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[–] 145 points 6 months ago (11 children)

An alternative headline is that a woman was nearly burned alive after being misdiagnosed.

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  • [–] 85 points 6 months ago (4 children)

    If you read the article, it seems she was properly assessed as having no brain stem activity. Could be a cover up, who knows.
    And they wouldn't actually cremate her until there was no pulse. Unless they covered that up too!

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  • I mean obviously we only have the accounts of the article, but they claim her vitals were low, her Glasgow Coma Scale had dropped to a 3, and multiple tests showed she had neurotoxins in her system. It sounds like there are records to back up the claims being made. Obviously someone could always be lying, but it sounds like they've got the right info backing it up here.

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  • [–] 31 points 6 months ago (5 children)

    Reading the article, it doesn't seem like a misdiagnosis. She showed all the signs of brain death and her chances of living were basically zero. Her family decided to start making preparations. When her body was being delivered back in an ambulance, they hit a pothole that jolted her brain back into action. Genuinely crazy medical story, but with 8,000,000,000 people on earth, this happening to at least one person is all but guaranteed.

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  • [–] 24 points 6 months ago* (4 children)

    Brain dead diagnosis is not very scientific based.

    Not really. And let me explain.

    You can see if there is electrical activity signals , you can do a fMRI scan (shows blood usage which indicates changes in cognitive processing. Most brains show patterns of blood use when doing tasks).

    But. When you are unconscious, these always show low activity.

    It's not really that much different than someone being under anesthesia. They show the same pattern of brain activity as someone in a coma.

    Now sometimes there is specific abnormalities for an injured region. But this just tells you that part of the brain is damaged. It doesn't tell us if the person will regain consciousness

    Awareness (consciousness in this definition) is controlled by a specific area in the mid brain (just north of the brain stem) called the renticular activating system.

    Damage to this system is considered more conclusive brain death but that's rare because of where it is. But it can still happen.

    Actually interesting fact, anesthesia is used to study locked-in and "brain dead," patients. Lots of ongoing research.

    Anywho. There is a lot of controversy about what counts as brain dead. And how to distinguish , objectively with tests, from locked-in syndrome. Which is like being aware but being 100% paralyzed.

    But one way you can be 100 % sure someone is brain dead is you keep them alive for 6 months to a year. And you compare their white matter scans from a MRI from start to that time.

    For those who won't be coming back, they will show pretty fast white matter loss generally everywhere.

    Because the brain works like a muscle. Use it or lose it. And a loss that fast means nothing , literally no cognitive or perception processing, is occurring.

    But as you can imagine there are ethical issues for that too and , financial ones.

    Often if the patient shows no changes in electrical activity and no awareness for a few weeks or so, the general conclusion is they won't be recovering.

    Not exactly a reliable conclusion.

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  • [–] 9 points 6 months ago (1 child)

    Lovely reply, thank you for taking the time to educate us.

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  • [–] 10 points 6 months ago* (last edited 6 months ago)

    There was a woman in the 90s who was brain dead and kept alive by life support for many years. It was controversial because her husband wanted to remove her feeding tube but her parents objected. Legally. Long drawn out legal battle from 1990 to 2005.

    Anywho.

    Here is an image of her brain scan. A CT. Not a MRI. But you can get similar info. (Right side image)

    The dark areas are empty fluid filled.

    White band around the head is the skull. Didn't know the skull could thicken with brain loss but I suspect that's a rare thing since people aren't typically kept alive that long with a shrinking brain.

    Anyway.

    You can see comparison of image taken in 2002 after being in her state (1990) for 12 years compared to an average brain of her peer (female of same age, left side image).

    Her brain weighed about half as much as it should have.

    She was finally allowed to die in 2005.

    https://pmc.ncbi.nlm.nih.gov/articles/PMC558485/

    https://en.wikipedia.org/wiki/Terri_Schiavo_case

    Depending on your age and if you are in the U.S or not. You might remember hearing about her.

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  • [–] 132 points 6 months ago (4 children)

    Percussive maintenance strikes again

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    [–] 89 points 6 months ago (27 children)

    This somehow makes way for a "smack the patient in the face" medical treatment.

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  • [–] 72 points 6 months ago* (17 children)

    Do you know in the movies when they dramatically slam someone’s chest and yell “live damn it”?

    That is called the precordial thump, and it used to be used in codes

    Sometimes a good wallop is all someone needs

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    [–] 59 points 6 months ago (1 child)

    Some part of her deep inside, must felt the bump, and realized:

    She can't afford the ambulance.

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  • [–] 47 points 6 months ago (1 child)

    When turning it off and back on doesn't work, sometime percussive maintenance is the key.

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    [–] 37 points 6 months ago (3 children)

    Potholes, ruins rims and apparently brings you back to life.

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    [–] 20 points 6 months ago (5 children)

    You know that sensation of falling while you’re falling asleep? Have they ever tried dropping comatose or brain dead people to see if it wakes them up? In a safe way, like raised 1 foot off a bed in a hoist and fall softly onto a cushion.

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    [–] 18 points 6 months ago

    Was the doctor AI?

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  • [–] 17 points 6 months ago* (6 children)

    The pothole is a powerful medical tool.

    In the industry I've heard tell of it cardioverting patients out of SVT, killing patients with an AAA, and spilling the coffee of medics who were not vigilant about their drink discipline (SCMWWNVADD)

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    [–] 16 points 6 months ago (1 child)

    Reason #1 why we should put sick people into earthquake simulators.

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    [–] 15 points 6 months ago (3 children)

    Oooh, I know that one!

    What's UP highway?

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    This article leaves me asking many questions.

    If I were her and felt like I had "conquered death," I would want to find out how all those neurotoxins ended up in my lymphatic system.

    Does anybody else in my immediate circle also have them in theirs? Because if they didn't come from the environment and ifs not a question of where did they come from, it might be a question of who did they come from.

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  • [–] 10 points 6 months ago (5 children)

    Had to figure out what a UP highway was.

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    [–] 9 points 6 months ago (1 child)

    Interestingly, I have lately been seeing articles saying that humans who have been declared braindead and regained consciousness have reported hearing conversations that took place several hours after the declared brain death. No links, it was a different device and aren't in history, but I'm sure searches will return something. Not vouching for veracity, either.

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    [–] 7 points 6 months ago (7 children)

    I always wonder what the religious say about these events. Like, clearly, the person was dead at one point and should have pass on, no? So what is the religious answer to explaining why they're alive again? 2nd wind? lol

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