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Laureys, who is head of the coma science group and neurology department at Liège University hospital, concluded coma patients are diagnosed falsely "on a disturbingly regular basis". In around 40% of cases diagnosed as vegetative, more careful examination shows there is still some level of consciousness. He examined 44 patients believed to be in a vegetative state, and found that 18 of them responded to communication.

"Once someone is labelled as being without consciousness, it is very hard to get rid of that," he told Spiegel magazine, calling for a systematic overhaul of the methods of diagnosis.

This man deserves a Nobel Prize in Medicine.

En un viejo país ineficiente, algo así como Espańa entre dos guerras civiles, poseer una casa y poca hacienda y memoria ninguna. -- Gil de Biedma
by Migeru (migeru at eurotrib dot com) on Mon Nov 23rd, 2009 at 04:02:05 PM EST
[ Parent ]
(mounting my own hobby-horse)

And why we need to real careful applying labels to phenomena.  It's too easy to move from:

working with phenomena + label

to:

working with label.

Once the latter becomes the predominate mode evidence not supporting the label gets overlooked or ignored.

by ATinNM on Mon Nov 23rd, 2009 at 04:18:24 PM EST
[ Parent ]
or permanent total solitary confinement.

Houben's is an extreme case of locked-in syndrome, as described by late Elle magazine editor Jean-Dominique Bauby, who was completely paralyzed by a stroke except for his left eyelid, in his memoir  Le Scaphandre et le Papillon which was made into a film by Julian Schnabel:

Locked-in syndrome is a condition in which a patient is aware and awake, but cannot move or communicate due to complete paralysis of nearly all voluntary muscles in the body except for the eyes. Total locked-in syndrome is a version of locked-in syndrome where the eyes are paralyzed as well.[1] It is the result of a brain stem lesion in which the ventral part of the pons is damaged. The condition has been described as "the closest thing to being buried alive". In French, the common term is "maladie de l'emmuré vivant", literally translated as walled-in alive disease; in German it is sometimes called "Eingeschlossensein".[2]

Locked-in syndrome is also known as cerebromedullospinal disconnection,[3] de-efferented state, pseudocoma,[4] and ventral pontine syndrome.

Locked-in syndrome - Wikipedia, the free encyclopedia

I find Houben extraordinary for having maintained his sanity/self/identity, whatever the word for it is, for so long.  Effectively, was it not similar to eternal solitary confinement?  Interestingly, he says he did a lot of "meditation":

The Belgian former engineering student, who speaks four languages, said he coped with being effectively trapped in his own body by meditating. He told doctors he had "travelled with my thoughts into the past, or into another existence altogether". Sometimes, he said, "I was only my consciousness and nothing else".

The moment it was discovered he was not in a vegetative state, said Houben, was like being born again. "I'll never forget the day that they discovered me," he said. "It was my second birth".

<...>

Houben hopes to write a book detailing his trauma and his "rebirth".

I look forward to reading that book.

La Chine dorme. Laisse la dormir. Quand la Chine s'éveillera, le monde tremblera.

by marco (cowannar at gmail punkt com) on Tue Nov 24th, 2009 at 01:34:50 AM EST
[ Parent ]
Surviving in your own mind for twenty three years is an absolutely phenomenal feat.

I'll certainly be in the queue for that book.

by ThatBritGuy (thatbritguy (at) googlemail.com) on Tue Nov 24th, 2009 at 05:44:18 AM EST
[ Parent ]
I don't know. Seems most (all?) of humanity manage it for far longer periods.
by Colman (colman at eurotrib.com) on Tue Nov 24th, 2009 at 06:36:50 AM EST
[ Parent ]

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