how to stimulate someone in a coma
This must be an extremely difficult time for you and we really pray for God to be with you and your loved one! Following the same principle, sensory substitution could help reconnect the brain with itself, restoring a denser form of inner communication. This stimulation intervention did not stimulate the taste sense because the researcher noted hypersensitive mouths in some patients. A coma occurs when there is little to no brain activity. Yes. They don't respond appropriately to sensory stimuli, that is part of how they are diagnosed as being in a coma … Denser loops may provide the brain with the critical amount of self-excitation needed to maintain an active state and remain conscious. After this period, a few patients overcome from the coma state gradually, a few of them went to vegetative state and others suffer death. Ideally Coma Stimulation should begin as soon as possible or as soon as the person is medically stable. Some years ago, a few events in my life inspired me to change focus as to how I was using my occupational therapy. You can cancel anytime. Why talking to a loved one in a coma helps them recover: Hearing stories exercises circuits in the brain which can trigger the first glimpses of awareness e-mail 1.6k Introduction. If they did not, their intestines would rupture. In a patient in coma, the brain's electrical activity can diminish until medical devices show a flat line instead of a wave. Such sensory substitution is already used to make the blind “see” by training them to recognize audio signals that encrypt the image from a video camera. In The Count of Monte Cristo, Alexandre Dumas painted a dramatic picture of how an intact consciousness may be buried alive inside the tomb of a paralyzed body. Even in patients with a long history of a vegetative state or minimal consciousness, the brain remains plastic, and spontaneous recovery can never be excluded. Hang in there try some of these things because there might come a time when you can't keep doing this and at … After 11 daily ten-minute stimulation interventions by the researcher, each of the four patients showed an increase in … Unorthodox therapies in "awakening centers" are … A thread on Reddit asked former hospital patients who were in a coma to discuss what it was like. And yet deep inside, consciousness may still linger. They even have specialist that can test for this. Brain-computer interfaces, particularly using implanted devices, have the potential to restore long-distance communication in the brain. Physical therapy is a crucial way for individuals who have gone through a coma to improve their motor skills and stimulate brain function. The majority of people (87 percent) who score a three or a four on the scale within the first 24 hours of going into a coma are likely to either die or remain in a vegetative state. Indeed, three patients in a persistent vegetative state suddenly regained consciousness after administration of a drug called levodopa, a chemical precursor of dopamine that is typically given to Parkinsonian patients. Author’s Sidebar: Every once in a while, I’ll get a phone call or an email message from a person, who has a relative in the hospital in a diabetic coma. But their ears keep receiving sounds from the environment. The word coma has terrifying connotations to most people. As a result, the pallidum is insufficiently inhibited. Even for patients whose cortical circuits have been damaged, we may envisage futuristic solutions. What is certain is that, in the next decades, the renewed interest in coma and vegetative states, based on an increasingly solid theory of how neuronal circuits engender conscious states, will lead to massive improvements in medical care. I've heard of people in a coma having occasional tears. For example, if inadequate amounts of oxygen or blood sugar are delivered to it, the brain can "turn off." If that person woke up would they be able to catch up with brain and muscle development? The Glasgow Coma Scale(GCS) allows healthcare professionals to consistently evaluate the consciousness level of a patient. A man who has spent the last 15 years in a coma is now showing signs of consciousness, thanks to a vagus nerve stimulation (VNS) device implanted in his chest. By joining Slate Plus you support our work and get exclusive content. consultation or series of coma stimulation. When the brain loses its oxygen supply, the inhibitory cells of the striatum seem to be among the first to suffer. So go ahead and request a referal, insist that your friend or loved one receives what can help them to make the most effective recovery possible. Awakening from a coma is often seen as a miracle. Copyright © 2014 by Stanislas Dahaene. There are three aspec… So of course, we’re not claiming that cannabis can help someone in a coma. Lv 4. Coma is a state of consciousness that is similar to deep sleep, except no amount of external stimuli (such as sounds or sensations) can prompt the brain to become awake and alert. These phenomena are only beginning to receive an explanation. Thanks to such brain plasticity, a patient’s workspace connections may progressively gain strength and become increasingly able to sustain a durable state of conscious activity. But in some specialized programs here in Maryland, miracles seem to happen more often. Reprinted with permission from the Massachusetts Medical Society. All contents © 2020 The Slate Group LLC. The study was published today (Nov. 26) … In some of the severe cases, coma will last for more than five weeks, which a few people experience coma for many years. It is also rare for someone in a coma to cough, sneeze, or communicate in any way. This might be a bad example but women at the time of month go from happy person to angry person its horrmones. Some hospitals and medical centers have a pain management clinic. In yet others, the dynamics of brain circuits seem to be the culprit: although connections are still present, the circulating information no longer suffices to maintain a sustained state of activity, and the brain switches itself down. Neurons that use dopamine send massive modulatory projections to the prefrontal cortex and the deep gray nuclei that control our voluntary actions; it may help them restore a normal level of arousal. Courtesy of Viking. Scientists at Northwestern University in the US played recordings made by family members four times a day for six weeks to six coma … How Much Effort Is Required to Effect a Change? Preferably Coma Sitmulation should take place daily for 1 - 8 hours a day, depending on the condition of the patient. To respond, Consciousness and the Brain: Deciphering How the Brain Codes Our Thoughts. Theme images by, Occupational Therapist, Healing Facilitator, If you are an occupational therapist and interested in the topic of coma and coma stimulation, If 1 0. One of my friend met with an accident and went into the coma for almost 8 months now. His medical condition, however, is all too real. Note that by this definition, doctors frequently put peo… obtain permission from the doctor, you are welcome to book a • Cannot communicate. (9) A study by Kater (1989 ) also had positive results. Are you aware of what’s going on around you? The test in question is a type of PET scan that measures how much sugar is being eaten by people's brain cells, and it's already being used in many hospitals to tell the difference between patients who are in a total coma, or those who are in a vegetative state with partial or hidden signs of awareness. Coma Communication: When working with someone in coma or altered consciousness refrain from stressing personal history if you get no positive feedback, because the person may be relating to other things in their altered consciousness state. We don’t start enteral feedings right away. This means, an individual in coma state remains alive, but fails to wake up. Details about how the affected person lost consciousness, including whether it occurred suddenly or over time 3. Please reply … The above tricks will work only if the cortex itself is not exceedingly damaged. No loved one who waits for a someone to awake from a coma is qualified to have a medical opinion. This article is excerpted from Consciousness and the Brain: Deciphering How the Brain Codes Our Thoughts by Stanislas Dahaene. Not only did it fail to put her to sleep; it had the paradoxical effect of reawakening her dormant cortical circuitry for language. Many solutions seem to be available. While demolishing established clinical rules, this research also carried a message of hope: brain imaging was now sensitive enough to detect the presence of a conscious mind and even to reconnect it with the outside world. A wide range of illnesses, conditions and events can cause coma. Many people have learned almost all they know about coma by watching television, where coma is a condition from which recoveries are both predictable to viewers and miraculous to the characters. A person in coma is in a deeply withdrawn and extreme state. declined for publication because I used a four letter word (actually I respectfully disagree with the previous poster for two reasons: 1. Answer: When a person is “in a coma,” the brain of that person is in a state of deep unconsciousness for a prolonged or indefinite period. Although soap operas veer far from reality in many other aspects, the authors of the study were concerned that "soap opera comas" can lead to unrealistic expectations by the families and loved ones of people who are in a real-life coma. 1 decade ago. This article is excerpted from Consciousness and the Brain: Deciphering How the Brain Codes Our Thoughts by Stanislas Dahaene, out now from Viking. ~ Sometimes we just do not know the patient’s personal history, so must … Being in a coma is one of the most mysterious medical conditions in the world. Comatose and quadriplegic, unable to move and speak, they seem to have lost the very spark of mental life. I think they know when you talk to them, even if they can't communicate back. On the other end of the scale, about 87 percent of those who score between 11 and 15 are likely to make a good recovery [ ref ]. Family voices and jokes help coma victims wake up sooner. Clearly, if too many of the prefrontal cortex neurons are dead, no amount of stimulation will revive them. Images of his brain, created using the technique of diffusion tensor imaging, suggested that several of his long-distance brain connections had slowly regrown. In another case, a woman who had suffered a left-hemispheric stroke and was dramatically aphasic, unable to say more than the occasional random syllable, was also prescribed Ambien because she had trouble falling asleep. Someone in a coma is not "asleep" they are unconscious. Visit with a whole large group and make a big noise? Scott was admitted to hospital, and within hours his score on the Glasgow coma scale – a neurological scale that measures a person’s conscious state – was rapidly dropping. This book review is the second one we received, but the first one to be posted onto Amazon . Understanding coma can be difficult because there are many levels of coma. You’ve run out of free articles. Questions To Ask In Seeking The Appropriate OT for... Book on Aspergers Syndrome - Available through Sho... Overcoming Adversity - a Video by Napoleon HIll. Ideally Coma Stimulation should begin as soon as possible or as soon as the person is medically stable. It is usually the case that patients wake up from a medical sedation rather than a "coma." In another patient, communication between the frontal cortex and the thalamus had been depressed when he was vegetative, but it returned to normal after he spontaneously recovered. Doctors used ultrasonic pulses to “jump start” the brain of a 25-year-old man recovering from coma — and plan to launch a much broader test of the technique. These types of phone calls are difficult, because there’s very little that I can do or say to … But what they do have is "observation." A few people have even recovered to the point where they could perform some of their activities of daily living and communicate verbally. There are studies that we do that can tell us how well a patient can swallow. The patient in the top image could no longer move or speak. Does any one has seen this kind of cases where people went into coma and come out of it after a period of time or any one has seen people coming out of coma state. They have never thought about coma or brain injury until this tragedy and their heads are spinning. S/he will also teach family and friends what they can do when they visit and what the clear guidelines are. The Bible says nothing specific about a person who is in a coma, because the medical intervention required to sustain life in a coma was not yet available when the books of the Bible … Amandatine is another stimulant of the dopamine system that, in controlled clinical tests, has been found to slightly speed up the recovery of vegetative and minimally conscious patients. She then fell asleep, and sure enough, the next morning her aphasia had returned. My colleague, Jenna, gave a great answer. ... What the researchers did was stimulate their vagus nerve, and through that the thalamus. Be prepared to provide information about the affected person, including: 1. The Occupational Therapist (OT) will evaluate the patient and begin a Coma Stimulation Program. The patient is unable to respond to touch, sound, and other stimuli. Every year, an awful number of car crashes, strokes, failed suicides, carbon monoxide poisonings, and drowning accidents leave adults and children dramatically crippled. I know I do. She could answer questions, count, and even name objects. Can you actually hear when people are speaking to you? It might not do so well for my book, but I need to get these feelings out. This is particularly true if the coma was caused by another medical condition, like a traumatic brain injury or a stroke, for example. https://www.nm.org/healthbeat/medical-advances/family-voices- Pharmacological agents that act on the dopamine circuits of the brain are prime candidates. People in a coma are given food via a tube. https://kids.frontiersin.org/article/10.3389/frym.2019.00019 If the workspace hypothesis is correct, consciousness is nothing but the flexible circulation of information within a dense switchboard of cortical neurons. The phenomenon repeated every evening, whenever her family gave her the sleeping pill. Many doctors dont know of Coma Stimulation so please request a referal to an Occupational Therapist, preferably a Neuro-Occupational Therapist, meaning an OT who is working and experienced in physical rehabilitation for those following any kind of neurological disorder, illness or injury. A coma is a state of unconsciousness where a person is unresponsive and cannot be woken. As long as there is evidence that the gut is working, and the patients do not have trouble swallowing, they can eat relatively soon. Coma rarely lasts more than a month and usually ends sooner. However, two of these connections rely on inhibition rather than excitation: the striatum inhibits the pallidum, and the pallidum in turn inhibits the thalamus. Published by Steven Novella under Neuroscience Comments: 6. We do not expect such a recovery to be possible in every patient—but can we understand why some patients recover while others don’t? That means also the nurses, doctors, family, physiotherapist, and of course the OT. Horrifyingly, the report implied the existence of patients in a state worse than the usual locked-in syndrome: conscious but without any means of expressing it to the outside world, not even through the batting of an eyelid. The first time she took it, she immediately resumed speaking for a few hours. Comas in people last from many days to multiple weeks. Whil... Shoshanah Shear. Symptoms. There is still controversy over how effective it is to try to stimulate a person in coma. He survived for 15 months, enough time to conceive, memorize, dictate, and publish an entire book, one character at a time by blinking his left eyelid. Finally, a drug such as Ambien may inhibit the inhibition: by binding to the many inhibitory receptors in the pallidum, it forces its overexcited inhibitory cells to switch off, thus releasing the cortex and thalamus from their unwanted quiescence. Most paradoxical is the effect of Ambien, a sleeping pill that, bizarrely, may revive consciousness. #coma #nde The entire video of 58' will be available in July 2011! Coma occurs when the brain does not have enough nutrients. I can usually tell by the tone in their voice that they are desperate, afraid and uncertain what to do. If your friend or relative has not received any OT or coma stimulation, don't wait and don't settle for coma stimulation being once a week or less. Brain Stimulation in Coma. Dopamine is a neurotransmitter that is primarily involved in the brain’s reward circuits. I just want to add that as a nurse who worked almost exclusively with TBIs, I did have receive comatose patients. Interviews with Fellow Occupational Therapists, OT Blog - Potential • An Occupational Therapy Blog and Resource Site, A Highly recommended Memoir and Expose of a Dysfunctional Legal System, Vision OT | Improving function through vision, American Association of Occupational Therapy, First Book Review of Tuvia Finds His Freedom, More Book Reviews on Tuvia Finds His Freedom, Second Book Review of Tuvia Finds His Freedom, Making a Cup of Tea – an Occupational Therapy Perspective, My Love-Hate Relationship with Occupational Therapy, Shoshanah with Bear Sharing Some Thoughts about Wool, Please think of those who need to use a ramp, TENS Machine - An Option for Pain Management, The Seven Stages of Man by William Shakespeare. The image above illustrates one of them. The focus here is on coma … Once it is switched on, it will slowly return to a self-regulating state. Coma is different from sleep because the person is unable to wake up. I think someone in a coma is likely aware of the sounds and voices they hear, may understand conversation, and may benefit from being talked to or read to. Would it be possible to stimulate muscle and organ development or … Every now and again we get news stories about how someone in a coma “woke up” when their loved ones played or sang their favorite song. Slate relies on advertising to support our journalism. Events leading up to the coma, such as vomiting or headaches 2. On Dec. 8, 1995, a stroke plunged Bauby into a 20-day coma. There are so many things I loved a... Can you make a cup of tea? In reality, depending on the cause and severity of the coma, a recovery can be almost guaranteed or extremely unlikely. We will soon be able to collect spontaneous brain discharges in the prefrontal or premotor cortex and play them back to other distant regions—either directly in the form of electrical discharges, or perhaps more simply by recoding them into visual or auditory signals. But this may not be the end for the brain, researchers have found. Is it too far-fetched to imagine that some of its nodes and connections might be replaced by external loops? Can you imagine not being able to? If someone you know is in a coma, our hearts and prayers go out to you! By regularly assessing a patient’s GCS, a downward trend in consciousness level can be recognised early, allowing time for appropriate interventions to be performed. An electrode that is planted deep in the thalamus may counteract the excessive inhibition of thalamic neurons and thus switch them on again. If someone in your life goes into a coma, it’s important to remember that they will need help and support when they come out of it. The first prayer that comes to mind for a situation like this is the Chaplet of Divine Mercy . And you'll never see this message again. A coma is a prolonged state of unconsciousness. Author’s Sidebar: Every once in a while, I’ll get a phone call or an email message from a person, who has a relative in the hospital in a diabetic coma. Others never recover completely. Crystals to help friend in a coma-1682 ... "Someone who is in a coma is unconscious and will not respond to voices, other sounds, ... they can indeed hear, feel and sense. The recovery and outcome of their condition or situation can be vastly improved by including Coma Stimulation into their therapeutic intervention being offered. Indeed, strange reports of sudden remissions abound in medical records. If the circuit is sufficiently spared to be switched back on, such patients may exhibit a surprisingly fast recovery. Nothing can appear so disruptive as eyes that are This means also that number of visitors MUST be reduced to one or two at a given time and no talking simultaneously as this is too confusing for a comatosed person. Some individuals in coma fail to give response in an appropriate way about what exactly is taking place or who is coming in front of them. Time will tell whether this idea is far-fetched. I can usually tell by the tone in their voice that they are desperate, afraid and uncertain what to do. referral is required in order to carryout coma stimulation. They seem to arise from the multiple loops that link the cortical workspace network, the thalamus, and two of the basal ganglia (the striatum and the pallidum). In 2006, the subdivision of noncommunicative patients into coma, vegetative, minimally conscious, and locked-in states seemed well established when a shocking report, published in the prestigious journal Science, suddenly shattered the clinical consensus. Coma may worsen to become a persistent vegetative state. Reprinted by arrangement with Viking, a member of Penguin Group (USA) LLC. Jean-Dominique Bauby, the editor of the French fashion magazine Elle, was only 43 when his life took a dramatic turn. twice) ... What is nystagmus? Usually, coma patients have their eyes closed and cannot see what happens around them. The average coma lasts two to four weeks, but the longer the coma, the less the chance of recovery or survival. They can be switched back on by inserting a circuit breaker into this vicious circle. But how can we flip the cortical switch back to the “on” position? All these mechanisms, although still hypothetical, may explain why these drugs have similar effects in the end: They all bring cortical activity closer to its normal level. How fast a person comes out of a coma depends on what caused it and the severity of the damage to the brain. The person is alive, but they cannot respond in the normal way to their environment. The Glasgow Coma Scale (GCS) allows healthcare professionals to consistently evaluate the level of consciousness of a patient. They want someone to listen to all of the details and then give them an answer they want to hear. constantly moving. Some people emerge from a coma with no mental or physical disability, but most require at least some type of therapy to regain mental and physical skills. The vOICe - a New Development for the Blind. The person may stretch his or her arms and legs in unusual ways, but the person will not display purposeful movement. I was compelled to write this book review. Via these loops, the cortex can indirectly excite itself, as activation propagates in a circular path from frontal cortex to striatum, pallidum, thalamus, and back to cortex. These pathways are still largely intact, however; they are only massively inhibited. A person in a coma will be unconscious and unable to communicate. It is commonly used in the context of head trauma, but it is also useful in a wide variety of other non-trauma related settings. the mean coma length as well as a faster increase in Glasgow Coma Scale mean weekly scores (Mitchell et al., 1990 ). It sounds like sentimental exaggeration. I've wondered whether to write this. My freind has been in a coma for 8 days now in the hospitol and I have been trying to read to him as best as I can be cause I know that he was an a-vid reader , in any case, I went to the childrens' cancer ward wear there were some books and picked up the Catcher in the Rie which I thought would be abut a base … There is some thinking that talking to someone in a coma may help them recover from it. Any noticeable signs or symptoms prior to losing consciousness 4. Its activity is free to shoot up, thus shutting down the thalamus and the cortex and preventing them from sustaining any conscious activity. Detecting brain activity in coma patients can actually be a scary thing for their families June 26, 2014 8.34am EDT ... Rachel isn’t the only person who has reservations. There are different reasons for coma, which include coma resulting from structural or mechanical damage, metabolic changes that occur near death or from insulin imbalances and psychological or psychogenic factors. He … He awakened to find himself in a hospital ward, fully paralyzed except for one eye and part of his head. In reality, coma survival rates are 50 percent or less, and less than 10 percent of people who come out of a coma completely recover from it . It was Your friend or relative or whoever it is you know that is in a coma needs regular Coma Stimulation and it must be daily, once a month, once in two weeks, nothing at all is not acceptable. Alternatively, dopamine or amantadine may be used to excite the cortex, either directly or through the remaining neurons in the striatum. Once out of a coma, which typically lasts for around 1-4 weeks (in severe cases months or even years) patients need to act quickly to recover from this devastating experience. When you apply for benefits on behalf of someone in a coma, the SSA needs to see certain medical records. A coma is similar to a dream-like state because the individual is alive but not conscious. Because people in a coma can't express themselves, doctors must rely on physical clues and information provided by families and friends. Medical Evidence Necessary for a Coma Disability Claim. or hold their hand, … He or she will not respond to light, sound or pain. Types of stimulation will include auditory, tactile, visual, olfactory, taste and proprioception / movement. Picture Window theme. you are in Israel and have a relative who is in a coma, a doctor's A man in France has regained some aspects of consciousness after being in a vegetative state for 15 years, after surgeons used a technique to stimulate his brain via a nerve in the neck. Scientific American is the essential guide to the most awe-inspiring advances in science and technology, explaining how they change our understanding of the world and shape our lives. Slate is published by The Slate Group, a Graham Holdings Company. In some cases, however, the neurons are intact but have lost many of their connections. All rights reserved. A favorable sign is when the prefrontal cortex seems intact on an anatomical image yet shows a dramatically reduced metabolism; the cortex may have been simply switched off and may be reawakened. It is commonly used in the context of head trauma, but it is also useful in a wide variety of other non-trauma related settings. So here it g... Safety in the kitchen is a topic that Occupational Therapists work with a lot. In their normal range of operation, many of the brain’s synapses are plastic and can increase their weight to help stabilize the active neuronal assemblies. During a coma, a person is unresponsive to their environment. Visit and sit quietly, not really interacting with the patient in the bed? If you value our work, please disable your ad blocker. A person who is unconscious, even someone who has been in a long-continued coma, can be helped using a process called an Unconscious Person Assist. Coma indicates a deep unconsciousness of a person. They may need to learn how to speak, walk or even eat again. A person in a coma will be unconscious and unable to communicate. Though I have had a dream... Do you have a pet peeve? In general, coma is “a lack of awareness” of one’s self and surroundings. I have been doing some reading on sensory processing in preparation for a patient I am working with and once again find myself grateful t... Management of pain is a problem for many medical conditions. The research could potentially even suggest ways to stimulate the brains of patients in a coma to improve their outcome, he added. Are you asleep? These types of phone calls are difficult, because there’s very little that I can do or say to console them or help them. If the cause was a metabolic problem such as diabetes, and doctors treat it with medication, he can come out of the coma relatively quickly. Using an experimental group (n=15) matched with a control group, Kater used a multimodal stimulation intervention strategy. What do you do when a friend or loved one is in a coma? They want to tell someone the entire messed up, confusing, painful story of how all of this happened. The British neuroscientist Adrian Owen described a patient who showed all the clinical signs of a vegetative state but whose brain activity suggested a considerable degree of consciousness. What would the physical consequences be if someone being born in a coma (or going into a coma a few days after birth) and living in a coma for the first 18 years. Munira Abdullah (born 1959), an Emirati woman who in 2018 woke up after being in a coma for 27 years that was caused by a car accident; Gary Dockery (1954–1997), an American police officer who spent over seven and a half years in a coma after being shot in the forehead. Actually there is something you can do and it is called Coma Stimulation. There are clear guidelines as to how long to carry out each different stimulization for and how many people should be involved at one time. My Lord and Savior Jesus Christ i come before you to pray for RedSquirrel as she has a very young someone who is dear to her who is in a coma.Jesus i pray that You lay hands on him and that You touch him from head to toe through your stripes he is healed in your name Jesus.Their is only power and healing in your Name … One patient had been totally mute and immobile for months, in a neurological syndrome called “akinetic mutism.” To ease his sleep, he was given a pill of Ambien, a well-known hypnotic—and all of a sudden he awoke, moved, and began to speak. I think it is very important that those visiting stimulate the patient by speaking, reading to them, playing music, etc. But the main thing about a drug-induced coma, as opposed to a coma, is that it's reversible. Other cases on record are much stranger. On Dec. 8, 1995, a stroke plunged Bauby into a 20-day coma. He awakened to find himself in a hospital ward, fully paralyzed except for one eye and part of his head. Coma patients may not understand those sounds, and not … A coma stimulation programme (sometimes called a coma arousal programme) is an approach based on stimulating the unconscious person’s senses of hearing, touch, smell, taste and vision individually in order to help their recovery. If you do this to someone with a normal brain, they would come right out of it once you removed the drugs. In some cases, the brains of coma patients can process sounds, for example the voice of someone speaking to them . How to talk to someone in a coma is also of importance and this MUST be carried out by EVERYONE interacting with the comatosed person. However unlike most of patients who come out of a coma after years, he fell back into a coma … Join Slate Plus to continue reading, and you’ll get unlimited access to all our work—and support Slate’s independent journalism. It is not the same as brain death. It can’t. We are in for a revolution in the treatment of disorders of consciousness. Once you In reality, coma survival rates are 50 percent or less, and less than 10 percent of people who come out of a coma completely recover from it . I sent a copy to Amazon. Just stay away? Surprisingly, this “waking up from coma” can occur over a relatively brief period of time, after months or even years of minimal responsiveness. Cinderella the Great. With this assist you can help to get the person into communication with you and his surroundings, and so bring him from unconsciousness back to life and livingness. Monsieur Noirtier is a fictional character—probably the first literary description of a locked-in syndrome. One man remained in a minimally conscious state for 19 years, then suddenly recovered language and memory. A person in a coma can’t even respond to pain. Unfortunately, there's no treatment to wake someone from a coma; some wake, some don't. A person in a coma can’t sense or respond to the needs of his body or his environment. The person is alive and looks like they are sleeping. Perhaps make a recording of your voice talking about the rafting trip, and the details of it, so his family could play it to him, may help. Pray and keep your distance? The research could potentially even suggest ways to stimulate the brains of patients in a coma to improve their outcome, he added. A person in a coma: • May or may not have their eyes closed all the time. Trauma, bleeding, or swelling of the brain can affect blood delivery, various poisons can also directly injure the brain, and brain inflammation and infection can also alter mental status and lead to coma.
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