Doctor insights on:
Can A Patient In Coma Hear
Difficult: BP change on talking to the comatose patient means his autonomic system is responding to some stimuli not necessarily speaking. I am not aware of study that has answered to this parameter for prognosis. ...Read more
Likely yes!: I can answer this from personal experience. I spent months in an ICU on a ventilator and I was in a coma for part of that time. I heard a lot more than anyone imagined! Believe me, I could write a soap opera. Always assume that someone in a coma can hear you. Talk to the person as if they can, and put your mouth close to their ear. Don't let anyone make you feel silly for doing so! ...Read more
It depends: There are many forms of coma. With light coma the patient can be aware and remember everything that occurs around him. In deeper forms they may be aware but do not remember. In very deep forms there is no awareness or memory. It is very difficult for even highly trained observers to judge the level of coma. No specfic test is definitive. Assume they are aware until proven otherwise. ...Read more
It depends on what: You mean by "helping". Most doctors do not know much about reflexology and I am one of those docs, so I cannot tell you. All I can tell you is that the prognosis of a coma depends on what put the patient into a coma in the first place. I would be tempted to say that it cannot hurt, but then again, I would not know. Check with a local reflexologist or somebody with experience in eastern med. ...Read more
Yes: The Glasgow scale indicates the level of responsiveness of an individual who has experienced some form of brain trauma. At a score of 9, the individual is surely responsive ...Read more
No: In true coma there is no recognition of anything in the environment. Sometimes people who have been in a coma remember conversations, but many times these never occurred. Dreams and other neurologic functions can cause false memories. However, it's a good idea to always act as if the person can hear what you say. When coming out of a coma some conversations may be remembered. ...Read more
Vast number: Of diseases. This can be caused by any neurologic insult, infectious issues, metabolic issues, etc. Coma is a very vague medical term that people don't use often in medical terminology because it does not tell us much. I am sorry I cannot be more direct with an answer, but without more history, I cannot clarify it any further. Again, the list is immense that can cause someone to fall into a coma. ...Read more
They sometimes to be: It depends on the patient's goals of care. Some want to remain as alert as possible and are willing to suffer to remain alert. Others do not but can be managed with pain medications yet remain alert. Others however require higher doses and the only way relief is found is when they are sleeping, in which case "sedation for refractory symptoms" is used when nothing else has worked. ...Read more
Can you explain if it's true that when someone is in a coma, they can hear things, but can't respond?
It can be true: Coma is a state where people do not respond to the environment. There are several causes of coma. It can be induced by medications, can be caused by trauma, infection as exemple of a few. Depending of the depth of the coma or the cause and where the lesion is the patient might be able to hear but not respond. ...Read more
Can a patient be in coma for less than 6hrs (as 6hrs is minimum)? What's the diagnose that someone is in coma?
A coma is a: Prolonged state of unconsciousness, during which a person is unresponsive to his or her environment, is alive and appears to be sleeping, but, unlike being in a deep sleep, the person cannot be awakened by any stimulation, including pain. I do not think there is a minimum time frame but, according to www. Brainandspinalcord. Org, a coma can last for a few seconds, or can last for years. ...Read more
What would cause unequal pupils in a patient that has been in a medically induced coma for over a week?
Depends: It is important to know if this had been true prior to the illness onset. If not present prior the possibility is high the pt has had some intracranial catastrophe such as brain bleed. The unequal pupils suggest a bleed or other intracranial event. Need to speak to the neurologist. If not under the care of neuro get a consult. ...Read more
If patient has been unconscious for 3 days without being treated, will patient come out to the coma? She was found 3 1/2 days later....
Unclear: There is no definitive answer, as there are very many mitigating factors. In and of itself, it is possible to recover from a coma. Recovery mostly depends on what caused the coma and if damage (if any detectable damage) is reversible. Speak honestly and openly with your medical team, they should do the same in answering your questions. ...Read more
When a coma patient wakes up what is the very first thing a doctor does? And how is the situation handled?
Individualized: Depends on the individual circumstances: age, underlying issues, other conditions, baseline functioning, family support, etc. ...Read more