There are two possibilities: (1) One consequence of an assault on the central nervous system can be imagined odors, so the smell may have been imaginary. (2) Perhaps Forrestal was, or had become, more sensitive to odors, and smelled something the hospital personnel could not or were used to.
Earlier, April 17, Forrestal had asked that some flowers be taken out, saying (quoting the watch’s account) “they were ‘too strong’ for him.”
By mid May, into his seventh week, Forrestal has become concerned that his conversations with Dr. Raines might not be private. Here is the account of Prise, five days before Forrestal disappeared:
We cannot know what made Forrestal concerned at this particular point about the privacy of his conversations. Whatever it was, his concern would have been reasonable had he told Raines anything he wouldn’t want made public. Raines’ character might have become apparent to Forrestal by this time. The man was dishonest before the Willcutts board. He testified that Forrestal’s friends were allowed to visit when in fact several close friends were turned away, as was even his brother until he threatened legal action. And Raines lied about Forrestal’s handwriting, see our introduction to the Willcutts Report, the section “The World Outside the Report.”
Monday,
...May 16th 4:40 pm
...... E. W. Prise .............................................................................. 6:50 pm Pt sitting in doctors’ room. Appears to be thinking about something. 7:25 pm Pt asked corpsman “Have you and Breon been taking down the conversations between me and Dr. Raines?” When I [the corpsman] told him we weren’t, he demanded to talk to Dr. Raines. Corpsman was unable to talk him out of it. Pt then shown to telephone booth and allowed to call.
After calling doctor, Pt called corpsman into room and said “Prise, can you assure me on your honor that there is no apparatus here that can take down our conversations?” Nothing I told him would change his opinion.... 7:55 pm ... Pt sitting in bed, still questioning corpsman. 8:30 pm Pt has been very quiet.
If Forrestal’s conversations were being recorded, neither Raines nor the watch need have been privy to it. Note the temporary change of room from 1618 to 1615 on April 5th – ample opportunity to plant a listening device.
On April 24, after 14 “insulin treatments,” Forrestal complained about the taste of the food given him the previous evening. Here is the note of corpsman Prise:
7:35 am Pt talked to Dr. Deen. When doctor told him he had a poor night because he did not take his sleeping pill, Pt said “They put it in my food last night.” Nothing the doctor said would change Pt’s mind about this. Pt also stated “The reason I know it was there, is because I could taste it.”There are several possibilities. The strange taste (or perhaps smell, which can affect taste) could have been a consequence of the insulin therapy. Perhaps the food did indeed taste bad, but because it had been poorly prepared. Finally, perhaps Forrestal was right and it contained sodium amytal, which has a slightly bitter taste.
If sodium amytal had been placed in Forrestal’s dinner, the doctor or corpsman need not have known about it.
In any case, this is the only time Forrestal complained about anything being put in his food.
For what it’s worth, in those years sodium amytal (amobarbital) in high dosage was thought to be a “truth serum.”
One can only speculate about the contents of the missing pages, why they were left out, and when – that is, missing in the original or merely from the photocopy provided by the Navy per the FOIA request.
The notes covering Forrestal’s reaction to the 2nd day of insulin therapy, and the entire 6th day of insulin therapy, are missing. One possibility is that Forrestal had a severe reaction and the board did not want it known.
Another possibility, both for these and other missing notes, is that the board wanted to obscure some visitors Forrestal had during those times.
Then of course the missing pages might be a consequence of the bungling that government functionaries are known for. On the other hand, bungling can be a convenient excuse.
The original notes were obviously kept in a binder, so there is no good excuse for any of them disappearing.
In Dr. Hightower’s testimony before the Willcutts board, question 14, he says regarding Forrestal: “I saw him again Saturday morning [May 21] at which time an old friend of his from New York came down to visit, a Mister Strieffler.” That would be Paul Streiffler, Forrestal’s financial manager and close friend. Yet in the Notes for May 21 neither Hightower nor Strieffler are mentioned. The Notes are continuous and complete during this period so their thoroughness is only apparent. (Dr. Hightower might have been taken for granted because he was the doctor on call in the doctors’ room the night before.)
See the section “Missing Witnesses” in our introduction to the Willcutts Report. Why were Breon, Kipp, Kelley, and especially Stuthers, the man replaced by Harrison, not called to testify before the board? As with the missing notes, one can only speculate. Perhaps they were uncooperative, weren’t with the he-committed-suicide program.
According to Connie Riggs, a nurse stationed at Quantico at the time of Forrestal’s death who knew some of the non-corpsmen nurses stationed at Bethesda, none of those nurses believed the suicide story.