Life is resilient; life strives to be. To give up on life too readily is a betrayal of life.
Life deserves our every effort to provide what support we are able to muster.
Where There Is Life There Is Life
This is ABC News -
Yahle's near-death experience started at 4 a.m. that day, when his wife, Melissa Yahle, woke up and realized his breathing didn't sound right. Melissa, who has been a nurse for seven years, said she tried unsuccessfully to wake him up.
Melissa and Lawrence performed CPR until an ambulance could arrive, and first responders found a heartbeat after shocking Yahle several times.
At the hospital, doctors expected Yahle's arteries to be clogged, but they were clear. Things were looking positive until later that afternoon, when Yahle's heart stopped.
He "coded" for 45 minutes as doctors tried to revive him, but eventually Nazir realized it was time to call the time of death.
"We looked at each other," Nazir said. "We'd given him all the medicine we had in our code cart. At some point, you have to call it off."
Nazir said he wasn't sure exactly how long Yahle was "dead," before Lawrence ran down the hall to tell his father he couldn't die that day.
"Suddenly that trickle of a thing came back," Nazir said. "We were lucky we saw and reacted to it, and that brought him back."
Nazir said it was "mind boggling." Melissa said she, Lawrence and the people from their church who were praying with them witnessed a miracle.
Yahle was transferred to Ohio State University, and he returned home to West Carrollton on Aug. 10 with a defibrillator in his chest. He doesn't remember any of the experience after he went to bed on Aug. 4.
"He doesn't have one broken rib," Melissa said. "He's not sore. These are things that just clinically don't happen."
Yahle is set to go back to work on Monday, and doctors may do a heart biopsy to find out more about what happened.
"Modo liceat vivere, est spes." - Terence (190 - 159 BC)
Ubi non est spes ulla spe!
Lorina Naci has a communication brainwave -
To our knowledge, we show for the first time with functional magnetic resonance imaging that behaviorally nonresponsive patients can use selective auditory attention to convey their ability to follow commands and communicate. One patient in a minimally conscious state was able to use attention to establish functional communication in the scanner, despite his inability to produce any communication responses in repeated bedside examinations. More important, 1 patient, who had been in a vegetative state for 12 years before the scanning and subsequent to it, was able to use attention to correctly communicate answers to several binary questions. The technique may be useful in establishing basic communication with patients who appear unresponsive to bedside examinations and cannot respond with existing neuroimaging methods.
This is JAMA Network Neurology -
Our understanding of the pathophysiology of chronic disorders of consciousness continues to be illuminated by creative functional neuroimaging studies, yet the diagnosis and classification of these disorders remain based on clinical examination findings.1 Naci and Owen2 supplement the growing evidence that functional magnetic resonance imaging (fMRI) can uncover cognitive functioning that cannot be elicited by neurological examination. They show that selective auditory attention and the capacity to follow commands and communicate can be detected in a few patients in a minimally conscious state (MCS) or a vegetative state (VS) who are otherwise utterly unresponsive. Their convincing data raise the more general question that I consider here of how these findings impact the nosology and diagnostic criteria of chronic disorders of consciousness. [James L. Bernat, MD]