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The Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making. In addition, video clips on neurologic examination and neurologic manifestations seen in comatose patients can be found here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the first edition have been reformatted and remastered for optimal use, and several more video clips of patients have also been included.
When Carl awakens from a coma after being attacked on a subway train, life around him feels unfamiliar, even strange. He arrives at his best friend's house without remembering how he got there; he seems to be having an affair with his secretary, which is pleasant but surprising. He starts to notice distortions in his experience, strange leaps in his perception of time. Is he truly reacting with the outside world, he wonders, or might he be terribly mistaken? So begins a dark psychological drama that raises questions about the the human psyche, dream versus reality, and the boundaries of consciousness. As Carl grapples with his predicament, Alex Garland - author of The Beach and the screenplay for 28 Days Later, plays with conventions and questions our assumptions about the way we exist in the world, even as it draws us into the unsettling and haunting book about a lost suitcase and a forgotten identity.
Clifford B. Saper, Chair of Neurology at Harvard Medical School, and Nicholas D. Schiff of Weill Medical College in NY join the original authors to thoroughly update this seminal text with over 90% new material. the goal of the new edition is to provide a clinically slanted volume that will help the reader understand and diagnose severe brain dysfunction both as it exists and as it evolves in the seriously ill. the book remains a treatise on pathophysiology because recent imaging, electrophysiologic, and biochemical technologies (discussed in the book) are by themselves insufficient substitute
On a snowy Friday night in 1979, just hours after making love for the first time, Richard's girlfriend, high school senior Karen Ann McNeil, falls into a coma. Nine months later she gives birth to their daughter, Megan. As Karen sleeps through the next seventeen years, Richard and their circle of friends reside in an emotional purgatory, passing through a variety of careers—modeling, film special effects, medicine, demolition—before finally reuniting on a conspiracy-driven super-natural television series. But real life grows as surreal as their TV show as Richard and his friends await Karen's reawakening . . . and the subsequent apocalypse.
A poetic exploration of trauma and renewal from the last avant-garde visionary of the twentieth century. Long ago, in childhood, when Summer reverberates and feels and throbs all over, it begins to circumscribe my body along with my self, and my body gives it shape in turn: the “joy” of living, of experiencing, of already foreseeing dismembers it, this entire body explodes, neurons rush toward what attracts them, zones of sensation break off almost in blocks that come to rest at the four corners of the landscape, at the four corners of Creation.—from Coma The novelist and playwright Pierre Guyotat has been called the last great avant-garde visionary of the twentieth century, and the near-cult status of his work—because of its extreme linguistic innovation and its provocative violence—has made him one of the most influential of French writers today. He has been hailed as the true literary heir to Lautréamont and Arthur Rimbaud, and his “inhuman” works have been mentioned in the same breath as those by Georges Bataille and Antonin Artaud. Winner of the 2006 prix Décembre, Coma is the deeply moving, vivid portrayal of the artistic and spiritual crisis that wracked Guyotat in the 1980s when he reached the physical limits of his search for a new language, entered a mental clinic, and fell into a coma brought on by self-imposed starvation. A poetic, cruelly lucid account, Coma links Guyotat's illness and loss of subjectivity to a broader concern for the slow, progressive regeneration of humanity. Written in what the author himself has called a “normalized writing,” this book visits a lifetime of moments that have in common the force of amazement, brilliance, and a flash of life. Grounded in experiences from the author's childhood and his family's role in the French Resistance, Coma is a tale of initiation that provides an invaluable key to interpreting Guyotat's work, past and future.
"The book is aimed at medical students and residents, in fields from internal medicine and pediatrics to emergency medicine, surgery, neurology, neurosurgery, and psychiatry, who are likely to encounter patients with disordered states of consciousness. It includes historical background and basic neurophysiology that is important for those in the clinical neurosciences, but also lays out a practical approach to the comatose patient that is an important part of the repertoire of all clinicians who provide emergency care for patients with disorders of consciousness."--BOOK JACKET.
Offering a new view and a fascinating understanding of coma states, this hope-filled work explains technology-driven insights and describes practices with which family members and caregivers can help promote recovery. Exciting scientific discoveries are validating what coma therapists Dr. Pierre Morin and Dr. Gary Reiss have been teaching for years: that coma patients' awareness is both detailed and complex, and their chances of significant recovery is much greater than previously thought. Inside Coma: A New View of Awareness, Healing, and Hope describes practical, body-centered ways of communicating with coma patients, showing family members and caregivers how to enter the patient's inner world of experience to engage their will and power to heal. Advocating for a new, ethical sensitivity that gives patients in remote and comatose states a right to exist, the authors explain the newest developments in the cutting-edge treatment of coma patients through a mind-body approach to medicine and healing, placing these developments in the context of the changing field of consciousness studies. They teach, challenge, and inspire readers to a new level of understanding, compassion, and intervention, offering basic tools with which health-care professionals and family members alike can begin this remarkably effective work.
What occurs within coma? What does the coma patient experience? How does the patient perceive the world outside of coma, if at all? The simple answer to these questions is that we don't know. Yet the sheer volume of literary and media texts would have us believe that we do. Examining representations of coma and brain injury across a variety of texts, this book investigates common tropes and linguistic devices used to portray the medical condition of coma, giving rise to universal mythologies and misconceptions in the public domain. Matthew Colbeck looks at how these texts represent, or fail to represent, long-term brain injury, drawing on narratives of coma survivors that have been produced and curated through writing groups he has run over the last 10 years. Discussing a diverse range of cultural works, including novels by Irvine Welsh, Stephen King, Tom McCarthy and Douglas Coupland, as well as film and media texts such as The Sopranos, Kill Bill, Coma and The Walking Dead, Colbeck provides an explanation for our fascination with coma. With a proliferation of misleading stories of survival in the media and in literature, this book explores the potential impact these have upon our own understanding of coma and its victims.
Coma: A Healing Journey, is a heartful and practical guide to non-intrusive communication with coma patients. Extending her husband, Arnold Mindell’s pioneering work with people in comatose and near death conditions, Amy Mindell provides step-by-step exercises to help family members and caregivers communicate with, and care for, patients thought to be lost in coma. The book helps to bridge the divide between the coma patient and concerned family, friends, and healthcare professionals while furthering the comatose person’s meaningful communications and inner journey. The deep relationship that comes from caring for, and communicating with, the person in coma, makes healing a part of the caregiver’s, as well as the patient’s, journey. Book Review 1: "A consummate guide for reconnecting with, and caring properly for, those we may consider ‘lost to coma.’ An absolute must for committed caregivers." -- Ondrea and Stephen Levine, authors of Embracing the Beloved and Healing with Life and Death Book Review 2: "Mindell’s approach to coma replaces the static image of a subhuman patient in a vegetative state with the dynamic vision of a person in an altered state of consciousness journeying into healing. The implications of this are nothing short of revolutionary and will have enormous consequences for persons in coma and for those who care for them." -- Michael Kearney, M.B., F.R.C.P.I., consultant in Palliative Medicine, Our Lady’s Hospice, Dublin, author of Mortally Wounded: Stories of Soul Pain, Death and Healing Book Review 3: "This practical guide will bring comfort to caregivers and family members of coma patients, as well as teaching them useful skills." -- Bernie Siegel, M.D., author of Love, Medicine & Miracles and Peace, Love and Healing