The term 'Coma' from the Greek language means deep sleep.
A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened; fail to respond normally to painful stimuli, light, or sound; lack a normal wake-sleep cycle; and does not initiate voluntary actions.
There are many causes and problems that cause of comas:
Traumatic brain injuries causes can be accidents such as a bad fall to a car crash. Or worse an act of violence that has left someone hurt by their attacker.
Stroke caused by reduced or an interruption of blood to the brain. This can cause blocked blood arteries and a burst blood vessel to the brain. Strokes can be unforeseen and unpredictable to foresee, which is why it can result in death.
Tumours Likely attached to the brainstem.
Diabetes Depends on blood sugar being too high or too low.
Lack of oxygen Can be caused by drowning when heart stops and oxygen does not go to the brain any more. The person then is resuscitated but will not wake up.
Infections Can cause swelling in the brain and the spinal cord.
Seizure-Such as epilepsy can cause this, especially if they are occasional.
Toxins known or unknown exposure to chemicals such as carbon monoxide or lead, during a short or long period of time
Drugs and alcohol can cause damage to the brain. Or otherwise accidental or make matters worse an overdose can cause this.
Medically induced comas-a deliberate and induced coma to help the patient to heal overtime by pharmaceutical agents used during a neurosurgery. This helps with patients with the brain swelling or the brain bleeds this can help with that.
Surgery-Some surgeries can and are traumatic for the brain and to the body. General anaesthesia is a reversible drug to the coma, but some patients have unknown allergies to it and can be the result of a coma or death.
The Doctors were only able to do so much.
Patient:
Kudo Shinichi
Gender: Female
Age: 14
ICU
They were able to diagnose that the Mother died on impact with a blow to the head. And felt little or none to the brain. Probably not even know what had happened to her or her family, this was a comfort to many people. The Father died by strangulation of the seatbelt while trying to escape and rescue his family. There was little water found in his lunges to prove this theory was correct.
When a liquid such as water enters the body and fills the lungs causing asphyxia. In simpler terms drowning.
The brain can survive up until six minutes after the heart has stopped, without any permanent and irreversible damage to the brain.
Brain Death is caused by a lack of oxygen to the brain. And the possible cause of this to the patient was suffocation by drowning.
The patient was under water for an unknown amount of time that made it hard to pinpoint. And resuscitation had done little or no affect to the patient that was not breathing at the scene and had to have a machine to do breathing for her.
Brain scans show that there was swelling in the brain. So, the Doctors would have to wait for the swelling to go down before they could get a full analysis and diagnosis that they would be to prepare for.
The patient was left on life support and wait. That was all the Doctors and everyone else could do, that was all that could be done.
Broken and fractured ribs from CPR would have to be healed and managed. It would take four to six for the patient to heal or longer because of the damage already done there was a possibility there was permanent damage done already.
CT and MRI scans should that bones were also damaged. Previous CT scans show that there was damage already done and that there was a history of it. All that can be done was to monitor the brain waves and take care of the body.
The patient was showing no signs of recovery to the brain.
The patient was considered young and healthy before and previous to the coma.
One month and half the body started to heal quickly and heal. Doctors were impressed and shocked by the amazing recovery. But there were no signs that the patients would wake up.
There were potential signs that the patient was waking up but none conclusive either as none were monitored or seen by the hospital staff. It was thought that the patient was responding to people that were close to her, from either their voices or their touch. A close friend had visited after the funeral (parents of the patients) and had basically come to cry and say her condolences to the patients. She swore she saw the patient move her finger when she held her hand and she shed a tear onto her hand, as she said her goodbyes. The friend visited from often than that.
Unfortunately unforeseen consequences and circumstances had come in a shape of the sudden attack of the pancreas. The pancreas had to be removed from the patient with swift and major surgery, causing more traumas that the brain might not fully recover from. The fever caused an infection to attack the brain, but the doctors were able to stop this on time before any damage was done.
Recovery would take a further six to eight weeks. The patient was at high risk to pneumonia an after some complications the patient was now be treated for it.
A week from being in a coma for three months the patients takes a sudden and unexpected when the patient went into cardiac arrest.
The patient was legally dead for six minutes when the Doctor had called it "Patients time of death 21:41."
An authorised and lead Doctor decided to go against the Doctor wishes and decided to go one more round. And after an excruciating time the Doctor was notable to bring the patient back to life. But miraculously after everyone had given up all hope and they all had decided it was best to give up.
But to their surprise her heart started to beat again. Within a week the patient was stable and patient was stable but still showing no signs that she would or could ever wake brain swelling was down but for some unknown reason the patient was not waking up.
Medical records were leaked and press picked up on it like wild fire.
Some speculated that she did not want to wake up because she had no reason to wake up or was far too afraid to wake up. Some thought she simply did not want to and would rather be dead and would be better off that way.
Some thought that she was just pretending and was somewhere else, and doing something else.
Some thought it would be a miracle if she did. And some thought that she would be able to pull off that miracle because that was the kind of thing that she did.
The patient was in continuous pain and if the patient did not or could wake up, and then was there any point in keeping the patient alive if they were only to live in pain?
Would it better to terminate the patient instead?
That was too mean.
Let the patient go?
People wanted to die with their dignity.
But to whom could let this certain patient go ?
