PDA

View Full Version : The human brain is friggin' awesome!


paulinaaa
07-04-2006, 07:41 AM
And this is why:
HARRIET, Ark., July 2 — Terry Wallis spends almost all of his waking hours in bed, listening to country-western music in a cramped, two-room bungalow down a gravel road off State Highway 263.

Related
Possible Axonal Regrowth in Late Recovery From the Minimally Conscious State (Journal of Clinical Investigation)

Mr. Wallis, 42, wears an open, curious expression and speaks in a slurred but coherent voice. He volleys a visitor's pleased-to-meet-you with, "Glad to be met," and can speak haltingly of his family's plans to light fireworks at his brother's house nearby.

For his family, each word is a miracle. For 19 years — until June 11, 2003 — Mr. Wallis lay mute and virtually unresponsive in a state of minimal consciousness, the result of a head injury suffered in a traffic accident. Since his abrupt recovery — his first word was "Mom," uttered at the sight of his mother — he has continued to improve, speaking more, remembering more.

But Mr. Wallis' return to the world, and the progress he has made, have also been a kind of miracle for scientists: an unprecedented opportunity to study, using advanced scanning technology, how the human brain can suddenly recover from such severe, long-lasting injury.

In a paper being published Monday, researchers are reporting that they have found strong evidence that Mr. Wallis's brain is healing itself by forming new neural connections since 2003.

The paper, appearing in The Journal of Clinical Investigation, includes a series of images of Mr. Wallis's brain, the first such pictures ever taken from a late-recovering patient.

The new findings raise the hope that doctors will eventually have the ability to determine which patients with severe brain damage have the best chance of recovering. They might also help settle disputes in cases like that of Terri Schiavo, the Florida woman who was removed from life support and died last year after a bitter national debate over patients' rights. Ms. Schiavo suffered more profound brain damage than Mr. Wallis and did not show signs of responsive awareness, according to neurologists who examined her.

"We read about these widely publicized cases of miraculous recovery every few years, but none of them — not one — has ever been followed up scientifically until now," said Dr. Nicholas Schiff, a neuroscientist at Weill Cornell Medical College in Manhattan and the senior author of the new imaging study.
And the article continues on (here (http://www.nytimes.com/2006/07/04/health/psychology/04coma.html?ex=1309665600&en=7b8c8e905a0e789f&ei=5088&partner=rssnyt&emc=rss)), but that's the gist. It makes me smile that people can go in and out of this world. I can't even begin to imagine what it's like for this man to relearn everything... but the fact that he can overshadows any difficulties! The human brain is a crazy thing.

QueenDillyDally
07-04-2006, 08:09 AM
I just read this too!

A similar story that I have witnessed...

I work in a nursing home. 5 years ago, a lady, M, (who was in her late 40's at the time), was in a bad car accident and had severe brain injuries as well as fractured skull, jaw, arms, etc.... Well, M survived and no longer needed a respirator but was diaganosed to be in a "persistent vegetative state". She was transferred to our facility for long term care. She could not eat so she had a tube feeding, as well as would not respond to anyone. She had so "spasmic" movements of her arms/legs but that was it.

All throughout her stay at our facility, M's adult daughter would call her on the phone (daughter lives in California) and talk to her. The daughter always said that her mom could hear her and knew what was going on. The daughter had a baby about a year ago and would always talk to her mom about it. Nurses & caregivers at the facility would talk to M like she knew what was going on (but we never believed she could understand what was being said).

About 8 months ago, my sister (who is a nurse at the facility) went into her room to do mouth care on M. While my sister was brushing M's teeth, my sister told her to "spit". All of a sudden, M, just out loud says, "WHERE?". My sister did a double take and said to M, "WHAT DID YOU SAY?". M then answered my sister and M said: "WHERE DO YOU WANT ME TO SPIT?" My sister couldn't believe that she was talking coherently! This lady hadn't talked or responded in almost 5 years!

So, it seems, many of the nurses & caregivers have witnessed this lady for the past 8 months talk and respond APPROPRIATELY.

Remember, M's granddaughter was born about a year ago. During that time, the family and M's daughter would talk about the upcoming birth and talk to M about how her granddaughter, Z, was going to be born soon. Shortly after Z was born, they flew in from CA to see M. At the time, M was still unresponsive as per usual. Well, not to long after my sister witnessed M talking, M's daughter called to talk to M. While she was talking to M on the phone, the daughter asked M what the baby's name is. M responded and said "Z". She knew her granddaughter's name EXACTLY how it was told to her while she was in the persistent vegetative state! Weird!

I don't think M's story is going to end as happily as this man in the article. So far, the facility has not been able to get M placed into a neurorehab program (state funding cuts for neurorehab) for intensive rehab. She is still about the same functional level as before, except she can express herself and talk. She is still on a tubefeeding for all of her nutrition and remains total care. The one negative about this is that she can now express her pain... she is in severe pain from all of the fractured bones & contractures and most of the pain meds (like morphine) are not keeping her comfortable. It's a very frustrating & sad situation.

So, anyways, amazing how the brain works, isn't it?

jnettie
07-04-2006, 11:38 AM
Wow! These are both really amazing stories! It will be interesting to know what can be learned from the man in the article.

shicks72, I wonder if your patient couldn't become part of a research study as well? There can't be too many cases like hers, and a research program would have outside funding that doesn't involve the state in the same sort of way. It would be worth looing into.

QueenDillyDally
07-04-2006, 11:42 AM
Thanks for that advice jnettie! When I go back to work tomorrow, I'll have to suggest that.