St. Catherine’s House
Patient No. 114
Annual Report: 17/12/1987
Name: Eugene O’Reilly
Date of Admission: 22/07/1987
DOB: 17/05/59
Height: 5 foot 8 inches
Weight: 224 lbs
Hair: Brown
Eyes: Blue
Mental Capacity: Eugene is of limited intellect with an estimated mental age of seven or eight years. He can’t read or write, although he likes to have books in his possession, and needs help dressing himself (buttons, laces). He can feed himself, although he must be watched at mealtimes, as he will not stop eating until food is removed from him. Most of the time he can perform his toilet tasks without assistance. He has little interest in television but loves music, although his physical reaction to music can be upsetting to other residents. Eugene is unaware of his own strength and size.
History: Eugene O’Reilly was admitted in July of this year by his brother-in-law, Oliver Ryan (the author Vincent Dax). Eugene was in good general health, although Nurse Marion reported some bruising to the upper arms and body. These marks were explained by Mr. Ryan, who said that Eugene had often to be restrained after episodes of aggression. Mr. Ryan very much regretted the incidents that led to these bruises but suggested that he had little choice in the matter, as Eugene was not capable of controlling his temper. Mr. Ryan reported that Eugene had become violent and difficult since the death of Eugene’s mother in 1986 and that he could no longer be cared for in the family home, particularly in the light of a recent arson attempt that Mr. Ryan insists was malicious. It was notable that there seemed to be some difference of opinion on this issue between Mr. Ryan and his wife, the patient’s sister, Alice Ryan. Mr. Ryan maintains that his wife is unrealistic about Eugene’s abilities and propensity to violent outbursts.
Assessment: In adults with the type of moderate to severe learning difficulties Eugene presents, violence and aggression are unusual, but clearly Mr. Ryan was correct in his assessment of Eugene, as he has displayed extreme aggression in his objection to being left in our care, and unfortunately two of our porters were required to take Eugene to the lockdown unit after Mr. Ryan left. Eugene has had great difficulty settling in to St. Catherine’s and has caused major disruption among other residents. In particular, he attempts to pick up other residents while they are seated, running the length of hallways, holding them high above his head within their chairs. While this may be a source of amusement to some residents, to others it is terrifying and we cannot allow the health and safety of any of our patients to be jeopardized. Eugene has been reprimanded for this activity on several occasions and has reacted belligerently when physically restrained. Although we are reluctant to medicate Eugene to subdue his boisterous nature, it has become our only option.
Eugene is highly verbal at times, and at other times almost totally silent. Mr. Ryan warned us that Eugene could not be depended upon for veracity, and indeed we have found that Eugene seems often to inhabit a world of fantasy in which he imagines that he is a prince of a magical kingdom. Through trial and error, we have learned that it is best to leave Eugene to his own devices.
In his first two months here, Eugene’s sister visited him almost every day, but her visible upset at leaving Eugene communicated itself to him and I took the decision to write to Mr. Ryan to ask him to confine his wife’s visits to just once a week. Mrs. Ryan cannot be dissuaded from bringing with her home-baked cakes and confectionery, which I think best to confiscate for the good of Eugene’s health.
My mammy loved me and Alice loved me and Barney loved me and God loved me I said my prayers every night every night I still say my prayers and I ask God to bless Mammy in heaven and Alice and my friend Barney but sometimes I forget sometimes I forget. I remember I remember Barney is my friend he used to take me for a drive in his car his ears stick out like a clown hahaha he makes me laugh and tickles me and tells me stories and brings me flying he is Grimace and I am Prince Sparkle and he helps me battle with the evil Queen who does wee-wees in her knickers hahaha.
Oliver? No nonononono. Oliver is the baddy man he stealed Alice from me and Mammy and Barney where is Mammy I want Mammy Oliver hurted me he pinched my arm and squeezed and squeezed I had a big purple bruise Alice is coming she brings me cakes and reads stories she says Oliver made Prince Sparkle she says Oliver writed it down but I know he didn’t he didn’t he didn’t Oliver is the bad Queen dressed up as a man.
Where is Barney? I miss Barney where is my Mammy I remember now she’s dead in a box in the mud she doesn’t like it to be dirty I don’t want to be dead why are all the dead people in the mud my daddy is in the mud too but I seen him in photos and Alice telled me he was a great man.
I forget lots of things all the time but I remember being in my house with Mammy and Alice and Barney visiting and telling me stories. Barney telled me he was going to marry Alice and I could live with them but it’s a secret and I’m not telling anyone I wish he would hurry up because Oliver the baddy man already married Alice and its Barney’s turn now. Alice went away when Oliver married her and they lived in a flat I visited two times but I was only allowed in Alice’s corner and Oliver has a locked-up green box for his writing and me and Alice are not allowed to see in the box. I want to know what’s in the box but Alice says it’s Oliver’s private business. One time I was looking at the box and Oliver shouted at me just for looking I think there’s a monster in the box. I wasn’t allowed to visit Alice after that and I was sad but Barney came and read me stories and we went in his car I’m not allowed in the front seat because I can’t stop beeping the horn Barney thinks it’s funny but the baddy men in the other cars are very cross very cross and I have to sit in the back. Mammy got sick and was in the hospital. Mammy is dead. After Mammy went in the mud Alice came home to live and that was nice I miss Mammy where is Mammy oh yes dead in the mud. Oliver came to live in our house too he is mean and calls me bad names and it’s my house and Alice’s house not Oliver’s house. I hate Oliver he punched me when Alice wasn’t looking and then he told a lie he calls me a big fat pig I am big and fat but a man he is a pig stealing Alice and Mammy’s house he said I had to have my dinner in the kitchen and it’s his house now and he’s the boss of me but I like the kitchen and I like Mammy’s and Alice’s and my house but not when Oliver is the boss. Oliver took my flying chair and goned it somewhere I don’t know Barney doesn’t come and do flying anymore now he can’t no chair. Oliver fell over in the garden one time and I laughed and laughed it was funny. He went to the hospital and when Alice came home, Oliver telled her that I hurted him his tail is as long as a telephone wire but he locked me in my room and I shouted all night until Alice let me out she was crying and it wasn’t funny anymore and I was sorry for laughing when Oliver hurted himself. Then another time I was sitting at Alice’s dressing table brushing my hair with her silver hairbrush that was Mammy’s she’s in the mud and Oliver came in and smashed the mirror and turned the dressing table upside down. I was frightened and Alice came running and the big fat liar says I done it but I didn’t for cross my heart and hope to die and then it’s my birthday and I have a cake with birthday candles and I blow them out and wish that Oliver isn’t here but Oliver is nice to me on my birthday and lets me play with his lighter that is shaped like an aeroplane in the shed in the garden but there is an accident and I am very bad boy because I started a fire and help! help! like in Jane Eyre one of Alice’s favorite books. Oliver says he is scared of me and doesn’t want to be in the house with me hurrah this makes me happy and dancing because Oliver is going away but he isn’t going away I am going away and I hate him.
Oliver said I had to come and live here in St. Catherine’s I don’t know what St. Catherine’s is I think it’s where a saint lives and I said yes if Alice comes too. He lied and said Alice was coming too Alice told a big fat lie and then she is crying crying and it’s me making her sad and Oliver says it’s me making her sad I have to go to St. Catherines on my own. No Mammy.
I was frightened here in the start where is Saint Catherine not here no saints here just some mad people I know I’m a bit mad Barney told me I’m a bit mad in a good way but the people who live here are really mad in a mad way much more mad than me and some of them shouting but not in words just in noises I don’t like shouting and some of them like dead people strapped in wheelchairs and fed like babies with bibs and televisions on everywhere loud louder.
And the boss is a lady Miss Noreen who is all smiley and laughing when she rings Oliver to tell him I’ve been a bad boy I can hear her through the wall in the nurses’ station but here no smiles laughs chats but Lord Snooty face and ignoring everyone only shouting at the nurses where is Mammy I remember now in the mud where is Alice she used to come on Tuesdays with cakes and we play games only now she doesn’t come anymore either. In the start I was really scared and want to go home to my own room and my own bed with my record player that Barney gave me but Alice says I live with twelve friends some of them don’t like me and some of them love me Nurse Marion is my favorite I don’t like Miss Noreen makes me sit with my hands under my legs Christy is very old he dribbles like I used to Mammy said that was bad manners and I told Christy but he was shouting and Miss Noreen said go to your room it’s not my room it’s all of our room there’s Christy, Billy, Malachy, Conal and I forget the others we share a big room and no talking when lights are out and no stories at bedtime and no jam sandwiches in bed I remember Barney jam sandwiches and stories with the Selfish Giant and the one about Alice going down the hole with the rabbit but I’m in a story with Grimace and I am the Prince so that’s my favorite one Christy went in the mud yesterday no more dribbling thank God.
He was dead in his bed and I told him look after Mammy in the mud Nurse Marion is my favorite one she’s here in the daytime and gives me sweets our secret Alice didn’t come yesterday or last week, or lots of weeks. I seed Miss Noreen and Nurse Marion fighting. Miss Noreen made Nurse Marion cry Nurse Marion asked me about Barney and where he lives I telled Nurse Marion that Barney is my friend and she called him and now he is visiting me every day he telled me that Alice is in Happyland drawing pictures and flying around in a chair. She is not in the mud. He sweared me that and Barney always telled the truth. Barney says we can visit Alice when I am growed up, but I think I am growed up. Barney says I must be growed up more.