66 BUREAU OF AMERICAN ETHNOLOGY [Bull. 175 



Number of windows : 4. Number of doors : 2. Sanitary condition of premises : 

 Good. Human waste, how disposed of? Toilet. Garbage and rubbish, how dis- 

 posed of? Burned or buried. Prevalence of insects and vermin: Usual (i. e., 

 considerable). Are there barns or stables : No. Are the animals well cared for : 

 None. Insanitary practices observed : Pretty clean. General impression : "Un- 

 progressive, inoffensive Indians" (sic!). 



Colorado River Agency Hospital record (Data c) : 



Patient was in this hospital from July 7, 1934, to January 14, 1935. "Patient 

 is constantly delirious and delusional. He is harmless but disturbs the other 

 patients." On December 5, 1934, M. A. I. Nettle, M. D., recommended that the 

 patient be transferred to a State Hospital for the Insane. 



State Hospital clinical summary (Data d) : 



(Apen Ismalyk.) 



The above-named patient was committed to this hospital January 14, 1935, 

 and was discharged April 20, 1935, in care of his people from the Fort INIohave 

 Reservation as recovered. 



General information: 



Apen Ismalyk resides on the Fort Mohave Reservation. He was born in 

 Arizona and is about 48 (46) years old. He has lived in that vicinity all his life, 

 sometimes on the California side of the river and sometimes in Arizona. His 

 wife died about a year ago, when (whereupon) he went to live with his niece on 

 the Fort Mohave Reservation. Patient has had no previous attacks ; this attack 

 was first noticed about 6 months ago. He was sick and was sent to the Hospital 

 at Parker, Ariz., where he has been for some time. The Indians did not know 

 that there was anything wrong with his mind, but learned a few days ago that 

 he was being sent to Phoenix, and came to Phoenix to see that be was being 

 taken care of properly. They did not want him sent here, but thought they could 

 cure him with their tribal ceremonies and medicines. 



Mental examination: 2-5-35. 



Behavior. — Since admission this patient has been very well behaved, causing 

 no trouble whatsoever on the ward, except on one occasion when he became 

 noisy at night and refused to quiet down until he was put in restraint. At all 

 other times this patient has been very quiet and cooperative. At present he 

 resides on Ward J where he causes no trouble whatever. The mental examina- 

 tion of this patient was very unsatisfactory since we have no Mohave Indians 

 among our patients to act as interpreter. This patient speaks English too poorly 

 to give us a coherent story. However, I have been unable to elicit any halluci- 

 nations or delusions, and considering the information obtained that patient was 

 suffering from typhoid fever at the Parker Hospital, it is my opinion that he 

 was suffering with Psychosis with Other Somatic Disease, Typhoid Fever. 



I would suggest that this patient be put to work on the farm or similar 

 operations and be observed for another month or two before releasing him to 

 his relatives in Needles. 



Biaguosis: Manic-depressive psychosis, manic type. 



Physical examination: 2-13-35 : 



This patient is a well-developed and nourished Indian male. Head — there is 

 a marked flattening of the head posterially (probably due to cradling; Devereux, 

 1948 c), otherwise it is negative. Eyes — pupils are equal but react sluggishly 

 to light; bilateral pterygli is present; nose and ears negative. Mouth — teeth 

 in fair condition, but considerably worn. Neck is negative. Cfiest is of a 



