There is a thing
That happens to some of my patients;
Sitting quietly, often, after a meal, perhaps breakfast or lunch
And suddenly nothing,
Slippage into unresponsiveness.
I don’t say
For, that is altogether different.
Grey of hair
And thin of skin.
Are able to maintain an upright posture,
Can stay sitting,
No response to stimulus.
You measure the heart rate,
even, blood sugar;
All reassuringly normal.
Bloods, ECG, normal.
Chest X-ray, normal.
Brain waves will likely have altered,
Although, that is not something we do.
And, we are left,
Suspended in nothingness;
Reticular Activating System
Modern medicine never works…
Cannula, Glasgow Coma Score;
Time almost always does the trick;
And staying calm.
I suspect some watch me
‘He’s cold… Detached’
It’s not that, it is the realisation
That there is nothing you can do to make any difference
In these situations,
family and friends.
Such an exposition of vulnerability;
You can’t even blame the demon
It is how
The human body expresses deterioration.
And there is no more.
3 thoughts on “Hypo-perfusion or embolic phenomenon”
Does this state always end in death? As the persin falls , if you see what I mean.
It is not a TIA then?
How long does this state last – is it a variable period of time?
It seems strange that the person can remain upright ?
No – mostly people recover and are back to normal within an hour or two, sometimes it lasts a whole day; TIA’s are meant to be something that happens, e.g. a facial, hand, arm or leg weakness that lasts less than a day then goes back to normal – this is something more general that affects consciousness; and, yes, sitting upright. I’ve never seen a person standing, although that might be possible.
You could describe it as a fugue…
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Thankyou! Mysteries of the brain and body! Fascinating.