tag:blogger.com,1999:blog-6789188.post4926512082699341331..comments2024-03-27T17:15:37.606-04:00Comments on Triablogue: Sancho, saddle up RocinanteRyanhttp://www.blogger.com/profile/17809283662428917799noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-6789188.post-7687935674307349802013-12-14T00:25:21.798-05:002013-12-14T00:25:21.798-05:00Thanks, Tom! That's fascinating, and I appreci...Thanks, Tom! That's fascinating, and I appreciate you giving so much info already while entirely respecting HIPAA (e.g. GCS, complications).<br /><br />Of course, one could wish for additional info (e.g. if it was a primary or secondary IPH; if the hemorrhage occurred in the basal ganglia and thalamus or one of the cerebral hemispheres; initial IPH volume on CT; hematoma growth in the first 24 hrs). But obviously I certainly wouldn't wish for you to divulge any more info let alone on a public weblog like this one.<br /><br />In any case, not that my opinion matters, but I agree it does seem like an amazing recovery!<br /><br />BTW, you might be interested in a systematic review like <a href="http://www.ncbi.nlm.nih.gov/pubmed/20056489" rel="nofollow">this one</a>.<br /><br />Thanks again, Tom!Patrick Chanhttps://www.blogger.com/profile/16095377877712197984noreply@blogger.comtag:blogger.com,1999:blog-6789188.post-52175263877620198552013-12-13T18:14:50.490-05:002013-12-13T18:14:50.490-05:00Sure, I have to be fairly vague with HIPAA as you ...Sure, I have to be fairly vague with HIPAA as you know, but basically:<br /><br />This patient came in with a severe intraparenchymal hemorrhage and presented with a Glasgow coma scale score of 4 (3 is the lowest) at that time. This led to brain surgery and ventilator support. The doctors, nurses, etc. all agreed prognosis was "poor", but the patient was kept on life support (i.e. vent, aggressive blood pressure control, tube feedings, etc.) until the time came when a tracheostomy had to be placed in order to go on, and long term acute care facilities began to be looked into for a patient that was likely to be bedridden needing continued care, if not remain a complete vegetable.<br /><br />Keep in mind at this point the patient's pupils were disconjugate and pneumonia had developed in the lungs. The patient was off sedation and totally non-responsive.<br /><br />Anyway, fast forward several weeks, when almost overnight (in reality 2-3 days, but that is relatively fast considering how much time has gone by since the surgery) the patient became fully responsive. Ventilator care was removed, and the patient is able to sit up in a chair and carry on a conversation, breathing and eating on their own. One of the doctors labeled it an "incredible recovery" (and that's in the medical documentation, not just a verbal aside). The staff is shocked at the rapid turnaround, and it looks like instead of being a vegetable at a long-term acute care hospital, the patient will be going home after some physical therapy.<br /><br />There are certainly more details to the story, but that's all I feel comfortable giving with all the HIPAA regulations. Like I say, there's no way to rule out a completely naturalistic explanation, but my limited experience (3 1/2 years as a critical care dietitian) has not yet given me any such explanation. Tom Lemkehttps://www.blogger.com/profile/17483510677616574237noreply@blogger.comtag:blogger.com,1999:blog-6789188.post-87318904355870651442013-12-13T01:10:36.981-05:002013-12-13T01:10:36.981-05:00Would it be possible to share a few more details a...Would it be possible to share a few more details about your story (while respecting patient confidentiality of course)?Patrick Chanhttps://www.blogger.com/profile/16095377877712197984noreply@blogger.comtag:blogger.com,1999:blog-6789188.post-17569326748807855732013-12-13T00:42:25.731-05:002013-12-13T00:42:25.731-05:00Thanks for that. Thanks for that. stevehttps://www.blogger.com/profile/16547070544928321788noreply@blogger.comtag:blogger.com,1999:blog-6789188.post-37945643384691000812013-12-13T00:25:14.529-05:002013-12-13T00:25:14.529-05:00I'm greatly benefitting from your continued po...I'm greatly benefitting from your continued posts on cessationism/continuationism, Steve. I have been a good Christian materialist for all my life, and you've challenged me beyond that to the point where I find myself siding with you on this more often than not. <br /><br />In passing, I work at a hospital and witnessed what I would certainly call a medical miracle this past week. The doctors agree it's an astonishing recovery - we're all baffled. I can't rule out a naturalistic explanation, but it does seem that we have seen an act of God.Tom Lemkehttps://www.blogger.com/profile/17483510677616574237noreply@blogger.com